Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea

Abstract Background Low muscle mass is associated with adverse health outcomes such as functional decline and all-cause mortality. This study investigated the relationship between the risk of low muscle mass and the training period and/or frequency of resistance training (RT). Methods We included 12...

Full description

Bibliographic Details
Main Authors: Jae Ho Park, Nam-Kyoo Lim, Hyun-Young Park
Format: Article
Language:English
Published: BMC 2024-03-01
Series:European Review of Aging and Physical Activity
Subjects:
Online Access:https://doi.org/10.1186/s11556-024-00339-6
_version_ 1797266948477681664
author Jae Ho Park
Nam-Kyoo Lim
Hyun-Young Park
author_facet Jae Ho Park
Nam-Kyoo Lim
Hyun-Young Park
author_sort Jae Ho Park
collection DOAJ
description Abstract Background Low muscle mass is associated with adverse health outcomes such as functional decline and all-cause mortality. This study investigated the relationship between the risk of low muscle mass and the training period and/or frequency of resistance training (RT). Methods We included 126,339 participants (81,263 women) from nationwide cohorts in Korea. Low muscle mass was defined based on the fat-free mass index. To investigate the presence of an inverse dose–response relationship between RT levels and the risk of low muscle mass, the training period (months) and frequency (per week) of RT were used. Multiple logistic regression models were used to assess the risk of low muscle mass according to the RT levels. Results Prevalence rates for low muscle mass in our study population were 21.27% and 6.92% in men and women, respectively. When compared with not performing RT, performing RT for 3–4 days/week and ≥5 days/week decreased the risk of low muscle mass by 22% and 27%, respectively, and performing RT for 12–23 months and ≥24 months decreased the risk by 19% and 41%, respectively. When simultaneously considering both training period and frequency, performing RT for either 3–4 days/week or ≥5 days/week was significantly related to risk reduction, provided that the training period was at least 1 year. Importantly, performing RT for more than 2 years resulted in an additional risk reduction. However, there was no additional effect of performing RT for ≥5 days/week compared to 3–4 days/week, regardless of whether the RT duration was 1–2 years or more than 2 years. Conclusions Since performing RT for 5 days/week or more did not yield any additional effects on the risk of low muscle mass, performing RT for 3–4 days/week was sufficient to prevent low muscle mass. The effectiveness of this preventive measure can be further enhanced by engaging in long-term RT, specifically for more than 2 years.
first_indexed 2024-04-25T01:08:48Z
format Article
id doaj.art-e26dfe20597441438c01cdef825d130d
institution Directory Open Access Journal
issn 1861-6909
language English
last_indexed 2024-04-25T01:08:48Z
publishDate 2024-03-01
publisher BMC
record_format Article
series European Review of Aging and Physical Activity
spelling doaj.art-e26dfe20597441438c01cdef825d130d2024-03-10T12:08:10ZengBMCEuropean Review of Aging and Physical Activity1861-69092024-03-0121111010.1186/s11556-024-00339-6Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in KoreaJae Ho Park0Nam-Kyoo Lim1Hyun-Young Park2Division of Population Health Research, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention AgencyDivision of Population Health Research, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention AgencyKorea National Institute of Health, Korea Disease Control and Prevention AgencyAbstract Background Low muscle mass is associated with adverse health outcomes such as functional decline and all-cause mortality. This study investigated the relationship between the risk of low muscle mass and the training period and/or frequency of resistance training (RT). Methods We included 126,339 participants (81,263 women) from nationwide cohorts in Korea. Low muscle mass was defined based on the fat-free mass index. To investigate the presence of an inverse dose–response relationship between RT levels and the risk of low muscle mass, the training period (months) and frequency (per week) of RT were used. Multiple logistic regression models were used to assess the risk of low muscle mass according to the RT levels. Results Prevalence rates for low muscle mass in our study population were 21.27% and 6.92% in men and women, respectively. When compared with not performing RT, performing RT for 3–4 days/week and ≥5 days/week decreased the risk of low muscle mass by 22% and 27%, respectively, and performing RT for 12–23 months and ≥24 months decreased the risk by 19% and 41%, respectively. When simultaneously considering both training period and frequency, performing RT for either 3–4 days/week or ≥5 days/week was significantly related to risk reduction, provided that the training period was at least 1 year. Importantly, performing RT for more than 2 years resulted in an additional risk reduction. However, there was no additional effect of performing RT for ≥5 days/week compared to 3–4 days/week, regardless of whether the RT duration was 1–2 years or more than 2 years. Conclusions Since performing RT for 5 days/week or more did not yield any additional effects on the risk of low muscle mass, performing RT for 3–4 days/week was sufficient to prevent low muscle mass. The effectiveness of this preventive measure can be further enhanced by engaging in long-term RT, specifically for more than 2 years.https://doi.org/10.1186/s11556-024-00339-6Resistance trainingLow muscle massFat-free mass indexPopulation study
spellingShingle Jae Ho Park
Nam-Kyoo Lim
Hyun-Young Park
Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea
European Review of Aging and Physical Activity
Resistance training
Low muscle mass
Fat-free mass index
Population study
title Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea
title_full Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea
title_fullStr Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea
title_full_unstemmed Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea
title_short Associations of resistance training levels with low muscle mass: a nationwide cross-sectional study in Korea
title_sort associations of resistance training levels with low muscle mass a nationwide cross sectional study in korea
topic Resistance training
Low muscle mass
Fat-free mass index
Population study
url https://doi.org/10.1186/s11556-024-00339-6
work_keys_str_mv AT jaehopark associationsofresistancetraininglevelswithlowmusclemassanationwidecrosssectionalstudyinkorea
AT namkyoolim associationsofresistancetraininglevelswithlowmusclemassanationwidecrosssectionalstudyinkorea
AT hyunyoungpark associationsofresistancetraininglevelswithlowmusclemassanationwidecrosssectionalstudyinkorea