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Weight training improves walking endurance in healthy elderly persons
Ades PA, Ballor DL, Ashikaga T, Utton JL, Nair KS
Annals of Internal Medicine 1996 Mar 15;124(6):568-572
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To determine the effect of a resistance-training program on walking endurance in a healthy, community-dwelling elderly population. DESIGN: 12-week randomized, controlled trial comparing a resistance-training group with a nonexercising control group. SETTING: Hospital-affiliated outpatient exercise facility. PATIENTS: 24 healthy men and women who were 65 years of age or older (mean age +/- SD 70.4 +/- 4 years; range 65 to 79 years). MEASUREMENTS: The primary outcome variable was exhaustive submaximal walking time measured at an intensity of 80% of baseline peak aerobic capacity. RESULTS: Participants in the resistance-training program increased submaximal walking endurance by 9 minutes (from 25 +/- 4 minutes to 34 +/- 9 minutes; p = 0.001), a 38% increase, whereas no change was seen in controls (20 +/- 5 minutes to 19 +/- 10 minutes; p > 0.2; p = 0.005 between groups). The relation between change in leg strength and change in walking endurance was significant (r = 0.48; p = 0.02). Neither group showed a change in peak aerobic capacity or in whole-body composition, although fat-free mass of the leg increased in the exercise group. CONCLUSIONS: Resistance training for 3 months improves both leg strength and walking endurance in healthy, community-dwelling elderly persons. This finding is relevant to older persons at risk for disability, because walking endurance and leg strength are important components of physical functioning.

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