Abstract

Abstract Introduction: Resistance training is quoted as one of the best pathways to manage sarcopenia and progressive resistance training is supposed to improve muscle mass, strength and performance in older adults. Objective: The aim was to examine the impact of a progressive resistance exercise program (PREP) on muscle and function performance in sarcopenic community-dwelling elder women. Methods: Quasi-experimental study (pre - post intervention). Participated 18 sarcopenic community-dwelling elder women (65 years or older). PREP based on 75% of the participant’s maximum load (12/wk, 3 times/wk). Main outcome measures: muscle strength of knee extensors (isokinetic dynamometry), muscle mass (dual-x ray absorptiometry - DXA), functional performance (Short Physical Performance Battery - SPPB). Paired t-test was used to evaluate differences pre and post intervention. Results: Improvements on power (p = 0.01) and peak torque (p = 0.01) were observed when measured by the isokinetic dynamometer at low speed (60º/s). Improvements on DXA (pre PREP: 5.49 kg/m2 vs. post PREP: 6.01 kg/m2; p = 0.03) and SPPB scores (pre PREP: 9.06 vs. post PREP: 10.28; p = 0.01) were also observed. Conclusion: The PREP was able to improve muscle and functional performance in sarcopenic community-dwelling elder women. This program should be considered in clinical practice.

Highlights

  • Resistance training is quoted as one of the best pathways to manage sarcopenia and progressive resistance training is supposed to improve muscle mass, strength and performance in older adults

  • The aim was to examine the impact of a progressive resistance exercise program (PREP) on muscle and function performance in sarcopenic community-dwelling elder women

  • A longitudinal study has shown that changes in muscle mass could predict improving in muscle strength [5], demonstrating that there are still controversies in this area

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Summary

Introduction

Resistance training is quoted as one of the best pathways to manage sarcopenia and progressive resistance training is supposed to improve muscle mass, strength and performance in older adults. Muscle strength losses are even higher, reaching an incidence of 3%/year and is usually more pronounced in lower limbs leading to important functional disabilities [5], being extremely influenced by lifestyle and chronic conditions [6]. These functional disabilities are usually related to the difficulty of walking, balance and carrying out activities of daily living. No linear relation has been seen between muscle mass and force decline [7, 8] At this moment, the literature points that strength loss usually precedes muscle mass losses [7]. A longitudinal study has shown that changes in muscle mass could predict improving in muscle strength [5], demonstrating that there are still controversies in this area

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