Comparative Effects of Light or Heavy Resistance Power Training for Improving Lower Extremity Power and Physical Performance in Mobility-Limited Older Adults
Open accessAbstract
BACKGROUND: We compared the effects of two uniquely different lower extremity power training interventions on changes in muscle power, physical performance, neuromuscular activation, and muscle cross sectional area in mobility-limited older adults. METHODS: Fifty-two subjects (78±5 years, short physical performance battery score: 8.1±1) were randomized to either 16 weeks of progressive high velocity resistance training performed at low external resistance (40% of the 1-repetition maximum [1-RM] [LO]) or high external resistance (70% of 1RM [HI]). Both groups completed three sets of leg and knee extension exercises at maximum voluntary velocity, two times per week. Neuromuscular activation was assessed using surface electromyography and muscle cross sectional area (CSA) was measured using computed tomography. RESULTS: At 16 weeks, LO and HI exhibited significant and similar within-group increases of leg extensor peak power (~34% vs ~42%), strength (~13% vs ~19%), and SPPB score (1.4±0.3 vs 1.8±0.3 units), respectively (all P < .03). Improvements in neuromuscular activation occurred in LO (P = .03) while small gains in mid-thigh muscle CSA were detected in LO (1.6%, P = .35) and HI (2.1%, P = .17). No significant between-group differences were evident for any measured parameters (all P > .25). CONCLUSIONS: High velocity resistance training with low external resistance yields similar improvements in muscle power and physical performance compared to training with high external resistance in mobility-limited elders. These findings may have important implications for optimizing exercise interventions for older adults with mobility limitations.
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Multiple studies support the utility of both TRT and HVPT for improving functional performance in older adults.
“While multiple studies support the utility of both TRT and HVPT for improving functional performance in older adults, 29,34 -40 the relative effect of each training modality on functional performance is likely to be task speci fi c. 41”
From High-velocity power training has similar effects to traditional resistance training for functional performance in older adults: a systematic review (2023) · cites this paper as [40]
Cites
Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., Scherr, P. A., & Wallace, R. B. (1994) · Journal of Gerontology · doi:10.1093/geronj/49.2.m85 · Cited by 9,792 · see citing works
Reid, K. F., & Fielding, R. A. (2012) · Exercise and Sport Sciences Reviews · doi:10.1097/jes.0b013e31823b5f13 · Cited by 858 · cited 3× · see citing works
“In recent years, recognition of the importance of improving the muscle-power generating capacity of skeletal muscle has given rise to studies in which more powerful, high-velocity movements are employed during progressive resistance training interventions in older participants (3,4).”
InfluentialSelf-citationHigh-Velocity Resistance Training Increases Skeletal Muscle Peak Power in Older Women
Fielding, R. A., LeBrasseur, N. K., Cuoco, A., Bean, J., Mizer, K., & Singh, M. A. F. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50159.x · Cited by 446 · cited 2× · see citing works
“showed that 16 weeks of high velocity power training (at 70% 1RM) resulted in leg power gains ranging from ~33 to ~97% in older females (9).”
Self-citationHakkinen, K., Newton, R. U., Gordon, S. E., McCormick, M., Volek, J. S., Nindl, B. C., Gotshalk, L. A., Campbell, W. W., Evans, W. J., Hakkinen, A., et al. (1998) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/53a.6.b415 · Cited by 423 · see citing works
Suetta, C., Aagaard, P., Rosted, A., Jakobsen, A. K., Duus, B., Kjaer, M., & Magnusson, S. P. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01307.2003 · Cited by 326 · see citing works
Caserotti, P., Aagaard, P., Buttrup Larsen, J., & Puggaard, L. (2008) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/j.1600-0838.2007.00732.x · Cited by 254 · see citing works
Bean, J. F., Herman, S., Kiely, D. K., Frey, I. C., Leveille, S. G., Fielding, R. A., & Frontera, W. R. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52222.x · Cited by 218 · see citing works
Self-citationReid, K. F., Callahan, D. M., Carabello, R. J., Phillips, E. M., Frontera, W. R., & Fielding, R. A. (2008) · Aging Clinical and Experimental Research · doi:10.1007/bf03324865 · Cited by 153 · see citing works
Self-citationBean, J. F., Kiely, D. K., LaRose, S., O'Neill, E., Goldstein, R., & Frontera, W. R. (2009) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/glp056 · Cited by 138 · see citing works
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Fragala, M. S., Cadore, E. L., Dorgo, S., Izquierdo, M., Kraemer, W. J., Peterson, M. D., & Ryan, E. D. (2019) · Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003230 · Cited by 1,290 · see citing works
International exercise recommendations in older adults (ICFSR): Expert consensus guidelines
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., Aubertin-Leheudre, M., Bernabei, R., Cadore, E. L., Cesari, M., et al. (2021) · The Journal of nutrition, health and aging · doi:10.1007/s12603-021-1665-8 · Cited by 1,247 · see citing works
Self-citationApproaches to Assessment of Muscle Mass and Myosteatosis on Computed Tomography: A Systematic Review
Amini, B., Boyle, S. P., Boutin, R. D., & Lenchik, L. (2019) · The Journals of Gerontology: Series A · doi:10.1093/gerona/glz034 · Cited by 391 · see citing works
Izquierdo, M., de Souto Barreto, P., Arai, H., Bischoff-Ferrari, H. A., Cadore, E. L., Cesari, M., Chen, L.-K., Coen, P. M., Courneya, K. S., Duque, G., et al. (2025) · The Journal of nutrition, health and aging · doi:10.1016/j.jnha.2024.100401 · Cited by 273 · see citing works
Self-citationByrne, C., Faure, C., Keene, D. J., & Lamb, S. E. (2016) · Sports Medicine · doi:10.1007/s40279-016-0489-x · Cited by 234 · see citing works
Nutritional Supplements in Support of Resistance Exercise to Counter Age-Related Sarcopenia
Phillips, S. M. (2015) · Advances in Nutrition · doi:10.3945/an.115.008367 · Cited by 144 · see citing works
Stec, M. J., Thalacker-Mercer, A., Mayhew, D. L., Kelly, N. A., Tuggle, S. C., Merritt, E. K., Brown, C. J., Windham, S. T., Dell'Italia, L. J., Bickel, C. S., et al. (2017) · Experimental Gerontology · doi:10.1016/j.exger.2017.09.018 · Cited by 95 · see citing works
Muscle Power Training: A Hallmark for Muscle Function Retaining in Frail Clinical Setting
Cadore, E. L., & Izquierdo, M. (2018) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2017.12.010 · Cited by 95 · see citing works
Alcazar, J., Rodriguez-Lopez, C., Ara, I., Alfaro-Acha, A., Rodríguez-Gómez, I., Navarro-Cruz, R., Losa-Reyna, J., García-García, F. J., & Alegre, L. M. (2018) · Experimental Gerontology · doi:10.1016/j.exger.2018.03.015 · Cited by 77 · see citing works
Hvid, L. G., Strotmeyer, E. S., Skjødt, M., Magnussen, L. V., Andersen, M., & Caserotti, P. (2016) · Experimental Gerontology · doi:10.1016/j.exger.2016.03.018 · Cited by 73 · see citing works
Radaelli, R., Trajano, G. S., Freitas, S. R., Izquierdo, M., Cadore, E. L., & Pinto, R. S. (2023) · Sports Medicine · doi:10.1007/s40279-022-01758-0 · Cited by 38 · see citing works
el Hadouchi, M., Kiers, H., de Vries, R., Veenhof, C., & van Dieën, J. (2022) · European Review of Aging and Physical Activity · doi:10.1186/s11556-022-00297-x · Cited by 35 · see citing works
Martins, A. D., Fernandes, O., Pereira, A., Oliveira, R., Alderete Goñi, F. D., Leite, N. J. C., & Brito, J. P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095390 · Cited by 24 · see citing works
Bezerra, E. D. S., Diefenthaeler, F., Sakugawa, R. L., Cadore, E. L., Izquierdo, M., & Moro, A. R. P. (2019) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2019.01.010 · Cited by 17 · see citing works
Bandeira-Guimarães, M., Blanco-Rambo, E., Vieira, A. F., Sáez de Asteasu, M. L., Pinto, R. S., Izquierdo, M., & Cadore, E. L. (2023) · Sports Medicine - Open · doi:10.1186/s40798-023-00646-9 · Cited by 17 · see citing works
Pearson, L. T., Behm, D. G., Goodall, S., Mason, R., Stuart, S., & Barry, G. (2022) · BMC Sports Science, Medicine and Rehabilitation · doi:10.1186/s13102-022-00526-x · Cited by 12 · see citing works
Morrison, R. T., Taylor, S., Buckley, J., Twist, C., & Kite, C. (2023) · Journal of Physiotherapy · doi:10.1016/j.jphys.2023.05.018 · Cited by 11 · see citing works
Movement velocity during high- and low-velocity resistance exercise protocols in older adults.
Richardson, D. L., Duncan, M. J., Jimenez, A., Jones, V. M., Juris, P. M., & Clarke, N. D. (2018) · Experimental Gerontology · doi:10.1016/j.exger.2017.09.020 · Cited by 5 · see citing works
- Authors
- Reid, K. F., Martin, K. I., Doros, G., Clark, D. J., Hau, C., Patten, C., Phillips, E. M., Frontera, W. R., & Fielding, R. A.
- Affiliations
- Tufts University (US)
- Boston University (US)
- University of Florida (US)
- University of Florida Health (US)
- Harvard University (US)
- ORCID
- Venue
- The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-09-08
- Volume
- 70
- Issue
- 3
- Pages
- 374-380
- ISSN
- 1079-5006 (ISSN-L)
- 1758-535X
- PMC
- PMC4351393
- OpenAlex
- W2125326148
- Cited by
- 146
- References
- 9
- Citations by year
- 2026: 10 · 2025: 7 · 2024: 14 · 2023: 11 · 2022: 11 · 2021: 15 · 2020: 12 · 2019: 17 · 2018: 13 · 2017: 12 · 2016: 10 · 2015: 13
- FWCI
- 12.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journals of Gerontology Series A (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (5p30ag031679-15)
- National Institute on Aging (1 P30 AG031679, AG18844, P30-AG031679, R01AG018844, P30AG028740)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD065688)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- resistance training, leg power, muscle power, physical performance, neuromuscular activation, muscle cross-sectional area, leg extensors, knee extension
- MeSH terms
- Aged, Aged, 80 and over, Electromyography, Female, Humans, Isometric Contraction, Male, Tomography, X-Ray Computed, Single-Blind Method, Lower Extremity, Mobility Limitation, Quadriceps Muscle, Muscle Strength, Resistance Training
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