Tag Archives: BMD

12 Reasons Why Older Adults Need To Do Resistance Training Exercise: Part 2

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In part 1 of “12 reasons why older adults need to do resistance training exercise” I outlined some of the benefits to health that have been shown to occur as a result of partaking in regular resistance training exercise. The scientific evidence supporting the inclusion of resistance training as part of a healthy lifestyle is now indisputable. Whilst improvement of health is an obvious goal of many older athletes, it is the enhancement of sports performance that drives many in a quest to remain competitive, both against fellow competitors, but also – somewhat egocentrically – against their younger self. Even if you aren’t an elite masters athlete these benefits as outlined below can be truly life-changing.

Resistance training exercise remains an integral component of programs of most elite sportspeople. Increased maximal strength and power developed through the application of progressive resistance training has been shown to improve performance above and beyond that achieved by limiting training to sports specific training. This is now recognised by sports scientists, exercise physiologists, strength & conditioning experts and coaches.


strength training for over 60 female
Resistance Training Improves Older Athletes Performance (Picture: Pixabay)

Of particular note for older athletes is that the performance benefits may be even greater than that of younger elite athletes. One of the hallmark changes to occur with age is the progressive loss of strength with significant atrophy or loss of skeletal muscle playing a significant role. This fundamental biological change that occurs with ageing manifests in a gradual deterioration of physical function and performance.

However, there is compelling evidence that the trajectory of this decline is modifiable and can be attenuated by lifestyle factors. The data to support regular exercise as a key factor in preserving skeletal muscle and physical function is overwhelming. Resistance training is one of the very best methods currently available for older adults and masters athletes to stimulate the physiological processes required to increase myofibrillar protein synthesis rates, skeletal muscle hypertrophy and muscular strength. These skeletal muscle adaptations lie at the core of why this type of exercise improves the functional performance of older adults and athletic performance of masters athletes.

The following 6 compelling reasons explain why resistance exercise should be included in all training programs of older adults where enhanced performance – for activities of daily living or sporting – are desired.


strength training for over 60 female
Resistance training and bone strength (Picture: Pixabay)

Enhance skeletal health. Stronger bones can handle greater training loads and transfer muscular forces more effectively and efficiently. Bone mineral density (BMD) decreases as we age however this can be slowed by regular physical activity and appropriate nutrition. Risk of musculoskeletal injury is increased when bone strength is decreased with age, especially during falls that can cause catastrophic consequences for some.

Resistance training has been shown to be quite a potent stimulus for improving bone mineral density. Some evidence suggests that plyometric-type or jumping activities also provide an excellent training method to stimulate significant and positive bone adaptation which yields increased BMD and therefore stronger bones.

Masters cyclists as a group are unfortunately at an elevated risk of reduced BMD (weaker bones) due to the non-weight bearing nature of cycling. It is strongly recommended that all masters cyclists – in fact, all cyclists – should perform adjunctive resistance exercise in their training program (see links 1, 2, 3, 4 & 5).


strength training for over 60 female
Resistance Training And Skeletal Muscle (Picture: Google Images)

Maintain or increase lean body mass (skeletal muscle). Remember muscle is critical to both speed and endurance performance. From age 50 onwards muscle loss accelerates but there is a substantial amount of evidence that this is exacerbated by increased sedentarism (inactivity). Resistance training attenuates muscle mass loss.

Ageing is accompanied by reduced muscle mass and this has been mainly attributed to type II muscle fibre atrophy or reduction in size. It is unlikely that there is substantial muscle fibre loss however this remains to be elucidated. In older adults that have demonstrated substantial lean body mass loss and type II muscle fibre atrophy, prolonged resistance training has demonstrated significant increased muscle mass and this was shown to occur exclusively in type II muscle fibres. Nonetheless, some research has shown both type I and type II muscle fibre hypertrophy so more data is required to ascertain whether such things as age, gender, training status and training program parameters, affect muscle fibre changes and responsiveness to resistance training exercise (see links 1, 2, 3, 4, 5, 6).


Increased muscular strength, power and speed. Research investigating the effects of progressive resistance training programs demonstrate that muscle strength, power and speed improve, and in many case, quite impressively. In fact, even in nonagenarians, skeletal muscle strength and functional mobility assessed by a gait velocity test improved dramatically (>170% and 48% increase, respectively) after only 8 weeks of resistance training.

As mentioned above, the significant atrophy that occurs with age in fast-twitch type II muscle fibres, directly impacts performance of activities that require speed. Resistance training can reverse some of this decline, restore some of the lost contractile protein of these critical muscle fibres, increase maximum skeletal muscle strength and therefore elicit substantial improvements in movement speed of various specific sporting skills.

Older athletes that are avoiding or not adjusting their program to allow a little time to perform some resistance training exercise are missing out on some incredible benefits (see links 1, 2, 3, 4, 5).


strength training for over 60 female
Resistance Training And Body Fat

Lose body fat and get leaner. As outlined above, skeletal muscle mass decreases significantly from age 50 with concomitant decreases in resting metabolic rate (RMR). RMR is the largest component of total daily energy expenditure (TDEE) accounting for 60-80%. Whilst reductions in muscle mass account for a significant proportion of the accommodating changes in RMR, decreasing organ mass and decreases to specific metabolic rates of individual tissues also contribute to the decrease in RMR.

These age-related changes in RMR reduce TDEE. This may contribute to increased adiposity as we grow older given that energy intake to maintain body mass decreases proportionally to the degree of reduction in RMR and TDEE. In other words, if dietary habits and energy intake remains constant over time but RMR and TDEE decrease subsequent to the loss of skeletal muscle, positive energy balance may ensue and fat mass may therefore naturally increase.

Resistance training is well known for stimulating muscle hypertrophy or increasing skeletal muscle mass and has been shown to elicit reductions in fat mass in obesity during ad libitum diets. In contrast, aerobic exercise-induced weight loss consistently leads to reductions in lean body mass and RMR which may make the propensity of rebound fat gain more likely.

Inclusion of resistance training exercise in programs of older athletes or non-athletes doesn’t guarantee that there will be body fat loss (nutrition and diet obviously play a key role) but it certainly makes weight management easier and supports weight loss efforts if modifying the diet in an attempt to get leaner. Much of the research that has investigated the utility of resistance training in older adults demonstrates that it is a very effective fat loss strategy when performed with other lifestyle-based interventions aimed at improving physical function and body composition (see links 1, 2, 3, 4, 5).


strength training for over 60 female
Resistance Training And Endurance Performance (Picture: Google Images)

Improves endurance. Resistance training that is designed to increase muscle strength and power has been shown to improve endurance performance. More evidence exists to support such exercise in younger adult athletes as there has been limited research exclusively focused on older athletes.

Nonetheless, the research completed to date is strongly suggestive that resistance training enhances endurance in older athletes and non-athletes. A study conducted in 2010 demonstrated that strength training consisting of 10 sets of 10 repetitions of 1RM load, 3 minutes rest between each set, 3 times/week, increased both knee extensor maximal voluntary contraction torque and cycling efficiency. It is reasonable to postulate that had they utilised a program that incorporated more compound, complex, multi-jointed exercises such as squats and deadlifts – such that all major lower body muscle groups were strengthened – significantly greater cycling economical benefit would have been elicited.

When masters endurance runners were studied after following a resistance training program designed to increase maximal strength (4 sets of 3-4 repetitions at 85-90% of 1RM, two times per week), a significant improvement in running economy at marathon pace (6.1%) and dynamic leg strength (16.3%) was achieved.

It is proposed that the following training adaptations may facilitate endurance performance improvement:

  • the delayed use of the fast-twitch type II muscle fibers;
  • enhanced neuromuscular efficiency;
  • increased proportion of more fatigue-resistant fast-twitch type IIa fibres;
  • improved musculo-tendinous stiffness (see links 1, 2, 3).

strength training for over 60 female
Resistance Training and Injury Prevention (Picture: Google Images)

Reduce injury risk. Regularly performed resistance exercise can minimize the musculoskeletal alterations that occur during ageing. It may also contribute to the health and well-being of the older population.

There is strong evidence that suggests such exercise can prevent and control the development of several chronic musculoskeletal diseases. Improvement of physical fitness, function, and independence in older people, plus successful management of musculoskeletal disorders, results in dramatic improvements in quality of life.

Stronger muscles, bones, connective tissue, ligaments and tendons mean our limbs and joints are more able to handle the rigours of training, competing and activities of daily living (see links 1, 2, 3, 45).

In conclusion, based on the 12 reasons that I have explored which demonstrate profound benefits to both the health, functional and sporting performance of older athletes and non-athletes, resistance training is a must-do and should be a pivotal component of any exercise program.

To read “12 reasons why older adults need to do resistance training exercise: part 1” that explores the health-related benefits in older adults see here.


For local Townsville residents interested in FitGreyStrong’s Exercise Physiology services or exercise programs designed to achieve the mentioned benefits or to enhance athletic performance, contact FitGreyStrong@outlook.com or phone 0499 846 955 for a confidential discussion.

For other Australian residents or oversees readers interested in our services, please see here.


Disclaimer: All contents of the FitGreyStrong website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FitGreyStrong. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.


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The Australian Physical Activity Guidelines for “getting stronger”: Evidence-Based or Wishful Thinking?

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The development and publication of the “Australian Evidence-Based Physical Activity Recommendations for Adults (18-64 years)” by the Australian Government, The Department of Health (August 2012) promote the participation in “muscle strengthening activities” to:
• Manage blood pressure, blood sugar and blood cholesterol levels.
• Prevent and control heart disease and type 2 diabetes.
• Improve posture, mobility and balance.
• Reduce the risk of falls and injury.

• Maintain your ability to do everyday tasks.


Evidence? Who needs evidence………

However, let me inform you that there are components of these guidelines that have virtually no supporting scientific evidence. The advice that “I could do tasks around the house that involve lifting, carrying or digging” whilst facilitating energy expenditure and contributing to an active lifestyle are not well defined and are somewhat nebulous. For example, lifting a chair up, carrying a full bag of rubbish to the outside bin or doing some gardening will do very little to nothing to improve your muscle strength or power. Many of these are normal everyday activities that pose no significant challenge to our musculoskeletal system and hence will be unlikely to bring about full realisation of the benefits mentioned above. Perhaps you could contend that heavy digging that produces fatigue and requires constant breaks could be classified as “strength-like” training, but how many people (unless doing as a job) are out in the backyard doing regular heavy digging every week.

Is this enough?
If you really want to improve your muscle strength and power, which has been shown to have so many benefits for older adults, and that I have outlined elsewhere (see here), you need to perform challenging resistive-type physical activities or exercise that involve “high effort”. You can utilise a number of different things to do this (e.g. traditional apparatus like barbells/dumbbells, kettlebells, machine weights or plain old bodyweight-based exercises or resistance bands or anything around the house that is challenging to to lift and move around…in fact pretty much anything if you know how) – but most importantly when you use any of these things the muscle work needs to be hard to very hard for you and/or high to very high in effort. If you meet such requisites you can be confident that what you are doing is resistance or strength training and will consequently help achieve the benefits mentioned previously.

Disclaimer: All contents of the FitGreyStrong website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FitGreyStrong. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.

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Resistance Training Alters The Trajectory Of Ageing

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Recently I published an article on my website titled:

“Strength training can alter the trajectory of ageing”.

After receiving feedback from some of those who regularly visit my website and social media channels, there were some suggestions to provide a summarised or bottom-line version of some of my articles for those that are looking for something that gets straight to the point. So here it is. The short version of the abovementioned article.

The research paper that everyone should read

The year was 1990 and researchers Maria Fiatarone and colleagues published their findings in The Journal of the American Medical Association after undertaking a study to determine the feasibility and the physiological consequences of high-resistance strength training in the frail elderly. These participants were very frail, had an average age over 90, suffered many co-morbidities and were basically not in very good condition. Their muscles were very atrophied, functional capacity was very poor and their physical movements were very slow.

After 8 weeks of progressive resistance training that only utilised one exercise that focused exclusively on the quadricep (thigh) muscles, the results were totally unexpected. Gains in muscle strength were impressive averaging over 170%, with some subjects making extraordinary gains of almost 400%. There was an accompanying increase is muscle size of over 10% as assessed by CT scans. Functional mobility accompanied the improvements in strength and muscle hypertrophy (growth). The time taken to complete the walking test improved substantially from 44 seconds to 29 seconds representing a 48% improvement. Two subjects no longer needed canes to walk at the end of the study and one of three subjects who could not initially rise from a chair without the use of their arms became able to do so. These physiological and functional changes were truly incredible.

What is clear is that the preservation of fat-free mass (muscle) as one ages is a critical factor and directly affects muscle strength in the older person.

Exercise and resistance training specifically, is able to provide the neuromuscular system the appropriate physiological stimulus to reverse and modify a portion of the muscle weakness often and simply put down to old age.

Re-read that sentence because this is huge! So off you go and start lifting.

For the longer version please see here.


Disclaimer: All contents of the FitGreyStrong website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FitGreyStrong. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.
© FitGreyStrong
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Cycling And Bone Health – Part 2

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Why all cyclists need to ‘hit the Gym’ – part 2

In “Cycling and bone health” we learnt that road cycling is not good for your bones with research showing that bone mineral density (BMD) is compromised over the long-term. This is not good news for those that want to get their training, exercise or racing fix solely from road cycling. One of the questions that I often get asked is, are there any differences between professional road cyclists and the rest of us and do any differences exist between all other cycling disciplines (track vs. road for example) in relation to skeletal health?

Interestingly, elite professional road cyclists have been shown to suffer the same detrimental changes to certain bones of the skeletal system (6). In 1996 the European Spine Journal published a study by Sabo and colleagues (1) that measured BMD of the lumbar spine in internationally top-ranked high-performance athletes of different disciplines – weight lifters, boxers, and endurance-cyclists. The measurements were carried out by dual-energy X-ray absorptiometry, and the results compared with the measurements of 21 age-matched male controls. The BMD of the high-performance weight lifters and boxers were significantly greater (range +17% to +24%) than that in the control group. In stark contrast, the BMD of the lumbar spine in all endurance cyclists was significantly lower than that in the controls (range -8% to -10%).

In a study conducted by Lombardi and co-workers (2012) the effects of bone and energy metabolism parameters in professional cyclists during the 2011 Giro d’Italia 3-week stage race were investigated. In this cycling race, bone metabolism was pushed towards resorption. This is the process by which osteoclasts break down bone and release the minerals, resulting in a transfer of calcium from bone fluid to the blood. What is fascinating about these findings is that it supports the evidence of a strict involvement of bone in the regulation of the energy metabolism (2).

Unlike the reduction in BMD seen in road cyclists, mountain bikers or track cyclists are not afflicted with the same issues. To the contrary, both these cycling disciplines demonstrate no evidence of any detrimental osteogenic changes to skeletal health. Mountain bikers were found in a 2002 paper published in Bone journal to have significantly higher BMD than road cyclists (3). McVeigh and colleagues in 2014 had their findings published in the European Journal of Sports Science. What they found was that Mountain biking – owing to the rougher terrain involved – probably imposes a greater osteogenic stimulus compared to road cycling due to the higher amounts of bone strain largely attributable to greater ground surface-induced loads. The greater resorptive activity seen in road cycling suggests inadequate loading to support bone maintenance with bone loading, muscle size and strength of Mountain biking being superior to Road cycling (4).

Bone health and track cycling
Track sprint cycling

Wilks and others (2009) compared bone measures of sprint- and distance-trained cyclists competing at World Masters Track Championships, along with sedentary controls in their study published in the journal, Medicine and Science in Sports and Exercise. Greater lower leg bone strength was found in the sprinters and to a lesser degree the endurance riders compared with sedentary controls (5).

In conclusion, then, based on a review of the evidence that is available there is now a pressing need for road cyclists at any level or age to supplement their training with some weight-bearing exercise so that bone health is maintained. However, whilst there are many different weight-bearing exercise options available to fulfil these needs I think that the scientific evidence is strongest for the inclusion of adjunctive gym-based, weight training as it seems to provide the most effective stimulus to improve skeletal health. Moreover, there is good evidence to suggest that endurance cycling performance can be improved with the inclusion of this type of exercise too. I will discuss the interesting research supporting this, in particular for the older cyclist, in a future article.

Click “Cycling and bone health” (part 1) to read the first installment of this 2-part discussion of bone health in cyclists.

References

1. Sabo D, et al. Bone quality in the lumbar spine in high-performance athletes. European Spine Journal, 1996; 5 (4): 258–263.

2. Lombardi G, Lanteri P, Graziani R, Colombini A, Banfi G, et al. (2012) Bone and Energy Metabolism Parameters in Professional Cyclists during the Giro d’Italia 3-Weeks Stage Race. PLoS ONE 7(7): e42077.

3. Warner SE, et al. Bone mineral density of competitive male mountain and road cyclists. Bone, Jan 2002; 30 (1): 281-286.

4. Joanne A. Mcveigh, Rebecca Meiring, Alessandra Cimato, Lisa K. Micklesfield & Tanja Oosthuyse (2014): Radial bone size and strength indices in male road cyclists, mountain bikers and controls, European Journal of Sport Science, DOI: 10.1080/17461391.2014.933881.

5. Wilks DC, et al. Forearm and tibial bone measures of distance- and sprint-trained master cyclists. Medicine and Science in Sports and Exercise, Mar 2009; 41 (3): 566-573.

6. https://www.thieme-connect.com/DOI/DOI?10.1055/s-0029-1243616


For local Townsville residents interested in FitGreyStrong’s Exercise Physiology services or exercise programs designed to improve muscular strength, physical function (how you move around during the day) and quality of life or programs to enhance cycling or athletic performance, contact FitGreyStrong@outlook.com or phone 0499 846 955 for a confidential discussion.

For other Australian residents or oversees readers interested in our services, please see here.


Disclaimer: All contents of the FitGreyStrong or FGS website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FGS. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.
© FitGreyStrong

 

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