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Journal ArticleDOI

High-Intensity Strength Training in Nonagenarians: Effects on Skeletal Muscle

TLDR
It is concluded that high-resistance weight training leads to significant gains in muscle strength, size, and functional mobility among frail residents of nursing homes up to 96 years of age.
Abstract
Muscle dysfunction and associated mobility impairment, common among the frail elderly, increase the risk of falls, fractures, and functional dependency. We sought to characterize the muscle weakness of the very old and its reversibility through strength training. Ten frail, institutionalized volunteers aged 90 ± 1 years undertook 8 weeks of high-intensity resistance training. Initially, quadriceps strength was correlated negatively with walking time (r= -.745). Fat-free mass (r=.732) and regional muscle mass (r=.752) were correlated positively with muscle strength. Strength gains averaged 174% ±31% (mean ± SEM) in the 9 subjects who completed training. Midthigh muscle area increased 9.0%± 4.5%. Mean tandem gait speed improved 48% after training. We conclude that high-resistance weight training leads to significant gains in muscle strength, size, and functional mobility among frail residents of nursing homes up to 96 years of age. (JAMA. 1990;263:3029-3034)

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Journal ArticleDOI

Exercise and physical activity for older adults

TL;DR: The evidence reviewed in this Position Stand is generally consistent with prior American College of Sports Medicine statements on the types and amounts of physical activity recommended for older adults as well as the recently published 2008 Physical Activity Guidelines for Americans.
Journal Article

Progression Models in Resistance Training for Healthy Adults

TL;DR: In this article, the optimal characteristics of strength-specific programs include the use of concentric (CON), eccentric (ECC), and isometric muscle actions and the performance of bilateral and unilateral single and multiple-joint exercises.
Journal ArticleDOI

ACSM Position Stand: The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Healthy Adults

TL;DR: The combination of frequency, intensity, and duration of exercise is found to be the most important factor in determining the intensity and quality of exercise a person receives.
Journal ArticleDOI

Exercise Standards for Testing and Training A Scientific Statement From the American Heart Association

TL;DR: These guidelines are a revision of the 1995 standards of the AHA that addressed the issues of exercise testing and training and current issues of practical importance in the clinical use of these standards are considered.
Journal ArticleDOI

American College of Sports Medicine Position Stand. Progression Models in Resistance Training for Healthy Adults

TL;DR: In order to stimulate further adaptation toward a specific training goal(s), progression in the type of resistance training protocol used is necessary and emphasis should be placed on multiple-joint exercises, especially those involving the total body.
References
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Journal ArticleDOI

Risk factors for falls among elderly persons living in the community.

TL;DR: It is concluded that falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.
Journal ArticleDOI

Risk factors for recurrent nonsyncopal falls. A prospective study.

TL;DR: Risk factors for having a single fall were few and relatively weak, but multiple falls were more predictable, and increased odds of two or more falls for persons who had difficulty standing up from a chair, difficulty performing a tandem walk, arthritis, Parkinson's disease, and a fall with injury during the previous year were found.
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Strength conditioning in older men: skeletal muscle hypertrophy and improved function.

TL;DR: Strength gains in older men were associated with significant muscle hypertrophy and an increase in myofibrillar protein turnover and the torque-velocity relationship showed an upward displacement of the curve at the end of training, mainly in the slow-vel velocity high-torque region.
Journal ArticleDOI

Muscle strength and speed of movement in relation to age and muscle morphology

TL;DR: Multiple regression analyses indicated that mechanisms other than the type II fiber atrophy might be responsible for the decline in strength performance during aging.
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