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Aging and Disease    2013, Vol. 4 Issue (5) : 256-263     DOI: 10.14336/AD.2013.0400256
Impact of Resistance Circuit Training on Neuromuscular, Cardiorespiratory and Body Composition Adaptations in the Elderly
Salvador Romero-Arenas1, 2, *, Miryam Martínez-Pascual3, Pedro E. Alcaraz1, 2
1Departamento de Ciencias de la Actividad Física y del Deporte, Facultad de Ciencias de la Actividad Física y del Deporte - UCAM, Universidad Católica San Antonio de Murcia, Spain.
2UCAM Research Center for High Performance Sport - UCAM, Universidad Católica San Antonio de Murcia, Spain.
3Servicio de Cardiología, Hospital General Universitario Santa Lucía, Cartagena, Murcia, Spain.
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Declines in maximal aerobic power and skeletal muscle force production with advancing age are examples of functional declines with aging, which can severely limit physical performance and independence, and are negatively correlated with all cause mortality. It is well known that both endurance exercise and resistance training can substantially improve physical fitness and health-related factors in older individuals. Circuit-based resistance training, where loads are lifted with minimal rest, may be a very effective strategy for increasing oxygen consumption, pulmonary ventilation, strength, and functional capacity while improving body composition. In addition, circuit training is a time-efficient exercise modality that can elicit demonstrable improvements in health and physical fitness. Hence, it seems reasonable to identify the most effective combination of intensity, volume, work to rest ratio, weekly frequency and exercise sequence to promote neuromuscular, cardiorespiratory and body composition adaptations in the elderly. Thus, the purpose of this review was to summarize and update knowledge about the effects of circuit weight training in older adults and elderly population, as a starting point for developing future interventions that maintain a higher quality of life in people throughout their lifetime.

Keywords strength training      physical training      older      body composition     
Corresponding Authors: Salvador Romero-Arenas   
Issue Date: 01 May 2013
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Salvador Romero-Arenas,Miryam Martínez-Pascual,Pedro E. Alcaraz. Impact of Resistance Circuit Training on Neuromuscular, Cardiorespiratory and Body Composition Adaptations in the Elderly[J]. Aging and Disease,2013, 4(5): 256-263.
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[1] Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS(2009). American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc, 41(7):1510-1530
[2] Haynes RB, Ackloo E, Sahota N, McDonald HP, Yao X(2008). Interventions for enhancing medication adherence. Cochrane Database Syst Rev, 2:CD000011
[3] Maclaughlin EJ, Raehl CL, Treadway AK, Sterling TL, Zoller DP, Bond CA(2005). Assessing medication adherence in the elderly: which tools to use in clinical practice?. Drugs & Aging, 22(3):231-255
[4] Osterberg L, Blaschke T(2005). Adherence to medication. N Engl J Med, 353(5):487-497
[5] Karen A, Schutzer RN(2004). Barriers and motivations to exercise in older adults. Preventive Medicine, 39(5):1056-1061
[6] Paoli A, Pacelli F, Bargossi AM, Marcolin G, Guzzinati S, Neri M, Bianco A, Palma A(2010). Effects of three distinct protocols of fitness training on body composition, strength and blood lactate. J Sports Med Phys Fitness, 50(1):43-51
[7] Cadore EL, Izquierdo M, Alberton CL, Pinto RS, Conceicao M, Cunha G, Radaelli R, Bottaro M, Trindade GT, Kruel LF(2012). Strength prior to endurance intra-session exercise sequence optimizes neuromuscular and cardiovascular gains in elderly men. Exp Gerontol, 47(2):164-169
[8] Cadore EL, Izquierdo M, Pinto SS, Alberton CL, Pinto RS, Baroni BM, Vaz MA, Lanferdini FJ, Radaelli R, Gonzalez-Izal M, Bottaro M, Kruel LF(2013). Neuromuscular adaptations to concurrent training in the elderly: effects of intrasession exercise sequence. Age (Dordr)35(3):891-903
[9] Kay SJ, Fiatarone Singh MA(2006). The influence of physical activity on abdominal fat: a systematic review of the literature. Obes Rev, 7(2):183-200
[10] Huang G, Shi X, Davis-Brezette JA, Osness WH(2005). Resting heart rate changes after endurance training in older adults: a meta-analysis. Med Sci Sports Exerc, 37(8):1381-1386
[11] Seals DR, Hagberg JM, Hurley BF, Ehsani AA, Holloszy JO(1984). Endurance training in older men and women. I Cardiovascular responses to exercise. J Appl Physiol, 57(4):1024-1029
[12] Hunter GR, Wetzstein CJ, Fields DA, Brown A, Bamman MM(2000). Resistance training increases total energy expenditure and free-living physical activity in older adults. J Appl Physiol, 89(3):977-984
[13] Paoli A, Moro T, Marcolin G, Neri M, Bianco A, Palma A, Grimaldi K(2012). High-Intensity Interval Resistance Training (HIRT) influences resting energy expenditure and respiratory ratio in non-dieting individuals. Journal of translational medicine, 10(1):237
[14] Rhodes EC, Martin AD, Taunton JE, Donnelly M, Warren J, Elliot J(2000). Effects of one year of resistance training on the relation between muscular strength and bone density in elderly women. Br J Sports Med, 34:18-22
[15] Vincent KR, Braith RW(2002). Resistance exercise and bone turnover in elderly men and women. Med Sci Sports Exerc, 34(1):17-23
[16] Gomez-Cabello A, Ara I, Gonzalez-Aguero A, Casajus JA, Vicente-Rodriguez G(2012). Effects of training on bone mass in older adults: a systematic review. Sports Med, 42(4):301-325
[17] Romero-Arenas S, Blazevich AJ, Martinez-Pascual M, Perez-Gomez J, Luque AJ, Lopez-Roman FJ, Alcaraz PE(2013). Effects of high-resistance circuit training in an elderly population. Exp Gerontol, 48(3):334-340
[18] Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ(1990). High-intensity strength training in nonagenarians. Effects on skeletal muscle JAMA, 263(22):3029-3034
[19] Hakkinen K, Pakarinen A, Kraemer WJ, Hakkinen A, Valkeinen H, Alen M(2001). Selective muscle hypertrophy, changes in EMG and force, and serum hormones during strength training in older women. J Appl Physiol, 91(2):569-580
[20] Lexell J, Downham DY, Larsson Y, Bruhn E, Morsing B(1995). Heavy-resistance training in older Scandinavian men and women: short- and long-term effects on arm and leg muscles. Scand J Med Sci Sports, 5(6):329-341
[21] Hunter GR, McCarthy JP, Bamman MM(2004). Effects of resistance training on older adults. Sports Med, 34(5):329-348
[22] Tesch PA(1992). Training for bodybuilding. Komi PV Strength and power in sportBlackwell Scientific Publications370-381
[23] Brentano MA, Cadore EL, Da Silva EM, Ambrosini AB, Coertjens M, Petkowicz R, Viero I, Kruel LF(2008). Physiological adaptations to strength and circuit training in postmenopausal women with bone loss. J Strength Cond Res, 22(6):1816-1825
[24] Camargo MD, Stein R, Ribeiro JP, Schvartzman PR, Rizzatti MO, Schaan BD(2008). Circuit weight training and cardiac morphology: a trial with magnetic resonance imaging. Br J Sports Med, 42(2):141-145
[25] Gettman LR, Ayres JJ, Pollock ML, Durstine JL, Grantham W(1979). Physiologic effects on adult men of circuit strength training and jogging. Arch Phys Med Rehabil, 60March115-120
[26] Harber MP, Fry AC, Rubin MR, Smith JC, Weiss LW(2004). Skeletal muscle and hormonal adaptations to circuit weight training in untrained men. Scand J Med Sci Sports, 14(3):176-185
[27] Bocalini DS, Lima LS, de Andrade S, Madureira A, Rica RL, Dos Santos RN, Serra AJ, Silva JAJr, Rodriguez D, Figueira AJr, Pontes FLJr(2012). Effects of circuit-based exercise programs on the body composition of elderly obese women. Clinical interventions in aging, 7:551-556
[28] Takeshima N, Rogers ME, Islam MM, Yamauchi T, Watanabe E, Okada A(2004). Effect of concurrent aerobic and resistance circuit exercise training on fitness in older adults. Eur J Appl Physiol, 93(1–2):173-182
[29] Murphy E, Schwarzkopf R(1992). Effects of standard set and circuit weight training on excess post-exercise oxygen consumption. J Appl Sport Sci Res, 6(2):88-91
[30] Nguyen ND, Pongchaiyakul C, Center JR, Eisman JA, Nguyen TV(2005). Abdominal fat and hip fracture risk in the elderly: the Dubbo Osteoporosis Epidemiology Study. BMC musculoskeletal disorders, 6:11
[31] Nelson ME, Fiatarone MA, Morganti CM, Trice I, Greenberg RA, Evans WJ(1994). Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA, 272(24):1909-1914
[32] Clark DJ, Fielding RA(2012). Neuromuscular contributions to age-related weakness. J Gerontol A Biol Sci Med Sci, 67(1):41-47
[33] Tiedemann A, Sherrington C, Close JC, Lord SR(2011). Exercise and Sports Science Australia position statement on exercise and falls prevention in older people. J Sci Med Sport, 14(6):489-495
[34] Cardozo AC, Gonçalves M, Hallal CZ, Marques NR(2013). Age-related neuromuscular adjustments assessed by EMG. Turker H Electrodiagnosis in New Frontiers of Clinical ResearchCroatiaInTech113-129
[35] Metter EJ, Talbot LA, Schrager M, Conwit R(2002). Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol A Biol Sci Med Sci, 57(10):B359-365
[36] Ruiz JR, Sui X, Lobelo F, Morrow JR, Jackson AW, Sjöström M, Blair SN(2008). Association between muscular strength and mortality in men: prospective cohort study. BMJ, 337:92-95
[37] Berger RA(1962). Optimum repetitions for the development of strength. Res Q, 33:334-8
[38] Caiozzo VJ, Perrine JJ, Edgerton VR(1981). Training-induced alterations of the in vivo force-velocity relationship of human muscle. J Appl Physiol, 51(3):750-754
[39] Fry AC(2004). The role of resistance exercise intensity on muscle fibre adaptations. Sports Med, 34(10):663-679
[40] Astrand I, Astrand PO, Hallback I, Kilbom A(1973). Reduction in maximal oxygen uptake with age. J Appl Physiol, 35(5):649-654
[41] Frontera WR, Meredith CN, O’Reilly KP, Evans WJ(1990). Strength training and determinants of VO2max in older men. J Appl Physiol, 68(1):329-333
[42] Waller M, Miller J, Hannon J(2011). Resistance circuit training: Its application for the adult population. Strength and Conditioning Journal, 33(1):16-22
[43] Romero-Arenas S, Pérez-Gómez J, Alcaraz PE(2011). Entrenamiento en circuito. ¿Una herramienta útil para prevenir los efectos del envejecimiento?. Cultura, Ciencia y Deporte, 6(18):185-192
[44] Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Srikanth VK(2010). Ageing and gait variability--a population-based study of older people. Age Ageing, 39(2):191-197
[45] Hortobagyi T, Solnik S, Gruber A, Rider P, Steinweg K, Helseth J, DeVita P(2009). Interaction between age and gait velocity in the amplitude and timing of antagonist muscle coactivation. Gait & posture, 29(4):558-564
[46] Waters RL, Hislop HJ, Perry J, Thomas L, Campbell J(1983). Comparative cost of walking in young and old adults. Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 1(1):73-76
[47] Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B, Limacher M, Piña IL, Stein RA, Williams M, Bazzarre T(2000). Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: An advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association; Position paper endorsed by the American College of Sports Medicine. Circulation, 101(7):828-833
[48] Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA(2004). American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc, 36(3):533-553
[49] Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C(2004). Physical activity/exercise and type 2 diabetes. Diabetes Care, 27(10):2518-2539
[50] Palevo G, Keteyian SJ, Kang M, Caputo JL(2009). Resistance exercise training improves heart function and physical fitness in stable patients with heart failure. J Cardiopulm Rehabil Prev, 29(5):294-298
[51] Volaklis KA, Douda HT, Kokkinos PF, Tokmakidis SP(2006). Physiological alterations to detraining following prolonged combined strength and aerobic training in cardiac patients. Eur J Cardiovasc Prev Rehabil, 13(3):375-380
[52] Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, Gulanick M, Laing ST, Stewart KJCardiology AHACoC, American Heart Association Council on Nutrition PA, and Metabolism2007). Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation, 116(5):572-584
[53] Evans WJ(1999). Exercise training guidelines for the elderly. Med Sci Sports Exerc, 31(1):12-17
[54] Simoes GC, Moreira SR, Kushnick MR, Simoes HG, Campbell CS(2010). Postresistance exercise blood pressure reduction is influenced by exercise intensity in type-2 diabetic and nondiabetic individuals. J Strength Cond Res, 24(5):1277-1284
[55] Scher LM, Ferriolli E, Moriguti JC, Scher R, Lima NK(2011). The effect of different volumes of acute resistance exercise on elderly individuals with treated hypertension. J Strength Cond Res, 25(4):1016-1023
[56] Figueroa A, Park SY, Seo DY, Sanchez-Gonzalez MA, Baek YH(2011). Combined resistance and endurance exercise training improves arterial stiffness, blood pressure, and muscle strength in postmenopausal women. Menopause, 18(9):980-984
[57] Miller JP, Pratley RE, Goldberg AP, Gordon P, Rubin M, Treuth MS, Ryan AS, Hurley BF(1994). Strength training increases insulin action in healthy 50- to 65-yr-old men. J Appl Physiol, 77(3):1122-1127
[58] Hazley L, Ingle L, Tsakirides C, Carroll S, Nagi D(2010). Impact of a short-term, moderate intensity, lower volume circuit resistance training programme on metabolic risk factors in overweight/obese type 2 diabetics. Res Sports Med, 18(4):251-262
[59] Fatone C, Guescini M, Balducci S, Battistoni S, Settequattrini A, Pippi R, Stocchi L, Mantuano M, Stocchi V, De Feo P(2010). Two weekly sessions of combined aerobic and resistance exercise are sufficient to provide beneficial effects in subjects with Type 2 diabetes mellitus and metabolic syndrome. J Endocrinol Invest, 33(7):489-495
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