Tag Archives: strength loss

Live FitGreyStrong ageing, health and exercise webinar

Share this:

FitGreyStrong specialises in the research, design and implementation of exercise-based programs that are specifically aimed to alter the trajectory of accelerated ageing caused by the sedentary lifestyles and poor nutritional practices of many older people.



As many of you would appreciate, deterioration in mental and physical function across the lifespan is an inevitable consequence of the human condition. On a global scale there will be more than 2 billion people aged over 60 yr by 2050; a doubling in little under 40 years. Such a radical change in demographics will pose significant health care challenges across the globe and have profound social, economic and political impacts on many aspects of life. Whilst sarcopenia and changes in musculoskeletal morphology have been shown to be predictive of, and correlated to, morbidity and premature death, it is the accompanying dynapenia where there is disproportionately greater loss of strength relative to muscle mass that is significantly more sensitive in predicting predisposition to disability, poor health outcomes and risk of mortality. However, reductions in skeletal muscle mass, strength and physical function in older adults, and the considerable negative effects that these changes have on quality of life and the ability to effectively carry out activities of daily living are all amenable. With the right dose and type of exercise all these things can be dramatically improved.

The live webinar titled “Why the strengthification of Generation X and Baby Boomers is the greatest health challenge of the 21st century” is scheduled to take place Tuesday 5th June 6.30-7.30 pm AEST (GMT+10:00). If you are interested in attending please register at fitgreystrong@outlook.com

The URL of the live webinar recording can be found here

or ⇓⇓




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.
Share this:

Can Older Adults ‘Think’ Themselves Stronger?

Share this:

Research conducted recently and published in the journal Medicine showed that something amazing happens when you put intense mental effort into thinking or imaging you are lifting or moving with maximal exertion. Muscular strength can increase substantially and can match gains in strength made through more traditional intensive resistance training. What researchers discovered was that:

“strength of elbow flexor muscles, a frequently used large upper extremity muscle group during daily living, can be significantly improved by training of high motor effort combined with low-intensity muscle contraction in older adults, and the strength increase accompanied central signal augmentation that suggests an enhancement of descending command that was thought to have improved motor unit recruitment and activation leading to greater force production without changes in muscle morphology.”

Simple put, the strength of the elbow flexors – or colloquially known as “your guns” – were substantially increased in older adults after flexing the right elbow joint at minimal force whilst simultaneously mentally urging the forearm to pull upwards maximally. This type of ‘exercise’ is known as motor effort training or MET.

Motor effort training with low exercise intensity improves muscle strength and descending command in aging
Title Page

 

Trial summary: Training involved contracting the arm flexors at 30% of maximal effort while at the same time mentally urging the forearm to pull upward (elbow flexion) maximally for 5 seconds followed by 5 second of rest; this was repeated 25 times. Following a 2 minute rest this was repeated again. Training lasted for 12 weeks with 5 training session per week. This training protocol was compared to traditional strength training where participants performed 50 trials of isometric right elbow flexion at 80% of maximum force for 5 seconds in each training session; 60 session were completed. Training sessions, trials and trial duration were the same between groups. The intensity of the traditional strength training group was adjusted every 2 weeks based on subjects’ newer maximum strength attained as participants adapted to the training.

 

Strength gain over 12 weeks

 

The current study is the first to show MET-induced strength gains in older adults with the improvements achieved statistically non-significant to traditional strength training. Strength improvements attained via MET appear to be modulated by an enhanced capacity to generate neurological drive from the motor cortex that then increases recruitment of motor units. What is particularly attractive about MET for older weak or frail adults is that it reduces problems and the risk of injury associated with performing  conventional high-intensity strength training.

The authors conclude:

“The finding that the difference in strength increases between the MET and CST (traditional strength training) groups was statistically insignificant argues that training of motor imagery combined with low-intensity muscle exercise is a safe and effective method for muscle strengthening for vulnerable populations such as frail older individuals.”
Large increases in motor activity-related cortical potential

 


For local Townsville residents interested in FitGreyStrong’s Exercise Physiology services or exercise programs designed to improve health, physical function and quality of life 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.
Share this:

FitGreyStrong turns 2

Share this:

Since the publication of the first FitGreyStrong blog ‘Sitting yourself into your grave‘ just over 2 years ago (click on the link or see the picture below), there have been a significant number of milestones and achievements that I would like to share with all of my followers.

 

Screenshot of the first FitGreyStrong blog

 

There are now over 20,000 followers inclusive of those that have interacted with the FitGreyStrong website and social media channels via Twitter, Facebook, Instagram, YouTube, Pinterest, Google+ and Tumblr.

The last 2 years have been very busy and productive. There have been several scientific critiques and analyses published as well as many blogs. These have been specifically directed at those amongst us who identify as Gen X or Baby Boomers and have primarily focused on health, fitness and nutrition-related topics or issues. The following provides a summary of the FitGreyStrong journey:

  • Over 30 blogs published on the FitGreyStrong website
  • Including the globally popular 10,000 word commentary on how diet affects energy expenditure and weight loss (see here and here)
  • How resistance training can affect the course of ageing (see here)
  • The perennial favourite “12 Reasons Why All Older Adults Need To Hit The Gym” (see here)
  • Nearly 1000 followers on Twitter and close to 8000 tweets
  • Over 800 Facebook posts
  • Close to 400 Instagram posts and;
  • 110 YouTube video’s

There have been some very popular FitGreyStrong blogs/posts/tweets/videos and I have listed a short assortment of these below.

Most popular blog

The most widely read blog with readers from over 20 countries investigates how strength training can alter the trajectory of ageing and reviews the seminal work of Maria Fiatarone and colleagues back in 1990 (see here).

Most popular Facebook posts

The top 3 most popular Facebook posts were:

  1. The sitting-rising test (SRT) that showed that the ability to sit down and stand back up again in a cross-legged position could predict the likelihood or risk of dying in the next 6 years. There have been over 100,000 views, 17 shares, 92 likes/loves and many comments (see here).
  2. Modifying the Thomas test for one of the best stretches for the quadriceps, iliacus & psoas major (iliopsoas). A great way to improve flexibility of these muscles and improve hip extension ROM. There were over 1,000 views, 5 shares, 26 likes/loves and comments (see here).
  3. The study was undertaken to elucidate the range of training-induced neuromuscular adaptations in elderly humans recovering from a period of disuse. It examined the effect of three types of training regimes after unilateral (one-leg) prolonged disuse and subsequent hip-replacement surgery on maximal muscle strength, rapid muscle force rate of force development, muscle activation, and muscle size. The popularity of the post was generated by the muscle scans of the thigh showing just how powerful resistance training is at inducing change in muscle structure and function. There were approximately 5000 views, 6 shares and 22 likes. It was also widely shared on other Facebook pages (see here).

Most popular Tweets

The top 3 most popular Tweets were:

  1. Age-related dynapenia is weakly related to sarcopenia and is why we must look beyond just muscle mass (see here).
  2. Motor effort training and low exercise intensity increases muscle strength and descending command in aging (see here).
  3. Counter to the energy surfeit model of obesity increasing energy expenditure may be better for decreasing percentage body fat than caloric restriction (see here).

Most popular YouTube video

A tractor tyre deadlift (see here).

Journal publication

Late last year the international journal, Clinical Nutrition, published a FitGreyStrong critique of: Thomson et al. (2016) Muscle strength gains during resistance exercise training are attenuated with soy compared with dairy or usual protein intake in older adults: A randomized controlled trial. Clinical Nutrition. 35: 27-33 thus demonstrating that Exercise Scientists practising outside of academia have relevant and valid things to say about clinical research being conducted around the world.

 

Clinical Nutrition publication

 

The highlight of 2017, however, was being given the opportunity to present Why the ‘strengthification’ of Gen X’ers & Baby Boomers is the greatest health challenge of the 21st century at the Ancestral Health Society of New Zealand conference in Queenstown in October where I postulated that muscular strength lies at the foundation of health, quality of life and functionality. The slide deck of this presentation can be viewed (by request only), so please either send me an email or use the contact form on the home page.

 

Presenting at the Ancestral Health Society of New Zealand

 

The future holds some exciting and challenging projects ahead so watch this space. Currently, FitGreyStrong is working on a journal editorial with some other researchers from around the world which will investigate and report on the importance of resistance training in older adults and the augmentative effects and safety of nutritional/drug supplementation.

Finally, I would like to express a big thank you to all those that have embraced FitGreyStrong and I hope to continue to bring quality information to all those Gen X’ers and Baby Boomers interested in advancing their health, quality of life and functionality.

Please share with those family and friends that are interested in ageing, health, exercise and wellness. The social media icons below will link it straight to your preferred platform.


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

Share this:

Dose-Response Relationships Of Resistance Training In Healthy Old Adults: The Inter-Set Rest Period

Share this:

There has been a significant amount of research conducted and published recently that seeks to better understand the precise resistance training parameters required to maximise muscle strength and morphology in healthy old adults. This has been driven largely by the growing acknowledgment and concern related to the process of sacropenia that occurs with ageing whereby muscle mass, strength and functional capacity decline. Both the practical and clinical implications of this are far reaching for each individual affected, but have far wider social, economic and political ramifications regarding future health care policy in relation to the ageing population. Of the many interventions explored, resistance training has been shown to rapidly improve various aspects of muscle morphology and function. In fact, results of studies looking at this form of exercise suggest that most, if not all adults over the course of their lifespan, should indulge in regular, challenging resistance training.

Sarcopenia, resistance training, strength, older adult
Resistance training facilitates rapid improvements in muscle strength and function

The rest between each set of repetitions performed during a resistance training session – known as the inter-set rest period – is something that has been recently explored. Attempts to discover the optimal inter-set rest period of time to maximise the effectiveness of a training program continues, but so far consensus has been difficult to establish. Results from studies (see below) conducted in healthy old untrained men compared to young resistance-trained men produced completely opposite conclusions with shorter 1-minute rests augmenting strength and hypertrophy better in the former group but longer 3-minute rests working better for the latter group. The question arises, how is this possible? At face value, these results suggest that resistive exercise adaptations may be training-status and/or age-specific.

I recently emailed the authors of these papers to canvass some of the possible methodological confounders that may have influenced the results by skewing them in favour of one group over another. Given that such research often informs future recommendations regarding best practice when designing resistance training programs, any possible confounders affecting the results need to be highlighted. Robust discussion is required in an effort to further strengthen and validate the conclusions of these studies so that bodies like National Strength and Conditioning Association (NSCA) can make accurate and evidence-based recommendations.

The following analysis is a summary of the email I sent to the authors for comment. Unfortunately, I did not receive any feedback which was pretty disappointing. The 2 key papers are (with full citation at the end):

“Dose-response relationships of resistance training in healthy old adults: A systematic review and meta-analysis”

“Short rest interval lengths between sets optimally enhance body composition and performance with 8 weeks of strength resistance training in older men”

COMMENT: Whilst I am open to the possibility that shorter interset rest periods could potentially lead to greater muscular strength and hypertrophic adaptations in untrained healthy older men, I am also trying to reconcile results of another recently published paper by Schoenfeld and colleagues titled “Longer inter-set rest periods enhance muscle strength and hypertrophy in resistance-trained men” that found the direct opposite. Perhaps this is not so surprising if most of the decline in skeletal muscle mass with ageing, as shown by Nilwik et al (2013) a few years ago, results almost exclusively from atrophy of type II muscle fibres. Taken together these divergent results would suggest that resistive exercise adaptations may be training-status and/or age specific.

Shorter inter-set rest periods for resistance training in older adults
Are shorter inter-set rest periods better?

I have not come across any discussion or research so far that has attempted to correlate the relationship of the effectiveness of shorter or longer interset rest periods with the observed selective atrophy of type II muscle fibres which has been shown to occur in untrained older men. It would be interesting to see if the disproportionate representation of slow twitch muscle fibres in untrained older men somehow decreases the effectiveness of longer interset rest periods.

My proposition, however, is this. The key finding – that a shorter interset rest period was found to be superior – could have been confounded by:

  • The testing protocol utilised and;
  • A small group of participants reducing the power to detect whether significant differences exist in true baseline training status and “responsiveness” to training during week 0 to week 4 of the matched groups.

I should point out that the statistical analysis as it stands doesn’t support my comments so please bear this in mind.

The variables and areas that I would like to focus on and discuss are:

  1. The testing protocol utilised to assess 1-RM performance.
  2. Age differences found and whether age was adjusted for all phases.
  3. Baseline Margaria stair-climbing power.
  4. The rate and percentage improvement differences found for Bilateral Leg Press 1RM (kg) week 0 to week 4 when all subjects were doing the same program during Mesocycle I.
  5. The rate and percentage improvement differences from week 0 to week 4 for the walking test when all subjects were doing the same program during Mesocycle I.
  6. Some statistical and data anomalies that I couldn’t make sense of.

For the remainder of the article I will use SS to refer to short inter-set rest periods and SL will refer to longer inter-set rest periods.

After reading through the testing protocol used to assess 1-RM performance it seems to me that this unfairly advantages the SS group. The strength training phase for the SS group from week 4 to 12 used 1-minute interset rest periods whilst the SL group used 4 minutes. With the testing protocol using 1-2 minute rests between 1-RM attempts the SS group would have been far better adapted both physically and mentally to perform maximally for this testing protocol because their training closely resembled testing procedures. Maybe some of the testing should have included 4-minute rests between 1-RM attempts to control for this. As it stands, the methodological approach taken for this study could have produced significantly greater 1-RM strength testing outcomes in the SS group.

Ironically, the study by Schoenfeld and co. (younger trained men) found that longer rests (3-minutes) were superior to shorter (1-minute) for strength and hypertrophy gains. But once again the results may have been skewed because the testing protocol more closely matched the longer rest period group where they used 3-5 minute rest periods during testing.

During Mesocycle II an 8 week strength training phase was completed where only the interset rest period differed. This phase was adjusted for values at week -4 and 0, as well as age. During Mesocycle I, a 4 week high-volume, moderate-intensity hypertrophic training phase was followed by all participants. After adjusting for values at week -4 results showed all subjects significantly improved in training and testing parameters. However, I’m wondering if age was adjusted for during Mesocycle I as there is no reference that this was done in the results described for this phase on p.301.

At baseline most variables in Table 1 page 297 show that there were no significant differences between the SS and SL groups. The variable that caught my eye that I found interesting was Margaria stair-climbing power (W) with a trend toward a significant difference (p=0.07) in favour of SS. Whilst not reaching p<0.05 level, the 26.6% greater power achieved for the week 0 Margaria test in the SS vs. SL group is fairly large by any measure. This test would be the best indicator of lower body power and would also be the most challenging in terms of motor pattern complexity thus making it perhaps the most sensitive in determining baseline group differences in training status compared to the other variables measured. By extension, if we assume that there was perhaps some sort of training status difference at baseline between SS vs SL, the overall improvements from training would be skewed in favour of the SS group.

Muscle hypertrophy in older adults
What’s the best way to increase muscle mass with ageing?

During Mesocycle I all subjects performed the same training program. Results showed that following this phase of training, the 2 treatment groups were comparable for most variables apart from the narrow/neutral lat pulldown and some of the SEBT tests. The significant difference found for the pulldown is surprising with an increase in the SS group from 336.2 kg to 380.2 kg (+13.1% increase over baseline) vs SL from 299.4 kg to 339.9 kg (+13.5% increase over baseline).

In relation to the Bilateral leg press 1-RM (kg) baseline values for SS vs SL were 224.0 kg and 215.3 kg, respectively, increasing to 327.9 kg and 278.7 kg at week 4. The average absolute increase in kilograms lifted for 1-RM were thus 103.9 kg for SS and 63.4 kg for SL. So a baseline difference of 8.7 kg increased to 40.5 kg by week 4. Figure 1b for the Leg Press is quite telling too for the week 0 to week 4 period. The improvement of the SS group compared to the SL group during Mesocycle I is visually very noticeable with the gradient of improvement of the SS group much steeper than the SL group.

In relation to the 400-meter walking test baseline values for SS vs SL were 182.8 and 187.2 seconds, respectively, decreasing to 164.6 and 176.3 seconds after 4 weeks training. Absolute decreases in time taken to perform the walking test were therefore 18.2 seconds for SS and 10.9 seconds for SL. This comparison I think is illustrated even better if both groups are compared for the distance differential after completion of this test. At baseline, the SS group would have finished 9.4 metres in front of the SL group. After 4 weeks of Mesocycle I training the SS group would have finished 26.5 metres in front of the SL group.

These testing results seen over Mesocycle I are pretty decent and if observed in a field situation would constitute a difference in training responsiveness.

For the Margaria stair-climbing power test the week 12 data as presented in Figure 3b has to be either a mistake or a misprint. In table 2 the SD for this test at week 12 was 1117.3 W compared to what appears to be almost 2300 W in figure 3.

SUMMARY: The single biggest issue with the finding that shorter 1-minute rests augment strength better in older untrained men, is that the testing protocol utilised a short rest period between maximal efforts thereby favouring the group that trained in this fashion.

Possible baseline differences in lower body power and differences in training “responsiveness” during the first Mesocycle phase are other potential issues that I would have liked investigated or explored further.

References

Borde, R., Hortobágyi, T. and Granacher, U. (2015) “Dose-response relationships of resistance training in healthy old adults: A systematic review and meta-analysis” Sports Med. 45: 1693-1720

Nilwik, R. et al. (2013) “The decline in skeletal muscle mass with aging is mainly attributed to a reduction of type II muscle fiber size” Experimental Gerontology. 48: 492-498.

Schoenfeld, B.J. et al. (2015) “Longer inter-set rest periods enhance muscle strength and hypertrophy in resistance-trained men” The Journal of Strength and Conditioning Research. November http://www.researchgate.net/publication/284711582

Villanueva, M.G., Lane, C.J. and Schroeder, E.T. (2015) “Short rest interval lengths between sets optimally enhance body composition and performance with 8 weeks of strength resistance training in older men” Eur J Appl Physiol. 115: 295-308.

Share this: