Enhancing quality of life in older adults: a comparison of muscular strength and power training

Jeffrey A Katula, W Jack Rejeski, Anthony P Marsh, Jeffrey A Katula, W Jack Rejeski, Anthony P Marsh

Abstract

Background: Although progressive resistance strength training (ST) has been found to improve various measures of physical functioning in older adults, the benefit to quality of life is unclear. Additionally, recent evidence suggests that high velocity power training (PT) may be more beneficial for physical functioning than ST, but it is not known whether this type of training impacts quality of life. The purpose of this study was to compare changes in multiple measures of quality of life resulting from ST vs. PT in older adults. A no exercise group was also included as control comparison condition.

Methods: Forty-five older adults (M age = 74.8 years; SD = 5.7) were randomly assigned to either a) PT, b) ST, or c) control group (no exercise). Measures of self-efficacy (SE), satisfaction with physical function (SPF), and the Satisfaction with Life Scale (SWL) were assessed at baseline and following training. The resistance training conditions met 3 times per week for 12 weeks at an intensity of 70% 1 repetition maximum.

Results: A series of ANCOVA's comparing between group differences in change and controlling for baseline values revealed significant group differences in all three measures: SE (F(2,31) = 9.77; p < .001); SPF (F(2,32) = 3.36; p = .047); SWL (F(2,31) = 4.76; p = .016). Follow up analyses indicated that the PT group reported significantly more change in SE, SPF, and SWL than the control group whereas the ST group reported greater change than the control group only in SE.

Conclusion: These pilot data indicate that high velocity power training may influence multiple levels of quality of life over and above the benefits gained through traditional strength training.

Figures

Figure 1
Figure 1
Participant Flow Diagram.
Figure 2
Figure 2
Effect sizes for pre to post intervention changes in subjective well-being outcomes. Note: SWL = Satisfaction With Life; SPF = Satisfaction with Physical Function; SE = Self-efficacy. Conditions not sharing a common superscript have significantly different change at p < .05.

References

    1. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998;147:755–763.
    1. Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. Am J Epidemiol. 2004;159:413–421. doi: 10.1093/aje/kwh058.
    1. Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C, Di Iorio A, Corsi AM, Rantanen T, Guralnik JM, Ferrucci L. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol. 2003;95:1851–1860.
    1. Leveille SG. Musculoskeletal aging. Curr Opin Rheumatol. 2004;16:114–118. doi: 10.1097/00002281-200403000-00007.
    1. Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc. 2002;50:889–896. doi: 10.1046/j.1532-5415.2002.50216.x.
    1. Iannuzzi-Sucich M, Prestwood KM, Kenny AM. Prevalence of sarcopenia and predictors of skeletal muscle mass in healthy, older men and women. J Gerontol A Biol Sci Med Sci. 2002;57:M772–M777.
    1. Janssen I, Shepard DS, Katzmarzyk PT, Roubenoff R. The healthcare costs of sarcopenia in the United States. Journal of the American Geriatrics Society. 2004;52:80–85. doi: 10.1111/j.1532-5415.2004.52014.x.
    1. Houston DK, Nicklas BJ, Ding J, Harris TB, Tylavsky FA, Newman AB, Lee JS, Sahyoun NR, Visser M, Kritchevsky SB. Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study. Am J Clin Nutr. 2008;87:150–155.
    1. Latham NK, Bennett DA, Stretton CM, Anderson CS. Systematic review of progressive resistance strength training in older adults. J Gerontol A Biol Sci Med Sci. 2004;59:48–61.
    1. Seguin R, Nelson ME. The benefits of strength training for older adults. Am J Prev Med. 2003;25:141–149. doi: 10.1016/S0749-3797(03)00177-6.
    1. Fielding RA, LeBrasseur NK, Cuoco A, Bean J, Mizer K, Fiatarone Singh MA. High-velocity resistance training increases skeletal muscle peak power in older women. J Am Geriatr Soc. 2002;50:655–662. doi: 10.1046/j.1532-5415.2002.50159.x.
    1. Miszko TA, Cress ME, Slade JM, Covey CJ, Agrawal SK, Doerr CE. Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2003;58:171–175.
    1. Beniamini Y, Rubenstein JJ, Zaichkowsky LD, Crim MC. Effects of high-intensity strength training on quality-of-life parameters in cardiac rehabilitation patients. American Journal of Cardiology. 1997;80:841–846. doi: 10.1016/S0002-9149(97)00533-X.
    1. Chin APMJ, Van Poppel MN, Twisk JW, Van MW. Effects of resistance and all-round, functional training on quality of life, vitality and depression of older adults living in long-term care facilities: a 'randomized' controlled trial [ISRCTN87177281] BMC Geriatr. 2004;4:5. doi: 10.1186/1471-2318-4-5.
    1. Damush TM, Damush JG., Jr. The effects of strength training on strength and health-related quality of life in older adult women. Gerontologist. 1999;39:705–710.
    1. Stewart AL, King AC. Evaluating the efficacy of physical activity for influencing quality-of-life outcomes in older adults. Ann Behav Med. 1991;13:108–116.
    1. Elavsky S, McAuley E, Motl RW, Konopack JF, Marquez DX, Hu L, Jerome GJ, Diener E. Physical activity enhances long-term quality of life in older adults: efficacy, esteem, and affective influences. Ann Behav Med. 2005;30:138–145. doi: 10.1207/s15324796abm3002_6.
    1. Rejeski WJ, Mihalko S. Physical Activity and Quality of Life in Older Adults. Journals of Gerontology. 2001;56A:23–35.
    1. Diener E. Subjective well-being. The science of happiness and a proposal for a national index. American Psychologist. 2000;55:34–43. doi: 10.1037/0003-066X.55.1.34.
    1. Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985;49:71–75. doi: 10.1207/s15327752jpa4901_13.
    1. Reboussin BA, Rejeski WJ, Martin KA, Callahan K, Dunn AL, King AC, Sallis JF. Correlates of satisfaction with body function and body appearance in middle- and older aged adults: The Activity Counseling Trial (ACT) Psychology & Health. 2000;15:239–254. doi: 10.1080/08870440008400304.
    1. Katula JA, Sipe M, Rejeski WJ, Focht BC. Strength training in older adults: an empowering intervention. Med Sci Sports Exerc. 2006;38:106–111. doi: 10.1249/01.mss.0000183373.95206.2f.
    1. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–198. doi: 10.1016/0022-3956(75)90026-6.
    1. Bandura A. Self-Efficacy: The Exercise of Control. New York, Freeman; 1997.
    1. McAuley E, Mihalko SL. Measuring Exercise-related Self-efficacy. In: Duda J, editor. Advances in Sport and Exercise Psychology Measurement. Morgantown, WV, Fitness Information Technology, Inc.; 1998. pp. 371–390.
    1. Pavot W, Diener E. Psychological Assessment. Vol. 5. American Psychological Assn; 1993. Review of the Satisfaction With Life Scale; pp. 164–172.
    1. McAuley E, Blissmer B, Marquez DX, Jerome GJ, Kramer AF, Katula J. Social relations, physical activity, and well-being in older adults. Prev Med. 2000;31:608–17. doi: 10.1006/pmed.2000.0740.
    1. Foldvari M, Clark M, Laviolette LC, Bernstein MA, Kaliton D, Castaneda C, Pu CT, Hausdorff JM, Fielding RA, Singh MA. Association of muscle power with functional status in community-dwelling elderly women. J Gerontol A Biol Sci Med Sci. 2000;55:M192–M199.
    1. Fujita F, Diener E. Life satisfaction set point: stability and change. J Pers Soc Psychol. 2005;88:158–164. doi: 10.1037/0022-3514.88.1.158.
    1. Lucas RE, Clark AE, Georgellis Y, Diener E. Psychological Science. Vol. 15. Blackwell Publishing; 2004. Unemployment Alters the Set Point for Life Satisfaction; pp. 8–13.
    1. Lucas RE, Clark AE, Georgellis Y, Diener E. Reexamining adaptation and the set point model of happiness: Reactions to changes in marital status. J Pers Soc Psychol. 2003;84:527–539. doi: 10.1037/0022-3514.84.3.527.
    1. Fisher KJ, Li F. A community-based walking trial to improve neighborhood quality of life in older adults: a multilevel analysis. Ann Behav Med. 2004;28:186–194. doi: 10.1207/s15324796abm2803_7.
    1. Katula JA, Rejeski WJ, Wickley KL, Berry MJ. Perceived difficulty, importance, and satisfaction with physical function in COPD patients. Health Qual Life Outcomes. 2004;2:18. doi: 10.1186/1477-7525-2-18.
    1. Blalock SJ, DeVellis BM, DeVellis RF, Sauter SH. Self-evaluation processes and adjustment to rheumatoid arthritis. Arthritis Rheum. 1988;31:1245–1251. doi: 10.1002/art.1780311005.
    1. Neugebauer A, Katz PP, Pasch LA. Effect of valued activity disability, social comparisons, and satisfaction with ability on depressive symptoms in rheumatoid arthritis. Health Psychol. 2003;22:253–262. doi: 10.1037/0278-6133.22.3.253.
    1. Katz PP, Neugebauer A. Does satisfaction with abilities mediate the relationship between the impact of rheumatoid arthritis on valued activities and depressive symptoms? Arthritis Rheum. 2001;45:263–269. doi: 10.1002/1529-0131(200106)45:3<263::AID-ART259>;2-W.
    1. Rejeski WJ, Shelton B, Miller M, Dunn AL, King AC, Sallis JF. Mediators of increased physical activity and change in subjective well-being: Results from the Activity Counseling Trial (ACT) Journal of Health Psychology. 2001;6:159–168.
    1. Ewart CK. Psychological effects of resistive weight training: implications for cardiac patients. Med Sci Sports Exerc. 1989;21:683–688.
    1. Stewart KJ, Mason M, Kelemen MH. Three-Year Participation in Circuit Weight Training Improves Muscular Strength and Self-Efficacy in Cardiac Patients. Journal of Cardiopulmonary Rehabilitation. 1988;8:292–296.
    1. Tsutsumi T, Don BM, Zaichkowsky LD, Delizonna LL. Physical Fitness and Psychological Benefits of Strength Training in Community Dwelling Older Adults. Appl Human Sci. 1997;16:257–266. doi: 10.2114/jpa.16.257.
    1. McAuley E, Blissmer B. Self-Efficacy Determinants and Consequences of Physical Activity. Exercise and Sport Sciences Reviews. 2000;28:85–88.
    1. McAuley E, Jerome GJ, Elavsky S, Marquez DX, Ramsey SN. Predicting long-term maintenance of physical activity in older adults. Prev Med. 2003;37:110–118. doi: 10.1016/S0091-7435(03)00089-6.
    1. Rejeski WJ, Ettinger WH, Jr., Martin K, Morgan T. Treating disability in knee osteoarthritis with exercise therapy: a central role for self-efficacy and pain. Arthritis Care Res. 1998;11:94–101. doi: 10.1002/art.1790110205.
    1. Hruda KV, Hicks AL, McCartney N. Training for muscle power in older adults: effects on functional abilities. Can J Appl Physiol. 2003;28:178–189.

Source: PubMed

3
Tilaa