Benefits of resistance exercise in preventing falls in the elderly: a systematic review

Authors

DOI:

https://doi.org/10.36453/cefe.2021.n2.26964

Keywords:

Elderly People, elderly fall, resistance exercise

Abstract

BACKGROUND: The risk of falls becomes imminent with aging and the repercussions inherent to this event are often summarized in dependence and death. A viable strategy to be used with the elderly, in order to minimize the effects of advancing age, especially the risk of falls, is the implementation of resistance exercise. 
OBJECTIVE: To investigate the benefits of resistance training in preventing the risk of falls in the elderly. 
METHODS: As this is a systematic review, a search was performed in four databases: Pubmed, Lilacs, Scielo and Ebsco. In view of the study proposal, 630 articles were found and 7 selected, after applying the inclusion and exclusion criteria. Clinical trials were considered as selection criteria, in which resistance training was implemented in active elderly people without relevant pathologies for their age, such as, for example, diabetes, heart disease, cognitive and neuromuscular disorders. 
RESULTS: It is worth mentioning that studies with combined exercises such as, for example, aerobic and resistance, were excluded. After the intervention period, increases in muscle strength, mobility, displacement speed and optimizations in dynamic and static balances were observed. 
CONCLUSION: The findings suggest that resistance training has substantial gains in order to mitigate physiological changes and potentially reduce the risk of falls and fractures in the elderly.

Downloads

Download data is not yet available.

References

ALVES, N. B.; SCHEICHER, M. E. Equilíbrio postural e risco para queda em idosos da cidade de Garça SP. Revista Brasileira de Geriatria e Gereontologia, Rio de Janeiro, v. 14, n. 4, p. 763-8, 2011.

BARROS, I. F. O. de; PEREIRA, M. B.; WEILLER, T. H.; ANVERSA, E. T. R. Internações hospitalares por quedas em idosos brasileiros e os custos correspondentes no âmbito do sistema único de saúde. Revista Kairós Gerontologia, São Paulo, v. 18, n. 4, p. 63-80, 2015.

BECK, A. P.; ANTES, D. L.; MEURER, S. T.; BENEDETTI, T. R. B.; LOPES, M. A. Fatores associados às quedas entre idosos praticantes de atividades físicas. Texto & Contexto Enfermagem, Florianópolis, v. 20, n. 2, p. 280-6, 2011.

BENTO, P. C. B.; RODACKI, A. L. F.; HOMANN, D.; LEITE, N. Exercícios físicos e redução de quedas em idosos: uma revisão sistemática. Revista Brasileira de Cineantropometria e Desempenho Humano, Florianópolis, v. 12, n. 6, p. 471-9, 2010.

BOTTARO M.; MACHADO S. N.; NOGUEIRA W.; SCALES R.; VELOSO J. Effect of high versus low-velocity resistance training on muscular fitness and functional performance in older men. European Journal of Applied Physiology, Berlin, v. 99, n. 3, p. 57-64, 2007.

CANNON, J.; KAY, D.; TARPENNING, K. M.; MARINO F. E. Comparative effects of resistance training on peak isometric torque, muscle hypertrophy, voluntary activation and surface EMG between young and elderly women. Clinical Physiology Functional Imaging, v. 27, n. 2, p. 91-100, 2007.

CASEROTTI, P.; AAGAARD, P.; LARSEN, J. B.; PUGGAARD, L. Explosive heavy-resistance training in old and very old adults: changes in rapid muscle force, strength and power. Scandinavian Journal of Medicine & Science in Sports, Hoboken, v. 18, n. 6, p. 773-82, 2008.

CORREA C. S.; LAROCHE, D. P.; CADORE, E. L.; REISCHAK-OLIVEIRA, A.; BOTTARO, M.; KRUEL, L.F.M.; ... ; PINTO, R. S. 3 types of strength training in older women. International Journal of Sports Medicine, Stuttgart, v. 33, n. 12, p. 962-9, 2012.

DALY, R. M.; DUCKHAM, R. L.; TAIT, J. L.; RANTALAINEN, T.; NOWSON, C. A.; TAAFFE, D. R.; … BUSIJA, L. Effectiveness of dual-task functional power training for preventing falls in older people: study protocol for a cluster randomised controlled trial. Trials, London, v. 16, n. 120, p. 1-15, 2015.

ECKARDT, N. Lower-extremity resistance training on unstable surfaces improves proxies of muscle strength, power and balance in healthy older adults: a randomised control trial. BMC Geriatrics, New York, v. 16, n. 1, p. 1-15, 2016.

EVANS, W. J. Exercise training guidelines for the elderly. Medicine & Science in Sports & Exercise, Indianápolis, v. 31, n. 1, p. 12-7, 1999.

FHON, J. R. S.; RODRIGUES, R. A. P.; NEIRA, W. F.; HUAYTA, V. M. R.; ROBAZZI, M. L. do C. C. Queda e sua associação a síndrome da fragilidade no idoso: revisão sistemática com metanálise. Revista da Escola de Enfermagem da USP, São Paulo, v. 50, n. 6, p. 1005-13, 2016.

FIATARONE, M. A.; MARKS, E. C.; RYAN, N. D. High-intensity strength training in nonagenarians. Effects on skeletal muscle. Journal of the American Medical Association, Chicago, v. 263, n. 22, p. 3029-34, 1990.

GALVÃO, T. F.; PANSANI, T. de S. A.; HARRAD, D. Principais itens para relatar Revisões sistemáticas e meta-análises: a recomendação PRISMA. Epidemiologia e Serviços de Saúde, Brasília, v. 24, n. 2, p. 335-42, 2015.

GIALLAURIA, F.; CITTADINI, A.; SMART, N. A.; VIGORITO, C. Resistance training and sarcopenia. Monaldi Archives for Chest Disease, Pavia, v. 84, p. 51-3, 2015.

GRANACHER U.; GRUBER M.; GOLLHOFER A. Resistance training and neuromuscular performance in seniors. International Journal of Sports Medicine, Stuttgart, v. 30, n. 9, p. 652-7, 2009.

GRANACHER U.; LACROIX A.; MUEHLBAUER T.; ROETTGER K.; GOLLHOFER A. Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults. Gerontology, Basel, v. 59, n. 2, p. 105-13, 2013.

GSCHWIND, Y. J.; KRESSIG, R. W.; LACROIX, A.; MUEHLBAUER, T.; PFENNINGER, B.; GRANACHER, U. A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, New York, v. 13, n. 105, p. 1-13, 2013.

HÃKKINEN K.; KALLINEN M.; LINNAMO V.; PASTINEN U. M; NEWTON R. U.; KRAEMER W. J. Neuromuscular adaptations during bilateral versus unilateral strength training in middle-aged and elderly men and women. Acta Physiologica Scandinavica, Stockholm, v. 158, n. 1, p. 77-88, 1996.

HÃKKINEN K.; KALLINEN, M.; IZQUIERDO, M.; JOKELAINEN, K.; LASSILA, H.; MLKIA, E.; ... ; ALEN, M. Changes in agonist-antagonist EMG, muscle CSA, and force during strength training in middle-aged and older people. Journal of Applied Physiology, Rockville, v. 84, n. 4, p. 1341-9, 1998.

HESS, J. A.; WOOLLACOTT, M.; SHIVITZ, N. Ankle force and rate of force production increase following high intensity strength training in frail older adults. Aging Clinical and Experimental Research, New York, v. 18, n. 2, p. 107-15, 2006.

IZQUIERDO M.; HÃKKINEN, K.; IBAÑEZ, J.; GARRUES, M.; ANTÓN, A.; ZÚÑIGA, A.; ... ; GOROSTIAGA, E. Effects of strength training on muscle power and serum hormones in middle-aged and older men. Journal of Applied Physiology, Rockville, v. 90, n. 4, p. 1497-507, 2001.

JOSHUA, A. M.; D´SOUZA, V.; UNNIKRISHNAN, B.; MITHRA, P.; KAMATH, A.; ACHARYA, V.; VENUGOPAL, A. Effectiveness of progressive resistance strength training versus traditional balance exercise in improving balance among the elderly - a randomised controlled trial. Journal of Clinical and Diagnostic Research, Delhi, v. 8, n. 3, p. 98-102, 2014.

KAHLE N.; TEVALD M. A. Core muscle strengthening’s improvement of balance performance in community-dwelling older adults: a pilot study. Journal of Aging and Physical Activity, Hanover, v. 22, n. 1, p. 65-73, 2014.

LACROIX, A.; KRESSIG, R. W.; MUEHLBAUER, T.; GSCHWIND, Y. J.; PFENNINGER, B.; BRUEGGER, O.; GRANACHER, U. Effects of a supervised versus an unsupervised combined balance and strength training program on balance and muscle power in healthy older adults: A randomized controlled trial. Gerontology, Basel, v. 62, n. 3, p. 275-88, 2016.

LASTAYO P.; MARCUS, R.; DIBBLE, L.; WONG, B.; PEPPER, G. Eccentric versus traditional resistance exercise for older adult fallers in the community: a randomized trial within a multi-component fall reduction program. BMC Geriatrics, New York, v. 17, n. 149, p. 1-11, 2017.

LUSTOSA L. P.; SILVA J. P.; COELHO F. M.; PEREIRA D. S.; PARENTONI A. N.; PEREIRA L. S. Impact of resistance exercise program on functional capacity and muscular strength of knee extensor in pre-frail community-dwelling older women: a randomized crossover trial. Revista Brasileira de Fisioterapia, São Carlos, v. 15, n. 4, p. 318-24, 2011.

MAIA, B. C.; VIANA, P. S.; ARANTES, P. M. M.; ALENCAR, M. A. Consequências das quedas em idosos vivendo na comunidade. Revista Brasileira de Geriatria e Gereontologia, Rio de Janeiro, v. 14, n. 2, p. 381-93, 2011.

MAYER, F.; SCHARHAG-ROSENBERGER, F.; CARLSOHN, A.; CASSEL, M.; MULLER, S.; SCHARHAG, J. The Intensity and Effects of Strength Training in the Elderly. Deutsches Ärzteblatt International, Berlin, v. 108, n. 21, p. 359-64, 2011.

NICHOLSON V. P.; McKEAN M. R.; BURKETT B. J. Low-load high-repetition resistance training improves strength and gait speed in middle-aged and older adults. Journal of Science and Medicine in Sport, Belconnen, v. 18, n. 5, p. 596-600, 2015.

OLIVEIRA, A. S. de.; TREVIZAN P. F.; BESTETTI, M. L. T.; MELO, R. C. de. Fatores ambientais e risco de quedas em idosos: revisão sistemática. Revista Brasileira de Geriatria e Gereontologia, Rio de Janeiro, v. 17, n. 3, p. 637-45, 2014.

PALMA B. P.; COUTINHO M. M. Treinamento resistido em idosos: uma revisão sobre a intensidade de treino. Fiep Bulletin, Foz do Iguaçu, v. 82, 2012.

PERSCH, L. N.; UGRINOWITSCH, C.; PEREIRA, G.; RODACKI, A. L. F. Strength training improves fall-related gait kinematics in the elderly: A randomized controlled trial. Clinical Biomechanics, v. 24, n. 10, p. 819-25, 2009.

PINTO R. S.; CORREA C. S.; RADAELLI R.; CADORE E. L.; BROWN L.E.; BOTTARO M. Short-term strength training improves muscle quality and functional capacity of elderly women. Age, Dordrecht, v. 36, n. 1, p. 365-72, 2013.

PRATA, H. L.; ALVES JUNIOR, E. de. D.; PAULA, F. L.; FERREIRA, S. M. Envelhecimento, depressão e quedas: um estudo com os participantes do projeto Prev-Quedas. Fisioterapia em Movimento, Curitiba, v. 24, n. 3, p. 437-43, 2011.

RADAELLI R.; BOTTON, C. E.; WILHELM, E. N.; BOTTARO, M. Low- and highvolume strength training induces similar neuromuscular improvements in muscle quality in elderly women. Experimental Gerontology, Amsterdam, v. 48, n. 8, p. 710-6, 2013.

SERRA-REXACH J. A.; BUSTAMANTE-ARA, N.; VILLARÁN, M. H.; GIL, P. G.; IBÁÑEZ, M. J. S.; SANZ, N. B.; … ; LUCIA, A. Short-term, light- to moderate-intensity exercise training improves leg muscle strength in the oldest old: a randomized controlled trial. Journal of the American Geriatrics Society, Hoboken, v. 59, n. 4, p. 594-602, 2011.

SILVA JÚNIOR, A. P. da; VELARDI, M. Os benefícios da prática regular de atividade física no processo de envelhecimento. Caderno de Educação Física, Marechal Cândido Rondon, v. 7, n. 13, p. 63-9, 2008.

SILVA, C. M.; GURJÃO, A. L. D.; FERREIRA, L.; GOBBI, L. T. B.; GOBBI, S. Efeito do treinamento com pesos, prescritos por zona de repetições máximas na força muscular e composição corporal em idosas. Revista Brasileira de Cineantropometria e Desempeho Humano, Florianópolis, v. 8, n. 4, p. 39-45, 2006.

SILVA, K. A.; LOPES, J.; PAZZETTO, N.; CODONHATO, R. Suplementação de creatina e treinamento de força em idosos: uma revisão sistemática. Caderno de Educação Física e Esporte, Marechal Cândido Rondon, v. 16, n. 1, p. 247-57, 2018.

SLIVKA D.; RAUE U.; HOLLON C.; MINCHEV K.; TRAPPE S. Single muscle fiber adaptations to resistance training in old (>80 yr) men: evidence for limited skeletal muscle plasticity. American Journal of Physiology, Rockville, v. 295, n. 1, p. 273-80, 2008.

SOUSA, N.; SAMPAIO, J. Effects of progressive strength training on the performance of the functional reach test and the timed get-up-and-go test in an elderly population from the rural north of Portugal. American Journal of Human Biology Council, New Jersey, v. 17, n. 6, p. 746-751, 2005.

SOUZA, L. H. R.; BRANDÃO, J. C. da S.; FERNANDES, A. K. C.; CARDOSO, B. L. C. Queda em idosos e fatores de risco associados. Revista de Atenção à Saúde, São Caetano do Sul, v. 15, n. 54, p. 55-60, 2017.

TAAFFE, D. R.; DURET C.; WHEELER, S.; MARCUS, R. Once-weekly resistance exercise improves muscle strength and neuromuscular performance in older adults. Journal of the American Geriatrics Society, Hoboken, v. 47, n. 10, p. 1208-14, 1999.

THOMAS, E.; BATTAGLIA, G.; PATTI, A.; BRUSA, J.; LEONARDI, V.; PALMA, A.; ... ; BELLAFIORE, M. Physical activity programs for balance and fall prevention in elderly. Medicine, Baltimore, v. 98, n. 27, p. 1-9, 2019.

VIEIRA, A. A. U.; APRILLE, M. R.; PAULINO, C. A. Exercício físico, envelhecimento quedas em idosos: revisão narrativa. Revista Equilíbrio Corporal Saúde, São Paulo, v. 6, n. 1, p. 23-31, 2014.

YAMADA M.; ARAI H.; UEMURA K.; MORI, S.; NAGAI, K.; TANAKA, B.; ... ; AOYAMA, T. Effect of resistance training on physical performance and fear of falling in elderly with different levels of physical well-being. Age Ageing, Oxford, v. 40, n. 5, p. 637-41, 2011.

ZIAALDINI, M. M.; MARZETTI, E.; PICCA A.; MURLASITS, Z. Biochemical pathways of sarcopenia and their modulation by physical exercise: A narrative review. Frontiers in Medicine, Lousanne, v. 4, n. 167, p. 1-8, 2017.

Published

07-07-2021

How to Cite

CARLINI JUNIOR, R. J.; SILVA, S. A. da; BATISTA, S. A. da S.; SILVA, E. J. da. Benefits of resistance exercise in preventing falls in the elderly: a systematic review. Caderno de Educação Física e Esporte, Marechal Cândido Rondon, v. 19, n. 2, p. 85–91, 2021. DOI: 10.36453/cefe.2021.n2.26964. Disponível em: https://e-revista.unioeste.br/index.php/cadernoedfisica/article/view/26964. Acesso em: 17 jul. 2024.