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Influence of strength training variables on strength gains in adults over 55 years-old: a meta-analysis of dose-response relationships [with consumer summary]
Silva NL, Oliveira RB, Fleck SJ, Leon ACMP, Farinatti P
Journal of Science and Medicine in Sport 2014 May;17(3):337-344
systematic review

OBJECTIVES: The importance of strength training to elderly individuals is well established. However, the dose-response relationship of the benefits of strength training in this population is unclear. The purpose of the study was to use meta-analysis to investigate the dose-response of the effects of strength training in elderly individuals. DESIGN: Fifteen studies with a total of 84 effect-sizes were included. The analyses examined the dose-response relationships of the following training variables 'intensity', 'number of sets', 'weekly frequency', and 'training duration' on strength improvement. METHODS: The studies selected met the following inclusion criteria: (a) randomized controlled trials; (b) trained healthy subjects of both genders; (c) trained subjects aged 55 years or older; (d) strength increases were determined pre- and post-training; (e) use of similar strength evaluation techniques (strength determined by a repetition maximum test) and training routine (dynamic concentric-eccentric knee extension exercise to train the quadriceps muscle group). The effect-sizes were calculated using fixed and random effect models with the main effects determined by meta-regression. RESULTS: Many combinations of training variables resulted in strength increases. However meta-regression indicated only "training duration" had a significant dose-response relationship to strength gains (p = 0.001). Over durations of 8 to 52 weeks, longer training durations had a greater effect on strength gains compared to shorter duration protocols. CONCLUSIONS: Resistive training causes strength gains in elderly individuals, provided the training duration is sufficiently long, regardless of the combination of other training variables.

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