Resistance training for activity limitations in older adults with skeletal muscle function deficits: a systematic review
Open accessAbstract
Human aging results in a variety of changes to skeletal muscle. Sarcopenia is the age-associated loss of muscle mass and is one of the main contributors to musculoskeletal impairments in the elderly. Previous research has demonstrated that resistance training can attenuate skeletal muscle function deficits in older adults, however few articles have focused on the effects of resistance training on functional mobility. The purpose of this systematic review was to 1) present the current state of literature regarding the effects of resistance training on functional mobility outcomes for older adults with skeletal muscle function deficits and 2) provide clinicians with practical guidelines that can be used with seniors during resistance training, or to encourage exercise. We set forth evidence that resistance training can attenuate age-related changes in functional mobility, including improvements in gait speed, static and dynamic balance, and fall risk reduction. Older adults should be encouraged to participate in progressive resistance training activities, and should be admonished to move along a continuum of exercise from immobility, toward the recommended daily amounts of activity.
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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 [29]
The Discussion (‘Resistance training for older adults’; page not provided) reports that multiple resistance-training studies found improvements in functional mobility, including gait speed and balance. This supports the TRT portion of the claim, but the passages do not establish that high-velocity power training (HVPT) improves functional performance. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAddressing deficits in strength or power through resistance training may help to mitigate age-related functional decline.
“Addressing de fi cits in strength or power through resistance training may help to mitigate age-related functional decline. 28,29”
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 [29]
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- Authors
- Papa, E. V., Dong, X., & Hassan, M.
- Affiliations
- University of North Texas Health Science Center (US)
- Corresponding author
- Papa, Evan V
- Venue
- Clinical Interventions in Aging
- Publisher
- Informa UK Limited
- Published
- 2017-06
- Volume
- Volume 12
- Pages
- 955-961
- ISSN
- 1176-9092 (ISSN-L)
- 1178-1998
- PMC
- PMC5479297
- OpenAlex
- W2603586365
- Cited by
- 233
- References
- 49
- Citations by year
- 2026: 18 · 2025: 19 · 2024: 25 · 2023: 37 · 2022: 32 · 2021: 27 · 2020: 30 · 2019: 22 · 2018: 21 · 2017: 2
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Clinical Interventions in Aging (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- National Institutes of Health (UL1TR001105, KL2TR001103)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- resistance training, older adults, sarcopenia, functional mobility, walking speed, balance, fall risk reduction, exercise recommendations, aging
- MeSH terms
- Accidental Falls, Walking Speed, Aged, Aging, Postural Balance, Female, Humans, Muscle, Skeletal, Muscle Strength, Resistance Training
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