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Review Article| Volume 25, ISSUE 4, P703-714, November 2009

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Impact of Strength and Resistance Training on Cardiovascular Disease Risk Factors and Outcomes in Older Adults

  • Mark A. Williams
    Correspondence
    Corresponding author. Cardiovascular Disease Prevention and Rehabilitation, Cardiac Center of Creighton University, 3006 Webster Street, Omaha, NE 68131.
    Affiliations
    Division of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, NE, USA

    Cardiovascular Disease Prevention and Rehabilitation, Cardiac Center of Creighton University, 3006 Webster Street, Omaha, NE 68131, USA
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  • Kerry J. Stewart
    Affiliations
    Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Clinical and Research Exercise Physiology, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, USA
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      References

        • Beniamini Y.
        • Rubinstein J.J.
        • Faigenbaum A.D.
        • et al.
        High-intensity strength training of patients enrolled in an outpatient cardiac rehabilitation program.
        J Cardiopulm Rehabil. 1999; 19: 8-17
        • McCartney N.
        • McKelvie R.S.
        • Haslam D.R.
        • et al.
        Usefulness of weightlifting training in improving strength and maximal power output in coronary artery disease.
        Am J Cardiol. 1991; 67: 939-945
        • Frontera W.R.
        • Hughes V.A.
        • Lutz K.J.
        • et al.
        A cross-sectional study of muscle strength and mass in 45- to 78-year old men and women.
        J Appl Physiol. 1991; 71: 644-650
        • Hakkinen K.
        • Hakkinen A.
        Neuromuscular adaptations during intensive strength training in middle-aged and elderly males and females.
        Electromyogr Clin Neurophysiol. 1995; 35: 137-147
        • Pijnappels M.
        • van der Burg J.C.E.
        • Reeves N.D.
        • et al.
        Identification of elderly fallers by muscle strength measures.
        Eur J Appl Physiol. 2008; 102: 585-592
        • Bottaro M.
        • Machado S.N.
        • Nogueira W.
        • et al.
        Effect of high versus low-velocity resistance training on muscular fitness and functional performance in older men.
        Eur J Appl Physiol. 2007; 99: 257-264
        • De Vos N.J.
        • Singh N.A.
        • Ross D.A.
        • et al.
        Optimal load for increasing muscle power during explosive resistance training in older adults.
        J Gerontol A Biol Sci Med Sci. 2005; 60: 638-647
        • Henwood T.R.
        • Taaffe D.R.
        Improved physical performance in older adults undertaking a short-term programme of high velocity resistance training.
        Gerontology. 2005; 51: 108-115
        • Orr R.
        • de Vos N.J.
        • Singh N.A.
        • et al.
        Power training improves balance in healthy older adults.
        J Gerontol A Biol Sci Med Sci. 2006; 61: 78-85
        • Signorile J.F.
        • Carmel M.P.
        • Lai S.
        • et al.
        Early plateau of power and torque gains during high- and low-speed resistance training in older women.
        J Appl Physiol. 2005; 98: 1213-1220
        • Ades P.A.
        • Savage P.D.
        • Brochu M.
        • et al.
        Resistance training increases total daily energy expenditure in disabled older women with coronary heart disease.
        J Appl Physiol. 2005; 98: 1280-1285
        • Williams M.A.
        • Haskell W.L.
        • Ades P.A.
        • et al.
        Resistance exercise in individuals with and without cardiovascular disease: 2007 update.
        Circulation. 2007; 116: 572-584
        • Campbell A.J.
        • Robertson M.C.
        • Gardner M.M.
        • et al.
        Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women.
        BMJ. 1997; 315: 1065-1069
        • Ades P.A.
        • Ballor D.L.
        • Ashikaga T.
        • et al.
        Weight training improves walking endurance in healthy elderly persons.
        Ann Intern Med. 1996; 124: 568-572
        • Hunter G.R.
        • McCarthy J.P.
        • Bamman M.M.
        • et al.
        Effects of resistance exercise training on older adults.
        Sports Med. 2004; 34: 329-348
        • Seguin R.
        • Nelson M.E.
        The benefits of strength training for older adults.
        Am J Prev Med. 2003; 25: 141-149
        • Fiatarone M.A.
        • O'Neill E.F.
        • Ryan N.D.
        • et al.
        Exercise training and nutritional supplementation for physical frailty in very elderly people.
        N Engl J Med. 1994; 330: 1769-1775
        • Jette A.M.
        • Lachman M.
        • Giorgetti M.M.
        • et al.
        Exercise: It's never too late: the Strong-for-Life Program.
        Am J Public Health. 1999; 89: 66-72
        • Vincent K.R.
        • Braith R.W.
        • Feldman R.A.
        • et al.
        Improved cardiorespiratory endurance following 6 months of resistance exercise in elderly men and women.
        Arch Intern Med. 2002; 162: 673-678
        • Nakamura Y.
        • Tanaka K.
        • Yabushita N.
        • et al.
        Effects of exercise frequency on functional status in older adult women.
        Arch Gerontol Geriatr. 2007; 44: 163-173
        • Harris C.
        • Debeliso M.A.
        • Spitzer-Gibson T.A.
        • et al.
        The effect of resistance-training on strength-gain response in the older adult.
        J Strength Cond Res. 2004; 18: 833-838
        • Hunter G.R.
        • Wetzstein C.J.
        • McLafferty C.L.
        • et al.
        High-resistance versus variable-resistance training in older adults.
        Med Sci Sports Exerc. 2001; 33: 1759-1764
        • Fatouros I.G.
        • Tournis S.
        • Leontsini D.
        • et al.
        Liptin and adiponectin responses in overweight and inactive elderly following resistance training and detraining are intensity related.
        J Clin Endocrinol Metab. 2005; 90: 5970-5977
        • Fatouros I.G.
        • Kambas A.
        • Katrabasas I.
        • et al.
        Resistance training and detraining effects on flexibility performance in the elderly are intensity-dependent.
        J Strength Cond Res. 2006; 20: 634-642
        • Kalapotharakos V.
        • Mechalopoulos M.
        • Godolia G.
        • et al.
        The effect of high- and moderate-resistance training on muscle function in the elderly.
        J Aging Phys Act. 2004; 11: 131-143
        • Kalapotharakos V.
        • Mechalopoulos M.
        • Tokmakidis S.P.
        • et al.
        Effects of a heavy and a moderate resistance training on functional performance in older adults.
        J Strength Cond Res. 2005; 19: 652-657
        • Brochu M.
        • Savage P.
        • Lee M.
        • et al.
        Effects of resistance training on physical function in older disabled women with coronary heart disease.
        J Appl Physiol. 2002; 92: 672-678
        • Ades P.A.
        • Savage P.D.
        • Cress M.E.
        • et al.
        Resistance training on physical performance in disabled older female cardiac patients.
        Med Sci Sports Exerc. 2003; 35: 1265-1270
        • Hunter G.R.
        • Wetstein C.J.
        • Fields D.A.
        • et al.
        Resistance training increases total energy expenditure and free-living physical activity in older adults.
        J Appl Physiol. 2000; 89: 977-984
        • Fletcher G.F.
        • Balady G.
        • Blair S.N.
        • et al.
        Statement on exercise: benefits and recommendations for physical activity programs for all Americans.
        Circulation. 1996; 94: 857-862
        • Klein S.
        • Burke L.E.
        • Bray G.A.
        • et al.
        Clinical implications of obesity with specific focus on cardiovascular disease.
        Circulation. 2004; 110: 2952-2967
        • Hurley B.F.
        • Hagberg J.M.
        • Goldberg A.P.
        • et al.
        Resistive training can reduce coronary risk factors without altering VO2max or percent body fat.
        Med Sci Sports Exerc. 1988; 20: 150-154
        • Miller J.P.
        • Pratley R.E.
        • Goldberg A.P.
        • et al.
        Strength training increases insulin action in healthy 50- to 65-yr-old men.
        J Appl Physiol. 1994; 77: 1122-1127
        • Poehlman E.T.
        • Denino W.F.
        • Beckett T.
        • et al.
        Effects of endurance and resistance training on total daily energy expenditure in young women: a controlled randomized trial.
        J Clin Endocrinol Metab. 2002; 87: 1004-1009
        • Braith R.W.
        • Stewart K.J.
        Resistance exercise training: its role in the prevention of cardiovascular disease.
        Circulation. 2006; 113: 2642-2650
        • Fitzgerald S.J.
        • Barlowe C.E.
        • Kampert J.B.
        • et al.
        Muscular fitness and all-cause mortality: prospective observations.
        J Phys Act Health. 2004; 1: 7-18
        • Jurca R.
        • Lamonte M.J.
        • Barlowe C.E.
        • et al.
        Association of muscular strength with incidence of metabolic syndrome in men.
        Med Sci Sports Exerc. 2005; 37: 1849-1855
        • Jurca R.
        • Lamonte M.J.
        • Church T.S.
        • et al.
        Associations of muscle strength and fitness with metabolic syndrome in men.
        Med Sci Sports Exerc. 2004; 36: 1301-1307
        • Pescatello L.S.
        • Franklin B.A.
        • Fagard R.
        • et al.
        American College of Sports Medicine position stand. Exercise and hypertension.
        Med Sci Sports Exerc. 2004; 36: 533-553
        • Kelley G.A.
        • Kelley K.S.
        Progressive resistance exercise and resting blood pressure: a meta-analysis of randomized controlled trials.
        Hypertension. 2000; 35: 838-843
        • Stewart K.J.
        Weight training in coronary artery disease and hypertension.
        Prog Cardiovasc Dis. 1992; 35: 159-168
        • Cornelissen V.A.
        • Fagard R.H.
        Effect of resistance training on resting blood pressure: a meta-analysis of randomized controlled trials.
        J Hypertens. 2005; 23: 251-259
        • Kelemen M.H.
        • Effron M.B.
        • Valenti S.A.
        • et al.
        Exercise training combined with antihypertensive drug therapy: effects on lipids, blood pressure, and left ventricular mass.
        JAMA. 1990; 263: 2766-2771
        • Stewart K.J.
        • Effron M.B.
        • Valenti S.A.
        • et al.
        Effects of diltiazem or propranolol during exercise training of hypertensive men.
        Med Sci Sports Exerc. 1990; 22: 171-177
        • Stewart K.J.
        • Bacher A.C.
        • Turner K.L.
        • et al.
        Effect of exercise on blood pressure in older persons: a randomized controlled trial.
        Arch Intern Med. 2005; 165: 756-762
        • Tucker L.A.
        • Sylvester L.J.
        Strength training and hypercholesterolemia: an epidemiologic study of 8499 employed men.
        Am J Health Promot. 1996; 11: 35-41
        • Kohl 3rd, H.W.
        • Gordon N.F.
        • Scott C.B.
        • et al.
        Musculoskeletal strength and serum lipid levels in men and women.
        Med Sci Sports Exerc. 1992; 24: 1080-1087
        • Cauza E.
        • Hanusch-Enserer U.
        • Strasser B.
        • et al.
        The relative benefits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus.
        Arch Phys Med Rehabil. 2005; 86: 1527-1533
        • Stewart K.J.
        • Bachner A.C.
        • Turner K.
        • et al.
        Exercise and risk factors associated with metabolic syndrome in older adults.
        Am J Prev Med. 2005; 28: 9-18
        • Weinsier R.L.
        • Shulzt Y.
        • Bracco D.
        Reexamination of the relationship of resting metabolic rate to fat-free mass and to the metabolically active components of fat-free mass in humans.
        Am J Clin Nutr. 1992; 55: 790-794
        • Pratley R.
        • Nicklas B.
        • Rubin M.
        • et al.
        Strength training increases resting metabolic rate and norepinephrine levels in healthy 50- to 65-yr old men.
        J Appl Physiol. 1994; 76: 133-137
        • Ryan A.S.
        • Pratley R.E.
        • Elahi D.
        • et al.
        Resistive training increases fat-free mass and maintains RMR despite weight loss in postmenopausal women.
        J Applied Physiol. 1995; 79: 818-823
        • Campbell W.W.
        • Crim M.C.
        • Young V.R.
        • et al.
        Increased energy requirements and changes in body composition with resistance training in older adults.
        Am J Clin Nutr. 1994; 60: 167-175
        • Schmitz K.H.
        • Jensen M.D.
        • Kugler K.C.
        • et al.
        Strength training for obesity prevention in midlife women.
        Int J Obes Relat Metab Disord. 2003; 27: 326-333
        • Treuth M.S.
        • Ryan A.S.
        • Pratley R.E.
        • et al.
        Effects of strength training on total and regional body composition in older men.
        J Appl Physiol. 1994; 77: 614-620
        • Treuth M.S.
        • Hunter G.R.
        • Kekes-Szabo T.
        • et al.
        Reduction in intra-abdominal adipose tissue after strength training in older women.
        J Appl Physiol. 1995; 78: 1425-1431
        • Ross R.
        • Rissanen J.
        Mobilization of visceral and subcutaneous adipose tissue in response to energy restriction and exercise.
        Am J Clin Nutr. 1994; 60: 695-703
        • Ross R.
        • Rissanen J.
        • Pedwell H.
        • et al.
        Influence of diet and exercise on skeletal muscle and visceral adipose tissue in men.
        J Appl Physiol. 1996; 81: 2445-2455
        • McCarthy J.P.
        • Agre J.C.
        • Graf B.K.
        • et al.
        Compatibility of adaptive responses with combining strength and endurance training.
        Med Sci Sports Exerc. 1995; 27: 429-436
        • Kim J.S.
        • Cross J.M.
        • Bamman M.M.
        Impact of resistance loading on myostatin expression and cell cycle regulation in young and older men and women.
        Am J Physiol Endrocrinol Metab. 2005; 288: e1110-e1119
        • Lemmer J.T.
        • Hurlburt G.E.
        • Martel D.F.
        • et al.
        Age and gender responses to strength training and detraining.
        Med Sci Sports Exerc. 2000; 32: 1505-1512
        • Donnelly J.E.
        • Smith B.
        • Jacobsen D.J.
        • et al.
        The role of exercise for weight loss and maintenance.
        Best Pract Res Clin Gastroenterol. 2004; 18: 1009-1029
        • Smutok M.A.
        • Reece C.
        • Kokkinos P.F.
        • et al.
        Effects of exercise training modality on glucose tolerance in men with abnormal glucose regulation.
        Int J Sports Med. 1994; 15: 283-289
        • Ishii T.
        • Yamakita T.
        • Sato T.
        • et al.
        Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake.
        Diabetes Care. 1998; 21: 1353-1355
        • Castaneda C.
        • Layne J.E.
        • Munoz-Orians
        • et al.
        A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes.
        Diabetes Care. 2002; 25: 2335-2341
        • Fenicchia L.M.
        • Kanaly J.A.
        • Azevedo J.L.
        • et al.
        Influence of resistance exercise training on glucose control in women with type 2 diabetes.
        Metabolism. 2004; 53: 284-289
        • Reynolds T.H.
        • Supiano J.A.
        • Dengel J.L.
        • et al.
        Resistance training enhances insulin-mediated glucose disposal with minimal effect on the tumor necrosis factor-alpha system in older hypertensives.
        Metabolism. 2004; 53: 397-402
        • Ibanez J.
        • Izquierdo M.
        • Arguelles I.
        • et al.
        Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes.
        Diabetes Care. 2005; 28: 662-667
        • Dunstan D.W.
        • Daly R.M.
        • Owen N.
        • et al.
        High-intensity resistance training improves glycemic control in older patients with type 2 diabetes.
        Diabetes Care. 2002; 25: 1729-1736
        • Honkola A.
        • Forsen T.
        • Ericksson J.
        Resistance training improves the metabolic profile in individuals with type 2 diabetes.
        Acta Diabetol. 1997; 34: 245-248
        • Durak E.P.
        • Janovic-Peterson L.
        • Peterson C.M.
        Randomized crossover study of effect of resistance training on glycemic control, muscular strength, and cholesterol in type 1 diabetic men.
        Diabetes Care. 1990; 13: 1039-1043
        • Cauza E.
        • Hanusch-Enserer U.
        • Strasser B.
        • et al.
        Strength and endurance training lead to different postexercise glucose profiles in diabetic participants using a continuous subcutaneous glucose monitoring system.
        Eur J Clin Invest. 2005; 35: 745-751
        • Sigal R.J.
        • Kenny G.P.
        • Boule N.G.
        • et al.
        Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial.
        Ann Intern Med. 2007; 147: 357-369
        • Ratamess N.A.
        • Alvar B.A.
        • Evetoch T.K.
        • et al.
        Progression models in resistance training for healthy adults.
        Med Sci Sports Exerc. 2009; 41: 687-708
        • Anderson K.
        • Behm D.G.
        Trunk muscle activity increases with unstable squat movements.
        Can J Appl Physiol. 2005; 30: 33-45
        • Stewart K.J.
        • McFarland L.D.
        • Weinhofer J.J.
        • et al.
        Safety and efficacy of weight training soon after acute myocardial infarction.
        J Cardiopulm Rehabil. 1988; 18: 37-44
        • Hunter G.R.
        Changes in body composition, body build and performance associated with different weight training frequencies in males and females.
        NSCA J. 1985; 7: 26-28
        • Hass C.
        • Garzarella L.
        • Dehoyos D.
        • et al.
        Single versus multiple sets and long-term recreational weightlifters.
        Med Sci Sports Exerc. 2000; 32: 235-242
        • Hurley B.F.
        • Kokkinos P.F.
        Effects of weight training on risk factors for coronary heart disease.
        Sports Med. 1987; 4: 231-238
        • Hatfield D.L.
        • Kraemer W.J.
        • Spiering B.A.
        • et al.
        The impact of velocity of movement on performance factors in resistance training.
        J Strength Cond Res. 2006; 20: 760-766