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Effects of resistance training on muscular strength, endurance, body composition and functional performance among sarcopenic patients: a systematic review

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Abstract

Background

Sarcopenia, a gradual loss of muscle mass and strength associated with ageing, contributes to a decline in physical abilities, increase in disability and frailty and loss of functional independence. This functional deterioration which comes with ageing, can be slowed in pace with exercise.

Objective

The objective of the current review was to thoroughly search for literature assessing impact of RT on physical performance, body composition, muscle strength and endurance in sarcopenic elderly patients.

Methods

PubMed, Scopus, Web of Science, and PEDro databases were brought in use for a thorough search for articles published from 2010 to 2023. Two researchers independently retrieved data from studies that complied with the inclusion and exclusion criteria, while they also evaluated quality of the evidence.

Results

In total, 14 studies with 742 patients with mean age of 72.4 ± 9.22 years were included in the analysis for this review. Results indicate, RT improves body composition (p = 0.001), functional performance (p 0.001), postural stability (p = 0.005) and muscle strength (p 0.001) in elderly sarcopenic patients.

Conclusion

A promising intervention for the management of sarcopenia is RT. To yield RT’s positive effects, a well-designed prescription is the need of the hour, just like it is with other treatment strategies.

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References

  1. Cruz-Jentoft AJ, Landi F, Schneider SM, Zuniga C, Arai H, Boirie Y, et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014;43:748–59.

    PubMed  PubMed Central  Google Scholar 

  2. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: european consensus on definition and diagnosis. Age Ageing. 2010;39:412–23.

    PubMed  PubMed Central  Google Scholar 

  3. Chang K-V, Hsu T-H, Wu W-T, Huang K-C, Han D-S. Association between sarcopenia and cognitive impairment: a systematic review and meta-analysis. J Am Med Dir Assoc. 2016;17:1164.e7-1164.e15.

    PubMed  Google Scholar 

  4. Moon JH, Kong MH, Kim HJ. Implication of Sarcopenia and Sarcopenic obesity on lung function in healthy elderly: using Korean national health and nutrition examination survey. J Korean Med Sci. 2015;30: 1682.

    PubMed  PubMed Central  Google Scholar 

  5. Hu X, Jiang J, Wang H, Zhang L, Dong B, Yang M. Association between sleep duration and sarcopenia among community-dwelling older adults: a cross-sectional study. Medicine. 2017;96: e6268.

    PubMed  PubMed Central  Google Scholar 

  6. Beaudart C, Reginster JY, Petermans J, Gillain S, Quabron A, Locquet M, et al. Quality of life and physical components linked to sarcopenia: the SarcoPhAge study. Exp Gerontol. 2015;69:103–10.

    CAS  PubMed  Google Scholar 

  7. De Buyser SL, Petrovic M, Taes YE, Toye KRC, Kaufman J-M, Lapauw B, et al. Validation of the FNIH sarcopenia criteria and SOF frailty index as predictors of long-term mortality in ambulatory older men. Age Ageing. 2016;45:603–8.

    Google Scholar 

  8. Roh YH, Koh YD, Noh JH, Gong HS, Baek GH. Evaluation of sarcopenia in patients with distal radius fractures. Arch Osteoporos. 2017;12:5.

    PubMed  Google Scholar 

  9. Mijnarends DM, Luiking YC, Halfens RJG, Evers SMAA, Lenaerts ELA, Verlaan S, et al. Muscle, health and costs: a glance at their relationship. J Nutr Health Aging. 2018;22:766–73.

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Vlietstra L, Hendrickx W, Waters DL. Exercise interventions in healthy older adults with sarcopenia: a systematic review and meta-analysis. Australas J Ageing. 2018;37:169–83.

    PubMed  Google Scholar 

  11. Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and Public Health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1435–45.

    PubMed  Google Scholar 

  12. World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world [Internet]. Geneva: World Health Organization. ; 2018 [cited 2023 May 8]. Available from: https://apps.who.int/iris/handle/10665/272722. Accessed 12 Apr 2023.

  13. Vezzoli A, Mrakic-Sposta S, Montorsi M, Porcelli S, Vago P, Cereda F, et al. Moderate intensity resistive training reduces oxidative stress and improves muscle Mass and function in older individuals. Antioxidants. 2019;8:431.

    PubMed  PubMed Central  Google Scholar 

  14. Chen H-T, Wu H-J, Chen Y-J, Ho S-Y, Chung Y-C. Effects of 8-week kettlebell training on body composition, muscle strength, pulmonary function, and chronic low-grade inflammation in elderly women with sarcopenia. Exp Gerontol. 2018;112:112–8.

    PubMed  Google Scholar 

  15. Tsekoura M, Billis E, Tsepis E, Dimitriadis Z, Matzaroglou C, Tyllianakis M, et al. The effects of group and home-based exercise programs in elderly with sarcopenia: a randomized controlled trial. JCM. 2018;7: 480.

    PubMed  PubMed Central  Google Scholar 

  16. Janssen I, Shepard DS, Katzmarzyk PT, Roubenoff R. The healthcare costs of Sarcopenia in the United States: economic cost of sarcopenia. J Am Geriatr Soc. 2004;52:80–5.

    PubMed  Google Scholar 

  17. Courel-Ibáñez J, Pallarés JG, García-Conesa S, Buendía-Romero Á, Martínez-Cava A, Izquierdo M. Supervised Exercise (Vivifrail) protects institutionalized older adults against severe functional decline after 14 weeks of COVID confinement. J Am Med Dir Assoc. 2021;22:217-219e2.

    PubMed  Google Scholar 

  18. on behalf of the SPRINTT Consortium, Marzetti E, Calvani R, Tosato M, Cesari M, Di Bari M, et al. Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. 2017;29:35–42.

    Google Scholar 

  19. Mcleod JC, Stokes T, Phillips SM. Resistance Exercise Training as a primary countermeasure to Age-Related Chronic Disease. Front Physiol. 2019;10: 645.

    PubMed  PubMed Central  Google Scholar 

  20. Yoo S-Z, No M-H, Heo J-W, Park D-H, Kang J-H, Kim SH, et al. Role of exercise in age-related sarcopenia. J Exerc Rehabil. 2018;14:551–8.

    PubMed  PubMed Central  Google Scholar 

  21. Papa EV, Dong X, Hassan M. Resistance training for activity limitations in older adults with skeletal muscle function deficits: a systematic review. CIA. 2017;12:955–61.

    Google Scholar 

  22. Lai C-C, Tu Y-K, Wang T-G, Huang Y-T, Chien K-L. Effects of resistance training, endurance training and whole-body vibration on lean body mass, muscle strength and physical performance in older people: a systematic review and network meta-analysis. Age Ageing. 2018;47:367–73.

    PubMed  Google Scholar 

  23. Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, et al. Resistance training for older adults: position statement from the national strength and conditioning association. J Strength Conditioning Res. 2019;33:2019–52.

    Google Scholar 

  24. Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B, et al. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription an advisory from the committee on exercise, rehabilitation, and prevention, council on clinical cardiology. Am Heart Assoc Circulation. 2000;101:828–33.

    CAS  Google Scholar 

  25. Shaw BS, Shaw I. Effect of resistance training on cardiorespiratory endurance and coronary artery disease risk. Cardiovasc J S Afr. 2005;16:256–9.

    CAS  PubMed  Google Scholar 

  26. Giallauria F, Cittadini A, Smart NA, Vigorito C. Resistance training and sarcopenia. Monaldi Arch Chest Dis [Internet]. 2016 [cited 2023 May 8];84. Available from: https://www.monaldi-archives.org/index.php/macd/article/view/738. Accessed 19 Apr 2023.

  27. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, et al. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–59.

    PubMed  Google Scholar 

  28. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71.

  29. Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83:713–21.

    PubMed  Google Scholar 

  30. Sterne JAC, Savović J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898. https://doi.org/10.1136/bmj.l4898.

  31. Cumpston M, Li T, Page MJ, Chandler J, Welch VA, Higgins JP et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Editorial Unit, editor. Cochrane Database of Systematic Reviews [Internet]. 2019 [cited 2023 May 9]; https://doi.org/10.1002/14651858.ED000142.

  32. Zhu L-Y, Chan R, Kwok T, Cheng KC-C, Ha A, Woo J. Effects of exercise and nutrition supplementation in community-dwelling older chinese people with sarcopenia: a randomized controlled trial. Age Ageing. 2019;48:220–8.

    PubMed  Google Scholar 

  33. Hamaguchi K, Kurihara T, Fujimoto M, Iemitsu M, Sato K, Hamaoka T, et al. The effects of low-repetition and light-load power training on bone mineral density in postmenopausal women with sarcopenia: a pilot study. BMC Geriatr. 2017;17:102.

    PubMed  PubMed Central  Google Scholar 

  34. Piastra G, Perasso L, Lucarini S, Monacelli F, Bisio A, Ferrando V, et al. Effects of two types of 9-Month adapted physical activity program on muscle mass, muscle strength, and balance in moderate sarcopenic older women. Biomed Res Int. 2018;2018:1–10.

    Google Scholar 

  35. Vasconcelos KSS, Dias JMD, Araújo MC, Pinheiro AC, Moreira BS, Dias RC. Effects of a progressive resistance exercise program with high-speed component on the physical function of older women with sarcopenic obesity: a randomized controlled trial. Braz J Phys Ther. 2016;20:432–40.

    PubMed  PubMed Central  Google Scholar 

  36. Liu C, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Bone, Joint and Muscle Trauma Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2009 [cited 2023 Mar 25]; https://doi.org/10.1002/14651858.CD002759.pub2.

  37. Liu C-J, Latham N. Can progressive resistance strength training reduce physical disability in older adults? A meta-analysis study. Disabil Rehabil. 2011;33:87–97.

    PubMed  Google Scholar 

  38. Seo D-I, Jun T-W, Park K-S, Chang H, So W-Y, Song W. 12 weeks of combined exercise is better than aerobic exercise for increasing growth hormone in middle-aged women. Int J Sport Nutr Exerc Metab. 2010;20:21–6.

    CAS  PubMed  Google Scholar 

  39. Chen H-T, Chung Y-C, Chen Y-J, Ho S-Y, Wu H-J. Effects of different types of Exercise on body composition, muscle strength, and IGF-1 in the Elderly with sarcopenic obesity. J Am Geriatr Soc. 2017;65:827–32.

    PubMed  Google Scholar 

  40. Kemmler W, Kohl M, Fröhlich M, Jakob F, Engelke K, Stengel S, et al. Effects of high-intensity resistance training on osteopenia and sarcopenia parameters in older men with osteosarcopenia—one‐year results of the randomized controlled Franconian Osteopenia and Sarcopenia Trial (FrOST). J Bone Miner Res. 2020;35:1634–44.

    CAS  PubMed  Google Scholar 

  41. Vikberg S, Sörlén N, Brandén L, Johansson J, Nordström A, Hult A, et al. Effects of resistance training on functional strength and muscle mass in 70-year-old individuals with pre-sarcopenia: a randomized controlled trial. J Am Med Dir Assoc. 2019;20:28–34.

    PubMed  Google Scholar 

  42. Bellomo RG, Iodice P, Maffulli N, Maghradze T, Coco V, Saggini R. Muscle strength and balance training in sarcopenic elderly: a pilot study with randomized controlled trial. Eur J Inflamm. 2013;11:193–201.

    Google Scholar 

  43. Liao C-D, Tsauo J-Y, Lin L-F, Huang S-W, Ku J-W, Chou L-C, et al. Effects of elastic resistance exercise on body composition and physical capacity in older women with sarcopenic obesity: a CONSORT-compliant prospective randomized controlled trial. Medicine. 2017;96: e7115.

    PubMed  PubMed Central  Google Scholar 

  44. Gené Huguet L, Navarro González M, Kostov B, Ortega Carmona M, Colungo Francia C, Carpallo Nieto M, et al. Pre Frail 80: multifactorial intervention to prevent progression of Pre-Frailty to Frailty in the Elderly. J Nutr Health Aging. 2018;22:1266–74.

    PubMed  Google Scholar 

  45. Henderson RM, Miller ME, Fielding RA, Gill TM, Glynn NW, Guralnik JM, et al. Maintenance of physical function 1 year after exercise intervention in at-risk older adults: follow-up from the LIFE Study. The Journals of Gerontology: Series A. 2018;73:688–94.

    Google Scholar 

  46. Ramalho F, Santos-Rocha R, Branco M, Moniz-Pereira V, André H-I, Veloso A, et al. Effect of 6-month community-based exercise interventions on gait and functional fitness of an older population: a quasi-experimental study. CIA. 2018;13:595–606.

    Google Scholar 

  47. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised european consensus on definition and diagnosis. Age Ageing. 2019;48:16–31.

    PubMed  Google Scholar 

  48. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am. 2006;90:807–24.

    PubMed  Google Scholar 

  49. Vellas B, Cayla F, Bocquet H, De Pemille F, Albarede JL. Prospective study of restriction of acitivty in old people after falls. Age Ageing. 1987;16:189–93.

    CAS  PubMed  Google Scholar 

  50. Cattagni T, Scaglioni G, Laroche D, Van Hoecke J, Gremeaux V, Martin A. Ankle muscle strength discriminates fallers from non-fallers. Front Aging Neurosci [Internet]. 2014 [cited 2023 May 12];6. Available from: http://journal.frontiersin.org/article/10.3389/fnagi.2014.00336/abstract.

  51. Bierbaum S, Peper A, Karamanidis K, Arampatzis A. Adaptational responses in dynamic stability during disturbed walking in the elderly. J Biomech. 2010;43:2362–8.

    PubMed  Google Scholar 

  52. Karamanidis K, Arampatzis A, Mademli L. Age-related deficit in dynamic stability control after forward falls is affected by muscle strength and tendon stiffness. J Electromyogr Kinesiol. 2008;18:980–9.

    PubMed  Google Scholar 

  53. Mademli L, Mavridi D, Bohm S, Patikas DA, Santuz A, Arampatzis A. Standing on unstable surface challenges postural control of tracking tasks and modulates neuromuscular adjustments specific to task complexity. Sci Rep. 2021;11:6122.

    CAS  PubMed  PubMed Central  Google Scholar 

  54. Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Capoluongo E, et al. Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr. 2012;31:652–8.

    PubMed  Google Scholar 

  55. Beaudart C, Zaaria M, Pasleau F, Reginster J-Y, Bruyère O. Health outcomes of sarcopenia: a systematic review and meta-analysis. Wright JM, editor. PLoS ONE. 2017;12:e0169548.

  56. Häkkinen K, Alen M, Kallinen M, Newton RU, Kraemer WJ. Neuromuscular adaptation during prolonged strength training, detraining and re-strength-training in middle-aged and elderly people. Eur J Appl Physiol. 2000;83:51–62.

    PubMed  Google Scholar 

  57. Balachandran A, Krawczyk SN, Potiaumpai M, Signorile JF. High-speed circuit training vs hypertrophy training to improve physical function in sarcopenic obese adults: a randomized controlled trial. Exp Gerontol. 2014;60:64–71.

    PubMed  Google Scholar 

  58. Stoever K, Heber A, Eichberg S, Brixius K. Influences of resistance training on physical function in older, obese men and women with sarcopenia. J Geriatr Phys Ther. 2018;41:20–7.

    PubMed  Google Scholar 

  59. Chiu S-C, Yang R-S, Yang R-J, Chang S-F. Effects of resistance training on body composition and functional capacity among sarcopenic obese residents in long-term care facilities: a preliminary study. BMC Geriatr. 2018;18:21.

    PubMed  PubMed Central  Google Scholar 

  60. Vettor R, Milan G, Franzin C, Sanna M, De Coppi P, Rizzuto R, et al. The origin of intermuscular adipose tissue and its pathophysiological implications. Am J Physiol-Endocrinol Metab. 2009;297:E987-998.

    CAS  PubMed  Google Scholar 

  61. Burton LA, Sumukadas D. Optimal management of sarcopenia. Clin Interv Aging. 2010;5:217–228.  https://doi.org/10.2147/cia.s11473.

  62. Li C, Kang B, Zhang T, Gu H, Man Q, Song P, et al. High visceral Fat Area attenuated the negative association between high body mass index and sarcopenia in community-dwelling older Chinese people. Healthcare. 2020;8: 479.

    PubMed  PubMed Central  Google Scholar 

  63. Hsu L, Tsai C. Effects of Exercise and Nutritional intervention on body composition, Metabolic Health, and physical performance in adults with sarcopenic obesity: a Meta-analysis. Nutrients. 2019;11:2163.

    CAS  PubMed  PubMed Central  Google Scholar 

  64. Xu H, Shi J, Shen C, Liu Y, Liu J-M, Zheng X. Sarcopenia-related features and factors associated with low muscle mass, weak muscle strength, and reduced function in chinese rural residents: a cross-sectional study. Arch Osteoporos. 2019;14:2.

    Google Scholar 

  65. Oliveira JS, Pinheiro MB, Fairhall N, Walsh S, Chesterfield Franks T, Kwok W, et al. Evidence on physical activity and the Prevention of Frailty and Sarcopenia among older people: a systematic review to inform the World Health Organization Physical Activity Guidelines. J Phys Activity Health. 2020;17:1247–58.

    Google Scholar 

  66. Drummond MJ, Dreyer HC, Pennings B, Fry CS, Dhanani S, Dillon EL, et al. Skeletal muscle protein anabolic response to resistance exercise and essential amino acids is delayed with aging. J Appl Physiol. 2008;104:1452–61.

    CAS  PubMed  Google Scholar 

  67. Peterson MD, Rhea MR, Sen A, Gordon PM. Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev. 2010;9:226–37.

    PubMed  PubMed Central  Google Scholar 

  68. Ormsbee MJ, Choi MD, Medlin JK, Geyer GH, Trantham LH, Dubis GS, et al. Regulation of fat metabolism during resistance exercise in sedentary lean and obese men. J Appl Physiol (1985). 2009;106:1529–37.

    CAS  PubMed  Google Scholar 

  69. Thornell L-E. Sarcopenic obesity: satellite cells in the aging muscle. Curr Opin Clin Nutr Metab Care. 2011;14:22–7.

    PubMed  Google Scholar 

  70. Vincent HK, Raiser SN, Vincent KR. The aging musculoskeletal system and obesity-related considerations with exercise. Ageing Res Rev. 2012;11:361–73.

    CAS  PubMed  PubMed Central  Google Scholar 

  71. Lopopolo RB, Greco M, Sullivan D, Craik RL, Mangione KK. Effect of therapeutic exercise on gait speed in community-dwelling elderly people: a meta-analysis. Phys Ther. 2006;86:520–40.

    PubMed  Google Scholar 

  72. Peterson MD, Gordon PM. Resistance exercise for the aging adult: clinical implications and prescription guidelines. Am J Med. 2011;124:194–8.

    PubMed  Google Scholar 

  73. Working Group on Functional Outcome Measures for Clinical Trials. Functional outcomes for clinical trials in frail older persons: time to be moving. J Gerontol A Biol Sci Med Sci. 2008;63:160–4.

    Google Scholar 

  74. Cavill NA, Foster CEM. Enablers and barriers to older people’s participation in strength and balance activities: a review of reviews. JFSF. 2018;03:105–13.

    Google Scholar 

  75. Schutzer K. Barriers and motivations to exercise in older adults. Prev Med. 2004;39:1056–61.

    PubMed  Google Scholar 

  76. Hurst C, Robinson SM, Witham MD, Dodds RM, Granic A, Buckland C, et al. Resistance exercise as a treatment for sarcopenia: prescription and delivery. Age Ageing. 2022;51: afac003.

    PubMed  PubMed Central  Google Scholar 

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Study conception and design: AS, NS, AC; data collection: AS, AC, RRS, KB; Analysis and interpretation of results: RHR, NB, RM, NS; Draft manuscript preparation: AS, NS, AC. All authors reviewed the results and approved the final version of the manuscript.

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Correspondence to Abhishek Sharma.

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Sharma, N., Chahal, A., Balasubramanian, K. et al. Effects of resistance training on muscular strength, endurance, body composition and functional performance among sarcopenic patients: a systematic review. J Diabetes Metab Disord 22, 1053–1071 (2023). https://doi.org/10.1007/s40200-023-01283-5

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