Resistance Training and Quality of Life Among Younger and Older Adults

Older adults are at risk for sarcopenia, which can lead to reduced physical function, physical activity, and quality of life (QoL). PURPOSE: To determine the effects of aging and sedentary behavior on risk for sarcopenia, the purpose was to compare resistance trained and nonresistance trained younger and older adults on two sarcopenia-related outcomes: QoL and physical activity level (PA). METHODS: Younger (23.8 ± 0.4) and older (68.5 ± 1.2) healthy adults were categorized into 4 groups: young trained (YT: n = 22), young not trained (YNT: n = 16), old trained (OT: n = 17), and old not trained (ONT: n = 21). Resistance trained participants trained ≥ 2X per week, for the past ≥ 6 months. Participants completed a survey to assess health-related QoL, using the Sarcopenia and Quality of Life Questionnaire (SarQoL), and PA, using the Leisure Time Exercise Questionnaire (LTEQ). The SarQoL provides a total QoL score based on 7 dimensions. We were interested in total QoL and the following 3 dimensions: physical and mental health, functionality, and activities of daily living (ADLs). Scores range from 0 (worst health) to 100 (best health). The LTEQ provides a score for PA units, based on vigorous, moderate, and light PA in the past week, with higher scores indicating more PA. ANOVAs were used to determine group differences for each variable, p ≤ 0.05. Data are reported as mean ± SE. RESULTS: Group differences emerged for all variables (p ≤ 0.05). For total QoL, YT (94.5 ± 1.4) was significantly higher than all other groups (YNT: 86.4 ± 1.6, p \u3c 0.001; OT: 87.1 ± 1.6, p = 0.001; ONT: 81.9 ± 1.4, p \u3c 0.001). OT (p = 0.017) and YNT (p = 0.039) were significantly higher than ONT. For physical and mental health, YT (94.2 ± 2.4) was significantly higher than all groups (YNT: 82.2 ± 2.8, p = 0.002; OT: 85.8 ± 2.7, p = 0.022; ONT: 77.9 ± 2.4, p \u3c 0.001). OT was significantly higher than ONT (p = 0.035). For functionality (e.g., balance, climbing stairs), YT (97.5 ± 1.4) again was significantly higher than the other groups (YNT: 92.0 ± 1.6, p = 0.012; OT: 88.9 ± 1.6, p \u3c 0.001; ONT: 85.6 ± 1.4, p \u3c 0.001). YNT was significantly higher than ONT (p= 0.004). For ADLs (e.g., difficulty, fatigue, or pain during physical effort), YT (95.4 ± 1.7) was significantly higher than all groups (YNT: 87.3 ± 1.9, p = 0.002; OT: 87.9 ± 1.9, p = 0.004; ONT: 84.7 ± 1.7, p \u3c 0.001). For all QoL variables, OT did not differ from YNT (p \u3e 0.05). For PA, YT (58.5 ± 6.1 AU) had the same activity level as OT (50.0 ± 6.9 AU, p = 0.356). YT was significantly higher than YNT (31.1 ± 7.3 AU, p = 0.005) and ONT (32.4 ± 6.4 AU, p = 0.004). All other group comparisons were not different (p \u3e 0.05). CONCLUSION: Interestingly, OT was similar to YT on PA and similar to YNT on QoL outcomes. Further, OT was higher than ONT on perceptions of physical and mental health and total QoL. These data suggest that resistance training may be an effective modality to improve or maintain QoL as individuals age

Resistance Training may Mitigate Age-related Decline in Physical Function

Aging is often accompanied with the onset of sarcopenia, defined by low muscle mass, strength, and physical function. Regular resistance exercise may mitigate this loss; however, data are lacking that compare younger and older adults who do and do not perform resistance training for general health on skeletal muscle mass and physical function. PURPOSE: The aim of this study was to identify differences in muscle mass and physical function between younger and older adults who did and did not perform resistance training for general health. METHODS: Healthy younger (23.8 ± 0.4 yrs) and older (68.5 ± 1.2 yrs) men and women (n = 76) who either did or did not regularly participate in resistance training were placed into 4 groups: young trained (YT: n = 22), young not trained (YNT: n = 16), old trained (OT: n = 17), and old not trained (ONT: n = 21). Dual energy x-ray absorptiometry assessed appendicular skeletal muscle mass (SMI). Participants performed 4 physical function tests: stair climb (SC), 30s sit-to-stand (30sSTS), 6-min walk test (6MWT), and timed-up-and-go (TUG). ANOVAs were used to compare groups for all measures, p ≤ 0.05. Data are reported as mean ± SE. RESULTS: Differences were found between groups for SMI, SC, 30sSTS, 6MWT, and TUG (p ≤ 0.05). SMI was higher for YT compared to YNT (p = 0.001), ONT (p \u3c 0.0001) and OT (p = 0.032) (YT: 8.67 ± 0.36 kg/m2, YNT: 7.08 ± 0.23 kg/m2, OT: 7.73 ± 0.29 kg/m2, ONT: 7.11 ± 0.27 kg/m2). SC performance was slower for ONT compared to YT (p \u3c 0.0001), YNT (p \u3c 0.0001), and OT (p = 0.032); however, YT and was faster than OT (p = 0.002) (YT: 2.37 ± 0.05s, YNT: 2.60 ± 0.10s, OT: 2.94± 0.15s, ONT: 3.32 ± 0.16s). For 30sSTS, OT completed more reps than ONT (p \u3c 0.0001) and YNT (p = 0.001). YT completed more reps than YNT (p \u3c 0.0001) and ONT (p \u3c 0.0001) (YT: 22.8 ± 0.5 reps, YNT: 18.4 ± 0.7 reps, OT: 22.1 ± 1.1 reps, ONT: 16.7 ± 0.6 reps). OT (p = 0.001), YT (p \u3c 0.0001), and YNT (p = 0.046) walked farther in the 6MWT compared to ONT, and YT walked farther than YNT (p = 0.048) (YT: 837.0 ± 16.7 yds, YNT: 783.2 ± 14.5 yds, OT: 819.9 ± 23.3 yds, ONT: 728.3 ± 18.9 yds). For TUG, OT (p = 0.001) and YT (p = 0.046) were faster than ONT (YT: 5.81 ± 0.17s, YNT: 5.87 ± 0.25s, OT: 5.31 ± 0.19s, ONT: 6.35 ± 0.21s). 30sSTS, 6MWT and TUG were not different between OT and YT. 6MWT and SC were not different between OT and YNT (p \u3e 0.05). All other comparisons were not significantly different (p \u3e 0.05). CONCLUSION: Resistance trained older adults outperformed their nonresistance trained peers and these data suggest that older adults who engage in regular resistance training may maintain physical function similar to that of younger adults

Effects of Resistance Training Status on Exercise Patterns and Body Composition Among Younger and Older Adults

As individuals age, percent body fat tends to increase and lean muscle mass decreases, which may limit the ability to engage in higher intensity exercise. Moderate to vigorous physical activity has been shown to improve body composition, but it is unclear whether exercise patterns, such as amount of moderate and high intensity exercise performed, are impacted by resistance training status in younger and older adults. PURPOSE: To examine whether resistance trained and untrained younger and older adults differ on duration of high, moderate, and low intensity exercise and percent body fat (%BF). METHODS: Younger (23.8 ± 0.4 years) and older (68.5 ± 1.2 years) healthy adults were categorized into 4 groups based on resistance training status: young resistance trained (YT: n = 22), young not resistance trained (YNT: n = 16), old resistance trained (OT: n = 17), and old not resistance trained (ONT: n = 20). Resistance trained participants had been training ≥ 2X per week, for the past ≥ 6 months. Participants completed a survey to assess the intensity and duration of exercise, and a dual x-ray absorptiometry (DEXA) scan was used to determine %BF. The survey asked how many minutes/hours per week participants engaged in high intensity exercise (e.g., jogging, hiking), moderate intensity exercise (e.g., light bicycling, walking briskly), and low intensity exercise (e.g., slow walking, easy yoga). Responses were coded as 1 = none, 2 = 30-60 minutes, 3 = 1-2 hours, 4 = 2-3 hours, 5 = 3-5 hours, and 6 = more than 5 hours. ANOVAs were used to determine group differences for each variable, p ≤ 0.05. Data are reported as mean ± SE. RESULTS: Group differences emerged for high and moderate intensity exercise (p \u3c 0.05), but not for low intensity (p \u3e 0.05). For high intensity, YT (3.64 ± 0.31) was significantly higher than YNT and ONT (YNT: 1.63 ± 0.37, p \u3c 0.001; ONT: 1.55 ± 0.33, p \u3c 0.001), and OT (2.82 ± 0.36) was significantly higher than YNT and ONT (YNT: p = 0.022; ONT: p = 0.010). For moderate intensity, YT (4.91 ± 0.31) was significantly higher than YNT and ONT (YNT: 2.40 ± 0.38, p \u3c 0.001; ONT: 3.52 ± 0.32, p = 0.003), and OT (4.77 ± 0.35) was significantly greater than YNT and ONT (YNT: p \u3c 0.001; ONT: p = 0.011). Also for moderate intensity, ONT was significantly greater than YNT (p = 0.025). For %BF, YT (25.06 ± 2.1%) was significantly lower than YNT and ONT (YNT: 33.55 ± 1.87%, p = 0.001; ONT: 36.47 ± 1.28%, p \u3c 0.001), and OT (29.37 ± 1.11%) was significantly lower than ONT (p = 0.003). All other group comparisons were not different (p \u3e 0.05). CONCLUSION: The older resistance trained individuals did not differ from the younger trained participants on exercise patterns or percent body fat, suggesting the enduring positive effects of resistance training as individuals age. These resistance trained individuals also performed more moderate and high intensity exercise than non-resistance trained groups, likely contributing to their favorable body composition. Funded by Texas American College of Sports Medicine Student Research Development Award to H. Kendall, J. Mettler, and L. Kipp, and Thesis Fellowship Award to H. Kendall