The Study
In this
investigation, 160 obese men and women aged 65 or older were put on a low-calorie
weight loss diet for 6 months. All of the subjects had mild to moderate frailty,
which was defined by a test called The
Physical Performance Test. Subjects were randomized to 1 of 4 groups;
aerobic exercise, resistance training, a combination of aerobic and resistance exercise
and a control group. The aerobic and resistance exercise sessions lasted 40
minutes and were completed 3 times per week.
By the end of
follow-up, body weight had decreased by 9% in all exercise groups. Other
results were very interesting:
-The combination
group significantly increased Physical Performance Test scores compared to the
other groups.
-Peak oxygen
consumption increased more in the combination and aerobic group than in the
resistance group.
-Strength
increased more in the combination and the resistance groups than in the aerobic
group.
-Lean body mass
decreased less in the combination and resistance group than in the aerobic
group.
-Bone mineral
density decreased less in the resistance and combination group than in the
aerobic group. The New England Journal of
Medicine 2017; 376:1943
Take Home Message
It is abundantly
clear that the combination group showed the most improvement in functionality. The
benefits of adding resistance training to your weight loss and cardio programs
are undeniable. Perhaps the biggest benefit is that weight training reduces the
decrease in lean body mass that occurs with weight loss. This makes it much
easier to maintain your weight loss long-term.
Resistance
training also has tremendous functional health benefits. While this is true for
all of us, it is especially true for older adults, since most of the loss of functionality
due to aging is related to the loss of muscle mass. It is really important for
all adults to hit the weights at least twice per week. This is especially true
for older adults.
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