Can Progressive Resistance Training Twice a Week Improve Mobility, Muscle Strength, and Quality of Life in Very Elderly Nursing-home Residents with Impaired Mobility? A Pilot Study

Overview

Journal Clin Interv Aging

Publisher Dove Medical Press

Specialty Geriatrics

Date 2013 May 3

PMID 23637524

Citations 21

Authors

Lilian Krist

Fernando Dimeo

Thomas Keil

Affiliations

Soon will be listed here.

Abstract

Purpose: To determine the effects of progressive resistance training on mobility, muscle strength, and quality of life in nursing-home residents with impaired mobility.

Methods: Nursing-home residents aged 77 years and older with impaired mobility were recruited in Berlin, Germany. The eight-week exercise program consisted of progressive resistance training twice a week. Mobility (primary outcome) was assessed with the Elderly Mobility Scale (zero = worst, 20 = best) at baseline and after 8 weeks. Muscle strength (secondary outcome) was determined by the eight-repetition maximum. The Short Form-36 Health Survey was used to assess quality of life.

Results: Of the 15 participants (mean age 84 years, range 77-97 years), ten completed the 8-week program. Mobility (Elderly Mobility Scale mean ± standard deviation pre 14.1 ± 3.2 and post 17.5 ± 3.6; P = 0.005) as well as muscle strength of upper and lower limbs improved (from 62% at chest press up to 108% at leg extension machine), whereas most quality of life subscales did not show considerable change.

Conclusion: Resistance training twice a week over 2 months seemed to considerably improve mobility and muscle strength in persons aged 77-97 years with impaired mobility.

Citing Articles

Factors Shaping Exercise Patterns and Health Status among the Elderly in Aging Nations: A South Korean Perspective.

Yi E, Rezaei M, Byun H, Jeon S Iran J Public Health. 2024; 53(4):895-903.

PMID: 39444462 PMC: 11493573. DOI: 10.18502/ijph.v53i4.15566.

The Frailty Reduction via Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial: Study Protocol and Recruitment Results.

Inskip M, Almendrales Rangel C, Njoku C, Barnett F, Shih I, ONeill L Methods Protoc. 2024; 7(2).

PMID: 38525784 PMC: 10961770. DOI: 10.3390/mps7020026.

Interventions to promote mobility and quality of life in nursing homes: A systematic review.

Bohn B, Strupeit S Nurs Open. 2023; 10(7):4172-4184.

PMID: 36840677 PMC: 10277444. DOI: 10.1002/nop2.1673.

Effects of Blood Flow Restriction Combined with Low-Intensity Resistance Training on Lower-Limb Muscle Strength and Mass in Post-Middle-Aged Adults: A Systematic Review and Meta-Analysis.

Chang H, Yao M, Chen B, Qi Y, Zhang J Int J Environ Res Public Health. 2022; 19(23).

PMID: 36497769 PMC: 9735845. DOI: 10.3390/ijerph192315691.

The beneficial effects of square dance on musculoskeletal system in early postmenopausal Chinese women: a cross-sectional study.

Sun J, Yao C, Wang Z, Wu J, Zhang B, Zhou Z BMC Womens Health. 2022; 22(1):247.

PMID: 35729521 PMC: 9215099. DOI: 10.1186/s12905-022-01832-9.

References

Metter E, Conwit R, Tobin J, Fozard J . Age-associated loss of power and strength in the upper extremities in women and men. J Gerontol A Biol Sci Med Sci. 1997; 52(5):B267-76. DOI: 10.1093/gerona/52a.5.b267. View

Rosendahl E, Lindelof N, Littbrand H, Yifter-Lindgren E, Lundin-Olsson L, Haglin L . High-intensity functional exercise program and protein-enriched energy supplement for older persons dependent in activities of daily living: a randomised controlled trial. Aust J Physiother. 2006; 52(2):105-13. DOI: 10.1016/s0004-9514(06)70045-9. View

Pu C, JOHNSON M, Forman D, Hausdorff J, Roubenoff R, Foldvari M . Randomized trial of progressive resistance training to counteract the myopathy of chronic heart failure. J Appl Physiol (1985). 2001; 90(6):2341-50. DOI: 10.1152/jappl.2001.90.6.2341. View

Doherty T . Invited review: Aging and sarcopenia. J Appl Physiol (1985). 2003; 95(4):1717-27. DOI: 10.1152/japplphysiol.00347.2003. View

Zech A, Drey M, Freiberger E, Hentschke C, Bauer J, Sieber C . Residual effects of muscle strength and muscle power training and detraining on physical function in community-dwelling prefrail older adults: a randomized controlled trial. BMC Geriatr. 2012; 12:68. PMC: 3538686. DOI: 10.1186/1471-2318-12-68. View

Yu M, Chan C, Tsim R . Usefulness of the Elderly Mobility Scale for classifying residential placements. Clin Rehabil. 2007; 21(12):1114-20. DOI: 10.1177/0269215507080789. View

Stenholm S, Harris T, Rantanen T, Visser M, Kritchevsky S, Ferrucci L . Sarcopenic obesity: definition, cause and consequences. Curr Opin Clin Nutr Metab Care. 2008; 11(6):693-700. PMC: 2633408. DOI: 10.1097/MCO.0b013e328312c37d. View

Sullivan D, Wall P, Bariola J, Bopp M, Frost Y . Progressive resistance muscle strength training of hospitalized frail elderly. Am J Phys Med Rehabil. 2001; 80(7):503-9. DOI: 10.1097/00002060-200107000-00007. View

Reeves N . Adaptation of the tendon to mechanical usage. J Musculoskelet Neuronal Interact. 2006; 6(2):174-80. View

10.

Alfieri F, Riberto M, Abril-Carreres A, Boldo-Alcaine M, Rusca-Castellet E, Garreta-Figuera R . Effectiveness of an exercise program on postural control in frail older adults. Clin Interv Aging. 2012; 7:593-8. PMC: 3529636. DOI: 10.2147/CIA.S36027. View

11.

Serra-Rexach J, Bustamante-Ara N, Hierro Villaran M, Gonzalez Gil P, Sanz Ibanez M, Blanco Sanz N . Short-term, light- to moderate-intensity exercise training improves leg muscle strength in the oldest old: a randomized controlled trial. J Am Geriatr Soc. 2011; 59(4):594-602. DOI: 10.1111/j.1532-5415.2011.03356.x. View

12.

Fiatarone M, ONEILL E, Ryan N, Clements K, Solares G, Nelson M . Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med. 1994; 330(25):1769-75. DOI: 10.1056/NEJM199406233302501. View

13.

de Morton N, Berlowitz D, Keating J . A systematic review of mobility instruments and their measurement properties for older acute medical patients. Health Qual Life Outcomes. 2008; 6:44. PMC: 2430553. DOI: 10.1186/1477-7525-6-44. View

14.

Imagama S, Hasegawa Y, Matsuyama Y, Sakai Y, Ito Z, Hamajima N . Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people. Arch Osteoporos. 2011; 6:13-20. PMC: 3235276. DOI: 10.1007/s11657-011-0052-1. View

15.

Katula J, Rejeski W, Marsh A . Enhancing quality of life in older adults: a comparison of muscular strength and power training. Health Qual Life Outcomes. 2008; 6:45. PMC: 2443114. DOI: 10.1186/1477-7525-6-45. View

16.

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

17.

Liu C, Latham N . Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev. 2009; (3):CD002759. PMC: 4324332. DOI: 10.1002/14651858.CD002759.pub2. View

18.

Ware Jr J, Kosinski M, Keller S . A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996; 34(3):220-33. DOI: 10.1097/00005650-199603000-00003. View

19.

Vandervoort A, McComas A . Contractile changes in opposing muscles of the human ankle joint with aging. J Appl Physiol (1985). 1986; 61(1):361-7. DOI: 10.1152/jappl.1986.61.1.361. View

20.

Spilg E, Martin B, Mitchell S, Aitchison T . A comparison of mobility assessments in a geriatric day hospital. Clin Rehabil. 2001; 15(3):296-300. DOI: 10.1191/026921501675281708. View