Effectiveness of Multimodal Training on Functional Capacity in Frail Older People: A Meta-Analysis of Randomized Controlled Trials

in Journal of Aging and Physical Activity

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Pedro Lopez
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Mikel Izquierdo
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Regis Radaelli
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Graciele Sbruzzi
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Rafael Grazioli
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Ronei Silveira Pinto
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Eduardo Lusa Cadore
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DOI:
https://doi.org/10.1123/japa.2017-0188
Keywords:
frailty; physical outcomes; resistance training
In Print:
Volume 26: Issue 3
Page Range:
407–418
Restricted access

In this meta-analysis, we investigated the effect of resistance training (RT) alone or included in a multimodal training on physical frailty outcomes, and whether different variables of RT prescription affect these outcomes. We identified 15 relevant studies searching through MEDLINE, Cochrane Central Register of Controlled Trials, SPORTDiscus, and PEDro database. Postintervention standardized mean difference scores were computed and combined using fixed effects meta-analysis. Analyses have shown positive effects of interventions on maximum strength, gait speed, and Timed Up and Go test. Further analyses have shown significant greater effect of shorter periods on maximum strength. Regarding RT prescription, percentage of one-repetition maximum showed significant effect on physical variables, whereas RT based on rate of perceived effort presented lower effect in the Timed Up and Go test. Although multimodal training is an effective intervention to increase physical capacity, caution should be taken regarding the period and the method to control RT intensity to optimize enhancements in frail older people.

Lopez, Radaelli, Sbruzzi, Grazioli, Pinto, and Cadore are with Exercise Research Laboratory (LAPEX), Strength Training Research Group, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil. Izquierdo is with the Dept. of Health Sciences, Public University of Navarra, Navarra, Spain.

Address author correspondence to Pedro Lopez at lopez.pedro1291@gmail.com.
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