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News & Information

STRENGTH TRAINING & AGEING

It was nice to see the BBC pick up on this study, published in the British Journal of Sports Medicine, looking at the benefits of resistance training for overall health, particularly for older adults.

 

https://www.bbc.co.uk/news/health-63048474

 

This isn’t 'new' news, as the research has been pointing to this for some time. It is, however, promising to see it gain some exposure.  An evidence-based and progressive resistance training program can result in the improvement of muscular strength well into later life.  Muscular strength has been shown to have a positive impact on multiple age-associated disabilities, diseases, and all-cause mortality.

Strength Training Benefits

Image by Vanya Tsaneva, 2022

A 2021 paper published in the Journal of Nutrition, Health and Ageing states:

 ‘In the absence of adequate physical activity & exercise, the ageing process is associated with the premature and excessive appearance of many health conditions and chronic diseases.’

 

The World Health Organisation recently updated their guidelines on physical activity. They recommend:

 

  • At least 150 – 300 mins of moderate intensity, or at least 75 – 150 mins of vigorous intensity (or a combination) aerobic activity each week 

  • Strength exercises of moderate or greater intensity on at least 2 days per week 

  • Limit the amount of sedentary time (sedentary behaviour is linked to poor health outcomes, even when physical activity is being achieved).

 

For adults aged 65yrs and over, recommendations are as above, plus:

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  • exercise that emphasises functional balance and strength training on at least 3 days a week.

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It does state that activity levels below these recommendations can accrue health benefits if starting from a low base.  They also recognise that there is a dose-response relationship, where more is better, up to a point.  We don't yet have clear data on the cut off limits where more is no longer better.  Additionally, and importantly, vigorous and moderate intensities are relative to each individual.

The current evidence base shows that appropriate levels of exercise offer benefits in the prevention and treatment of conditions and diseases including:

 

  •  cardiovascular disease 

  •  stroke 

  •  hypertension 

  •  type 2 diabetes

  •  cancer (including breast, colon, and prostate, and improvement of treatment side effects)

  •  mental health / depression 

  •  dementia / cognitive function 

  •  Parkinson's disease

 

For adults aged 65 years and older, key additional benefits include:

 

  • reduced levels of frailty

  • reduced risk of falls and fall related injuries

  • bone health (osteoporosis)

  • maintenance of muscle mass, strength, and quality (sarcopenia)

  • osteoarthritis

  • improved functional capacity and mobility 

 

We all most likely know someone who could benefit from this.  It is never too late to start, the benefits of exercise can be achieved at any age, with no upper age limit. 

The Vitruvian Team.

Independent and joint associations of weightlifting and aerobic activity with all-cause, cardiovascular disease and cancer mortality in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial

Gorzelitz et al.  British Journal of Sports Medicine. 2022

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WHO 2020 guidelines on physical activity and sedentary behaviour. 

Bull et al. British Journal of Sports Medicine. 2020

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International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines.

Izquierdo et al.  Journal of nutrition, health & ageing. 2021

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