What are the health benefits of muscle and bone strengthening and balance activities across life stages and specific health outcomes?
ISPAH ePoster Library. Hillsdon M. 10/15/18; 225157; 551
Melvyn Hillsdon
Melvyn Hillsdon
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Abstract
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Abstract IntroductionMany activities of daily living require muscular strength and power as well as balance. Consequently, preserving musculoskeletal function is a prerequisite for maintaining mobility and independent living during ageing. Estimates suggest that the prevalence of physical activity guidelines for strength and balance is low. MethodsReview of reviews of a) observation studies of the prospective association between measures of musculoskeletal fitness and health outcomes and b) randomised controlled trials of resistance, balance and skeletal impact training exercises on bone health, risk of falls, physical function, motor and cognitive function, quality of life and activities of daily living. ResultsPreserving muscular strength and power in middle and older age is associated with a reduced risk of all-cause mortality, cardiovascular mortality and impaired muscular strength/power as well as balance is associated with an increased risk of falls and lower bone mineral content. Supervised exercise interventions incorporating high intensity resistance training, vertical impacts and a balance challenge are most likely to be beneficial to overall health and wellbeing, bone health and reduce the risks of falls, when undertaken at least twice per week. ConclusionsAdults in late middle and older age would benefit from a regular program of exercise that incorporates high intensity resistance training, impact exercises and balance challenges. How best to achieve this is unclear. External funding details This research was funded by a grant from The Centre for Ageing Better.
Abstract IntroductionMany activities of daily living require muscular strength and power as well as balance. Consequently, preserving musculoskeletal function is a prerequisite for maintaining mobility and independent living during ageing. Estimates suggest that the prevalence of physical activity guidelines for strength and balance is low. MethodsReview of reviews of a) observation studies of the prospective association between measures of musculoskeletal fitness and health outcomes and b) randomised controlled trials of resistance, balance and skeletal impact training exercises on bone health, risk of falls, physical function, motor and cognitive function, quality of life and activities of daily living. ResultsPreserving muscular strength and power in middle and older age is associated with a reduced risk of all-cause mortality, cardiovascular mortality and impaired muscular strength/power as well as balance is associated with an increased risk of falls and lower bone mineral content. Supervised exercise interventions incorporating high intensity resistance training, vertical impacts and a balance challenge are most likely to be beneficial to overall health and wellbeing, bone health and reduce the risks of falls, when undertaken at least twice per week. ConclusionsAdults in late middle and older age would benefit from a regular program of exercise that incorporates high intensity resistance training, impact exercises and balance challenges. How best to achieve this is unclear. External funding details This research was funded by a grant from The Centre for Ageing Better.
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