Effects of Eccentric-Focused Versus Conventional Training on Lower Limb Muscular Strength in Older People: A Systematic Review With Meta-Analysis

J Aging Phys Act. 2019 Dec 1;27(4):823-830. doi: 10.1123/japa.2018-0294.

Abstract

Eccentric-focused training promotes greater gains in muscle strength compared to other types of training in adults. However, for older people, these findings are still not well understood. A systematic review and meta-analysis were performed using manuscripts that performed eccentric-focused (ET) and conventional resistance training (CT) at least four weeks and evaluated maximum muscle strength through tests of maximum repetitions in weight machine exercises (knee extension and leg press exercises). Five studies were included (n=138). Increases in muscle strength were found in both resistance training groups, without difference between them through meta-analysis. However, a large effect size has been observed only in ET. The findings suggest that resistance training protocols are similar to improve maximal strength in older people, despite larger effect sizes for eccentric-focused training.

Keywords: Strength training; eccentric strength; elderly; muscle strength.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Aged
  • Aging / physiology*
  • Humans
  • Lower Extremity*
  • Muscle Strength / physiology*
  • Resistance Training / methods*