Effects of resistance training, endurance training and whole-body vibration on lean body mass, muscle strength and physical performance in older people: a systematic review and network meta-analysis.

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  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 0375655 Publication Model: Print Cited Medium: Internet ISSN: 1468-2834 (Electronic) Linking ISSN: 00020729 NLM ISO Abbreviation: Age Ageing Subsets: MEDLINE
    • Publication Information:
      Publication: Oxford : Oxford University Press
      Original Publication: London, Baillière, Tindall.
    • Subject Terms:
      Body Composition* ; Healthy Aging* ; Muscle Strength* ; Physical Endurance* ; Resistance Training*; Muscle, Skeletal/*physiology ; Vibration/*therapeutic use; Age Factors ; Aged ; Aged, 80 and over ; Exercise Test ; Female ; Geriatric Assessment/methods ; Humans ; Male ; Middle Aged
    • Abstract:
      Background: A variety of different types of exercise are promoted to improve muscle strength and physical performance in older people.
      Objective: We aimed to determine the relative effects of resistance training, endurance training and whole-body vibration on lean body mass, muscle strength and physical performance in older people.
      Design: A systematic review and network meta-analysis.
      Subjects: Adults aged 60 and over.
      Methods: Evidence from randomised controlled trials of resistance training, endurance training and whole-body vibration were combined. The effects of exercise interventions on lean body mass, muscle strength and physical performance were evaluated by conducting a network meta-analysis to compare multiple interventions and usual care. Risk of bias of included studies was assessed using the Cochrane Collaboration's tool. A meta-regression was performed to assess potential effect modifiers.
      Results: Data were obtained from 30 trials involving 1,405 participants (age range: 60-92 years). No significant differences were found between the effects of exercise or usual care on lean body mass. Resistance training (minimum 6 weeks duration) achieved greater muscle strength improvement than did usual care (12.8 kg; 95% confidence interval [CI]: 8.5-17.0 kg). Resistance training and whole-body vibration were associated with greater physical performance improvement compared with usual care (2.6 times greater [95% CI: 1.3-3.9] and 2.1 times greater [95% CI: 0.5-3.7], respectively).
      Conclusions: Resistance training is the most effect intervention to improve muscle strength and physical performance in older people. Our findings also suggest that whole-body vibration is beneficial for physical performance. However, none of the three exercise interventions examined had a significant effect on lean body mass.
    • Publication Date:
      Date Created: 20180223 Date Completed: 20190924 Latest Revision: 20190925
    • Publication Date:
      20221213
    • Accession Number:
      10.1093/ageing/afy009
    • Accession Number:
      29471456