The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis

The effects of eccentric exercise (ECC) in older adults have received limited scientific attention, considering the ample evidence for its effectiveness in general and athletic populations. The purpose of this paper is to review the effects of ECC exercise modalities vs. traditional or concentric (C...

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Main Authors: Klemen Čretnik, Jernej Pleša, Žiga Kozinc, Stefan Löfler, Nejc Šarabon
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2022.873718/full
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author Klemen Čretnik
Jernej Pleša
Žiga Kozinc
Žiga Kozinc
Stefan Löfler
Nejc Šarabon
Nejc Šarabon
Nejc Šarabon
Nejc Šarabon
author_facet Klemen Čretnik
Jernej Pleša
Žiga Kozinc
Žiga Kozinc
Stefan Löfler
Nejc Šarabon
Nejc Šarabon
Nejc Šarabon
Nejc Šarabon
author_sort Klemen Čretnik
collection DOAJ
description The effects of eccentric exercise (ECC) in older adults have received limited scientific attention, considering the ample evidence for its effectiveness in general and athletic populations. The purpose of this paper is to review the effects of ECC exercise modalities vs. traditional or concentric (CON) exercise on muscle strength, body composition and functional performance in older adults. Inclusion criteria regarding the age was >55 years. Three major scientific literature databases (PubMed, Scopus and Web of Science) were screened for trials comparing the effect of ECC and CON exercise programs, and 19 papers were included in the meta-analysis. ECC and CON training programs were typically matched by the duration of each session. The difference between ECC and CON was expressed as standardized mean difference (SMD). Regarding isometric knee strength, the pooled effect favored ECC (SMD = 0.50), but was not statistically significant (p = 0.160). ECC exercise elicited greater improvements in timed up and go test (SMD = −0.68; p = 0.004), 2-min sit-stand test (SMD = 0.53; p = 0.030) and 30-s sit-stand test (SMD = 0.81; p = 0.002), but not in 6-min walking test (SMD = 0.01; p = 0.960). The effects on body composition and muscle architecture were unclear (SMD = −1.44 to 1.95; p = 0.060–0.689). In conclusion, our literature review indicates that ECC exercise is superior to, or at least as good as CON exercise for preserving health and overall function in older adults.
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spelling doaj.art-3a9482222ca14c16a01b7dd6719ad1ca2022-12-22T01:40:12ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672022-04-01410.3389/fspor.2022.873718873718The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-AnalysisKlemen Čretnik0Jernej Pleša1Žiga Kozinc2Žiga Kozinc3Stefan Löfler4Nejc Šarabon5Nejc Šarabon6Nejc Šarabon7Nejc Šarabon8Faculty of Health Sciences, University of Primorska, Izola, SloveniaFaculty of Health Sciences, University of Primorska, Izola, SloveniaFaculty of Health Sciences, University of Primorska, Izola, SloveniaAndrej Marušič Institute, University of Primorska, Koper, SloveniaLudwig Boltzmann Institute for Rehabilitation Research, St. Pölten, AustriaFaculty of Health Sciences, University of Primorska, Izola, SloveniaAndrej Marušič Institute, University of Primorska, Koper, SloveniaHuman Health Department, InnoRenew CoE, Izola, SloveniaLaboratory for Motor Control and Motor Behavior, S2P, Science to Practice, Ltd., Ljubljana, SloveniaThe effects of eccentric exercise (ECC) in older adults have received limited scientific attention, considering the ample evidence for its effectiveness in general and athletic populations. The purpose of this paper is to review the effects of ECC exercise modalities vs. traditional or concentric (CON) exercise on muscle strength, body composition and functional performance in older adults. Inclusion criteria regarding the age was >55 years. Three major scientific literature databases (PubMed, Scopus and Web of Science) were screened for trials comparing the effect of ECC and CON exercise programs, and 19 papers were included in the meta-analysis. ECC and CON training programs were typically matched by the duration of each session. The difference between ECC and CON was expressed as standardized mean difference (SMD). Regarding isometric knee strength, the pooled effect favored ECC (SMD = 0.50), but was not statistically significant (p = 0.160). ECC exercise elicited greater improvements in timed up and go test (SMD = −0.68; p = 0.004), 2-min sit-stand test (SMD = 0.53; p = 0.030) and 30-s sit-stand test (SMD = 0.81; p = 0.002), but not in 6-min walking test (SMD = 0.01; p = 0.960). The effects on body composition and muscle architecture were unclear (SMD = −1.44 to 1.95; p = 0.060–0.689). In conclusion, our literature review indicates that ECC exercise is superior to, or at least as good as CON exercise for preserving health and overall function in older adults.https://www.frontiersin.org/articles/10.3389/fspor.2022.873718/fullelderlysarcopeniaeccentric trainingeccentric exerciseolder adults
spellingShingle Klemen Čretnik
Jernej Pleša
Žiga Kozinc
Žiga Kozinc
Stefan Löfler
Nejc Šarabon
Nejc Šarabon
Nejc Šarabon
Nejc Šarabon
The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis
Frontiers in Sports and Active Living
elderly
sarcopenia
eccentric training
eccentric exercise
older adults
title The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis
title_full The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis
title_fullStr The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis
title_full_unstemmed The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis
title_short The Effect of Eccentric vs. Traditional Resistance Exercise on Muscle Strength, Body Composition, and Functional Performance in Older Adults: A Systematic Review With Meta-Analysis
title_sort effect of eccentric vs traditional resistance exercise on muscle strength body composition and functional performance in older adults a systematic review with meta analysis
topic elderly
sarcopenia
eccentric training
eccentric exercise
older adults
url https://www.frontiersin.org/articles/10.3389/fspor.2022.873718/full
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