Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-30T01:09:15.965Z Has data issue: false hasContentIssue false

Exercise in later life: the older adults' perspective about resistance training

Published online by Cambridge University Press:  07 February 2011

TIM HENWOOD*
Affiliation:
The University of Queensland & Blue Care, Research and Practice Development Centre, School of Nursing and Midwifery, Brisbane, Australia.
ANTHONY TUCKETT
Affiliation:
The University of Queensland & Blue Care, Research and Practice Development Centre, School of Nursing and Midwifery, Brisbane, Australia.
OFFER EDELSTEIN
Affiliation:
School of Social Work, University of Haifa, Israel.
HELEN BARTLETT
Affiliation:
Monash University, Gippsland Campus, Victoria, Australia.
*
Address for correspondence: Tim Henwood, The University of Queensland & Blue Care, Research & Practice Development Centre, 56 Sylvan Road, Toowong, Brisbane, Queensland 4066, Australia. E-mail: t.henwood@uq.edu.au

Abstract

For older adults, exercise that challenges the muscular system, commonly referred to as resistance training, has significant physical, psychometrical and functional benefits. While well recognised by the scientific community, the translation of these benefits into practice has received little attention. Particularly neglected is an understanding of the personal experiences, motivation towards and adherence to resistance training recommendations among older adults. This paper investigated the benefits older individuals attribute to resistance training and the motivational tactics they employed to undertake it. Data were drawn from three focus groups where participants (⩾65 years; presently, previously or wanting to become involved in a resistance training intervention) were encouraged to openly discuss resistance training, physical activity and exercise. Findings revealed that participants were aware of the benefits of training on general and functional health, and that these benefits were employed in the motivation to train. In addition, presently or previously trained individuals stress the importance of environment and programme structure as a training motivator. The benefits to mental and social health, effect on ageing and body image were also raised. However, participants discussed these in a broad context. While it could be said that public knowledge reflects current evidence, it is also clear that individuals are still unaware of a number of specific benefits.

Type
Articles
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adams, K. J., Swank, A. M., Berning, J. M., Sevene-Adams, P. G., Barnard, K. L. and Shimp-Bowerman, J. 2001. Progressive strength training in sedentary, older African American women. Medicine and Science in Sports and Exercise, 33, 9, 1567–76.CrossRefGoogle ScholarPubMed
American College of Sports Medicine 1998. American College of Sports Medicine Position stand. Exercise and physical activity for older adults. Medicine and Science in Sports and Exercise, 30, 6, 992–1008.Google Scholar
Aniansson, A. and Gustafsson, E. 1981. Physical training in elderly men with special reference to quadriceps muscle strength and morphology. Clinical Physiology, 1, 8798.CrossRefGoogle Scholar
Belza, B., Walwick, J., Shiu-Thornton, S., Schwartz, S., Taylor, M. and LoGerfo, J. 2004. Older adult perspectives on physical activity and exercise: voices from multiple cultures. Preventing Chronic Disease, 1, 4, A09.Google ScholarPubMed
Berg, J. A., Cromwell, S. L. and Arnett, M. 2002. Physical activity: perspectives of Mexican American and Anglo American midlife women. Health Care for Women International, 23, 8, 894904.CrossRefGoogle ScholarPubMed
Bouchard, D. R., Soucy, L., Senechal, M., Dionne, I. J. and Brochu, M. 2009. Impact of resistance training with or without caloric restriction on physical capacity in obese older women. Menopause, 16, 1, 6672.CrossRefGoogle ScholarPubMed
Boyle, P. A., Buchman, A. S., Wilson, R. S., Leurgans, S. E. and Bennett, D. A. 2009. Association of muscle strength with the risk of Alzheimer disease and the rate of cognitive decline in community-dwelling older persons. Archives of Neurology, 66, 11, 1339–44.CrossRefGoogle ScholarPubMed
Brawley, L. R., Rejeski, W. J. and King, A. C. 2003. Promoting physical activity for older adults: the challenges for changing behavior. American Journal of Preventative Medicine, 25, 3 supplement 2, 172–83.CrossRefGoogle ScholarPubMed
Brown, A. K., Liu-Ambrose, T., Tate, R. and Lord, S. R. 2009. The effect of group-based exercise on cognitive performance and mood in seniors residing in intermediate care and self-care retirement facilities: a randomised controlled trial. British Journal of Sports Medicine, 43, 8, 608–14.CrossRefGoogle ScholarPubMed
Brown, W. J., Mishra, G., Lee, C. and Bauman, A. 2000. Leisure time physical activity in Australian women: relationship with well being and symptoms. Research Quarterly for Exercise and Sport, 71, 3, 206–16.CrossRefGoogle ScholarPubMed
Buchner, D. M. 1997. Physical activity and quality of life in older adults. Journal of the American Medical Association, 277, 1, 64–6.CrossRefGoogle ScholarPubMed
Buchner, D. M., Cress, M. E., de Lateur, B. J., Esselman, P. C., Margherita, A. J., Price, R. and Wagner, E. H. 1997. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. Journals of Gerontolology: Medical Science, 52, 4, M218–24.Google ScholarPubMed
Burr, D. B. 1997. Muscle strength, bone mass, and age-related bone loss. Journal of Bone Mineral Research, 12, 10, 1547–51.CrossRefGoogle ScholarPubMed
Cauza, E., Hanusch-Enserer, U., Strasser, B., Ludvik, B., Metz-Schimmerl, S., Pacini, G., Wagner, O., Georg, P., Prager, R., Kostner, K., Dunky, A. and Haber, P. 2005. The relative benefits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus. Archive of Physical Medicine and Rehabilitation, 86, 8, 1527–33.CrossRefGoogle ScholarPubMed
Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. A., Minson, C. T., Nigg, C. R., Salem, G. J. and Skinner, J. S. 2009. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Medicine and Science in Sports and Exercise, 41, 7, 1510–30.CrossRefGoogle ScholarPubMed
Chodzko-Zajko, W., Schwingel, A. and Park, C. 2009. Successful aging: the role of physical activity. American Journal of Lifestyle Medicine, 3, 20, 20–8.CrossRefGoogle Scholar
Cohen-Mansfield, J., Marx, M. S. and Guaralink, J. M. 2003. Motivators and barriers to exercise in an older community-dwelling population. Journal of Aging and Physical Activity, 11, 2, 2452–3.CrossRefGoogle Scholar
Cress, M. E. P. D., Buchner, D. M., Prohaska, T., Rimmer, J., Brown, M., Macera, C., DePietro, L. and Chodzko-Zajko, W. 2004. Physical activity programs and behavior counseling in older adult populations. Medicine and Science in Sports and Exercise, 36, 11, 19972003.CrossRefGoogle Scholar
Cress, M. E., Buchner, D. M., Prohaska, T., Rimmer, J., Brown, M., Macera, C., Dipietro, L. and Chodzko-Zajko, W. 2005. Best practices for physical activity programs and behavior counseling in older adult populations. Journal of Aging and Physical Activity, 13, 1, 6174.CrossRefGoogle ScholarPubMed
Dionigi, R. 2007. Resistance training and older adults' beliefs about psychological benefits: the importance of self-efficacy and social interaction. Journal of Sport and Exercise Psychology, 29, 6, 723–46.CrossRefGoogle ScholarPubMed
Dionigi, R. A. and Cannon, J. 2009. Older adults' perceived changes in physical self-worth associated with resistance training. Research Quarterly in Exercise and Sport, 80, 2, 269–80.CrossRefGoogle ScholarPubMed
Dodd, K. J., Taylor, N. F., Denisenko, S. and Prasad, D. 2006. A qualitative analysis of a progressive resistance exercise programme for people with multiple sclerosis. Disability and Rehabilitation, 28, 18, 1127–34.CrossRefGoogle ScholarPubMed
Evans, W. 1997. Functional and metabolic consequences of sarcopenia. Journal of Nutrition, 127, 5, 998S–1003S.Google ScholarPubMed
Fiatarone, M. A., Marks, E. C., Ryan, N. D., Meredith, C. N., Lipsitz, L. A. and Evans, W. J. 1990. High-intensity strength training in nonagenarians. Effects on skeletal muscle. Journal of the American Medical Association, 263, 22, 3029–34.CrossRefGoogle ScholarPubMed
Frontera, W. R., Hughes, V. A., Lutz, K. J. and Evans, W. J. 1991. A cross-sectional study of muscle strength and mass in 45- to 78-yr-old men and women. Journal of Applied Physiology, 71, 2, 644–50.CrossRefGoogle ScholarPubMed
Galvao, D. A. and Taaffe, D. R. 2005. Resistance exercise dosage in older adults: single- versus multiset effects on physical performance and body composition. Journal of the American Geriatric Society, 53, 12, 2090–7.CrossRefGoogle ScholarPubMed
Grant, B. C. 2001. ‘You're never too old’: beliefs about physical activity and playing sport in later life. Ageing & Society, 21, 777–98.CrossRefGoogle Scholar
Grbich, C. 1999. Qualitative Research in Health: An Introduction. Allen and Unwin, St. Leonards, Australia.Google Scholar
Greenfield, E. A. and Marks, N. F. 2004. Formal volunteering as a protective factor for older adults' psychological well-being. Journals of Gerontology: Social Science, 59, 5, S258–64.CrossRefGoogle ScholarPubMed
Hakkinen, K., Kallinen, M., Izquierdo, M., Jokelainen, K., Lassila, H., Malkia, E., Kraemer, W. J., Newton, R. U. and Alen, M. 1998. Changes in agonist–antagonist EMG, muscle CSA, and force during strength training in middle-aged and older people. Journal of Applied Physiology, 84, 4, 1341–9.CrossRefGoogle ScholarPubMed
Henwood, T. R. and Bartlett, H. A. 2008. Measuring the impact of increased exercise on quality of life in older adults: the UQQoL, a new instrument. European Journal of Ageing, 5, 3, 241–52.CrossRefGoogle ScholarPubMed
Henwood, T. R., Riek, S. and Taaffe, D. R. 2008. Strength versus muscle power-specific resistance training in community-dwelling older adults. Journals of Gerontology: Medical Science, 63, 1, 8391.Google ScholarPubMed
Henwood, T. R. and Taaffe, D. R. 2005. Improved physical performance in older adults undertaking a short-term programme of high-velocity resistance training. Gerontology, 51, 2, 108–15.CrossRefGoogle ScholarPubMed
Hurley, B. F. and Hagberg, J. M. 1998. Optimizing health in older persons: aerobic or strength training? Exercise and Sport Science Review, 26, 6189.CrossRefGoogle ScholarPubMed
Janssen, I., Shepard, D. S., Katzmarzyk, P. T. and Roubenoff, R. 2004. The healthcare costs of sarcopenia in the United States. Journal of the American Geriatric Society, 52, 1, 80–5.CrossRefGoogle ScholarPubMed
King, A. C., Pruitt, L. A., Phillips, W., Oka, R., Rodenburg, A. and Haskell, W. L. 2000. Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults. Journals of Gerontology: Medical Science, 55, 2, M74–83.Google ScholarPubMed
Kolewaski, C. D., Mullally, M. C., Parsons, T. L., Paterson, M. L., Toffelmire, E. B. and King-VanVlack, C. E. 2005. Quality of life and exercise rehabilitation in end stage renal disease. Cannt Journal, 15, 4, 22–9.Google ScholarPubMed
Layne, J. E., Sampson, S. E., Mallio, C. J., Hibberd, P. L., Griffith, J. L., Das, S. K., Flanagan, W. J. and Castaneda-Sceppa, C. 2008. Successful dissemination of a community-based strength training program for older adults by peer and professional leaders: the people exercising program. Journal of the American Geriatric Society, 56, 12, 2323–9.CrossRefGoogle ScholarPubMed
Lexell, J., Downham, D. Y., Larsson, Y., Bruhn, E. and Morsing, B. 1995. Heavy-resistance training in older Scandinavian men and women: short- and long-term effects on arm and leg muscles. Scandinavian Journal of Medicine and Science in Sports, 5, 6, 329–41.CrossRefGoogle Scholar
Littbrand, H., Lundin-Olsson, L., Gustafson, Y. and Rosendahl, E. 2009. The effect of a high-intensity functional exercise program on activities of daily living: a randomized controlled trial in residential care facilities. Journal of the American Geriatric Society, 57, 10, 1741–9.CrossRefGoogle ScholarPubMed
Liu, C. J. and Latham, N. K. 2009. Progressive resistance strength training for improving physical function in older adults. Cochrane Database of Systematic Reviews, 8 July, 3, CD002759.Google Scholar
Manini, T. M., Druger, M. and Ploutz-Snyder, L. 2005. Misconceptions about strength exercise among older adults. Journal of Aging and Physical Activity, 13, 4, 422–33.CrossRefGoogle ScholarPubMed
Marquez, D., Bustamante, E., Blissmer, B. and Prohaska, T. 2009. Health promotion for successful aging. American Journal of Lifestyle Medicine, 12, 3, 1219.CrossRefGoogle Scholar
McCartney, N., Hicks, A. L., Martin, J. and Webber, C. E. 1996. A longitudinal trial of weight training in the elderly: continued improvements in year 2. Journals of Gerontology: Medical Science, 51, 6, B425–33.Google ScholarPubMed
Moritani, T. and deVries, H. A. 1980. Potential for gross muscle hypertrophy in older men. Journal of Gerontology, 35, 5, 672–82.CrossRefGoogle ScholarPubMed
Myers, A. M., Malott, O. W., Gray, E., Tudor-Locke, C., Ecclestone, N. A., Cousins, S. O. and Petrella, R. 1999. Measuring accumulated health-related benefits of exercise participation for older adults: the Vitality Plus Scale. Journals of Gerontology: Medical Science, 9, M456–66.Google Scholar
Resnick, B. 2000. A seven step approach to starting an exercise program for older adults. Patient Education and Counseling, 39, 2/3, 243–52.CrossRefGoogle ScholarPubMed
Rogers, M. A. and Evans, W. J. 1993. Changes in skeletal muscle with aging: effects of exercise training. Exercise and Sport Science Review, 21, 65–102.CrossRefGoogle ScholarPubMed
Rydeskog, A., Frändin, K. and Scherman, M. 2005. Elderly people's experiences of resistance training. Advances in Physiotherapy, 7, 4, 162–9.CrossRefGoogle Scholar
Schutzer, K. A. and Graves, B. S. 2004. Barriers and motivations to exercise in older adults. Preventative Medicine, 39, 5, 1056–61.CrossRefGoogle ScholarPubMed
Shephard, R. J. 1993. Exercise and aging: extending independence in older adults. Geriatrics, 48, 5, 61–4.Google ScholarPubMed
Sims, J., Hill, K., Hunt, S., Haralambous, B., Brown, A., Engel, L., Huang, N., Kerse, N. and Ory, M. 2006. National physical activity recommendations for older Australians: discussion document. National Ageing Research Institute, Department of Health and Ageing, Canberra.Google Scholar
Singh, N. A., Clements, K. M. and Singh, M. A. 2001. The efficacy of exercise as a long-term antidepressant in elderly subjects: a randomized, controlled trial. Journals of Gerontology: Medical Science, 56, 8, M497–504.Google ScholarPubMed
Stiggelbout, M., Hopman-Rock, M., Crone, M., Lechner, L. and van Mechelen, W. 2006. Predicting older adults' maintenance in exercise participation using an integrated social psychological model. Health Education Research, 21, 1, 114.CrossRefGoogle ScholarPubMed
Tuckett, A. G. 2004. Qualitative research sampling: the very real complexities. Nurse Researcher, 12, 1, 4761.CrossRefGoogle ScholarPubMed
Tuckett, A. G. and Stewart, D. 2004. Part II: Group discussions as methods: experience, rationales and limitations. Contemporary Nurse, 16, 3, 240–51.CrossRefGoogle ScholarPubMed
Verdijk, L. B., Gleeson, B. G., Jonkers, R. A., Meijer, K., Savelberg, H. H., Dendale, P. and van Loon, L. J. 2009. Skeletal muscle hypertrophy following resistance training is accompanied by a fiber type-specific increase in satellite cell content in elderly men. Journals of Gerontology: Medical Science, 64A, 3, 332–9.Google Scholar
Wessel, J. A., Small, A., Van Huss, W. D., Anderson, D. J. and Cederquist, D. C. 1968. Age and physiological responses to exercise in women 20–69 years of age. Journal of Gerontology, 23, 3, 269–78.CrossRefGoogle ScholarPubMed
Winett, R. A., Williams, D. M. and Davy, B. M. 2009. Initiating and maintaining resistance training in older adults: a social cognitive theory-based approach. British Journal of Sports Medicine, 43, 2, 114–9.CrossRefGoogle ScholarPubMed