Reference PEDro score | Study design Allocated/ Analysed | Participants (n, age mean (SD), % women, setting, health status) | Intervention Primary exercise type according to ProFANEa | Relevant comparison | Outcomes | Follow up (mo) | Results |
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bAshe 2013 [77] | RCT 155/147 | Setting: Community; Canada Health status: Healthy A. Balance and tone (BT) Not relevant for this comparison B. Once a week resistance training (RT1) n= 54 (randomised); 47 (analysed) Age: 69.4 (3.0) C. Twice a week resistance training (RT2) n= 52 (randomised); 46 (analysed) Age: 69.2 (3.0) Female: 100% | B. RT1: Low-frequency, group-based supervised resistance training for upper and lower body with the use of resistance equipment. Frequency: 1 time/week Intensity: 2 sets of 8 RM Session duration: NR Primary exercise type: Resistance C. RT2: High-frequency, group-based supervised resistance training for upper and lower body with the use of resistance equipment. Frequency: 2 times/week Intensity: 2 sets of 8 RM Primary exercise type: Resistance Duration of the interventions (wks): 52 Delivered by: Certified fitness instructors | B vs C | 1. Tibial volumetric cortical density (CovBMD) 2. Total area (ToA) midtibia 3. Tibial bone strength | 12 | Final score (mean ± SD) 1. Tibial CovBMD B. -1.81 ± -0.17 C. -4.67 ± -0.45 2. Total area (ToA) midtibia B. 0.86 ± 0.21 C. 0.93 ± 0.22 3. Tibial bone strength B. 124.83 ± 0.64 C. 9.94 ± 0.05 |
cBemben 2011 4/10 [91] | RCT 160/124 | Setting: Community; United States Health Status: Healthy Age: Men 65.2 (0.5); Female 63.8 (0.4) Female: 64% A. 2 days/week high intensity (2HI) group n=39 (randomised); 31 (analysed) B. 2 days/week low intensity (2LI) group n=41 (randomised); 34 (analysed) C. 3 days/week high intensity (3HI) group n=34 (randomised); 24 (analysed) D. 3 days/week low intensity (3LI) n= 46 (randomised); 35 (analysed) | Training included five upper body and seven lower body exercise A. 2HI: Frequency: 2 times/week Intensity: 80% of 1RM, 3 sets of 8 reps Session duration: 60 min Delivered by: NR Duration of the intervention (wks): 40 Primary exercise type: Resistance B. 2LI: Frequency: 2 times/week Intensity: 40% of 1RM, 3 sets of 16 reps Session duration: 60 min Delivered by: NR Duration of the intervention (wks): 40 Primary exercise type: Resistance C. 3HI: Frequency: 3 times/week Intensity: 80% of 1RM, 3 sets of 8 reps Session duration: 60 min Delivered by: NR Duration of the intervention (wks): 40 Primary exercise type: Resistance D. 3LI: Frequency: 3 times/week Intensity: 40% of 1RM, 3 sets of 16 reps Session duration: 60 min Delivered by: NR Duration of the intervention (wks): 40 Primary exercise type: Resistance | A vs B A vs C C vs D B vs D | 1. Lumbar spine (L2-4) BMD 2. Femoral neck BMD 3. Trochanter BMD 4. Total hip BMD 5. Total body BMD | 10 | Final score (mean ± SD) 1. Lumbar spine BMD A. 2HI: 1.155 ± 0.034 B. 2LI: 1.195 ± 0.034 C. 3HI: 1.190 ± 0.034 D. 3LI: 1.190 ± 0.031 2. Femoral neck BMD A. 2HI: 0.902 ± 0.020 B. 2LI: 0.904 ± 0.019 C. 3HI: 0.889 ± 0.021 D. 3LI: 0.932 ± 0.027 3. Trochanter BMD A. 2HI: 0.792 ± 0.025 B. 2LI: 0.781 ± 0.019 C. 3HI: 0.800 ± 0.025 D. 3LI: 0.811 ± 0.031 4. Total hip BMD A. 2HI: 0.949 ± 0.022 B. 2LI: 0.943 ± 0.019 C. 3HI: 0.956 ± 0.025 D. 3LI: 0.984 ± 0.031 5. Total body BMD A. 2HI: 1.172 ± 0.014 B. 2LI: 1.175 ± 0.015 C. 3HI: 1.199 ± 0.020 D. 3LI: 1.177 ± 0.017¥ |
Kemmler 2010 6/10 [54] | RCT 246/227 | Setting: Community; Germany Health status: Healthy A. Multi-component exercise training n= 123 (randomised); 115 (analysed) Age: 68.9 (3.9) B. Low intensity multicomponent programme n= 123 (randomised); 112 (analysed) Age: 69.2 (4.1) Female: 100% | A. Two 60-minute supervised group sessions: warm-up/ aerobic dance (20 min), balance training (5 min); functional gymnastics, isometric strength training with 1-3 sets of isometric floor exercises for trunk flexors and extensors hip flexors and extensors and leg abductors and adductors; upper body exercises. Two home training session that includes strength and flexibility training. Frequency: 4 sessions/week Intensity: Aerobic dance: 70%-85% of maximum heart rate; Upper body exercise: 10-15 reps x 2-3sets; Home training session: 1-2 sets of 6-8 isometric exercise and 10-15 reps x 2 sets of belt exercises Session duration: 60 min/group class & 20 min/home training session Delivered by: Certified trainer Duration of the intervention (wks): 72 Primary exercise type: Multiple (balance and function plus resistance) B. Low intensity multicomponent programme including walking, muscular relaxation, endurance and strength training Frequency: 1 session/week Intensity: Walking at 50-60 % maximum heart rate Endurance and strength training: low to moderate intensity Session duration: 60 min Delivered by: Certified trainer Duration of the intervention (wks): 72 [every 10 weeks of training was followed by 10 weeks of rest] Primary exercise type: Multiple (balance and function plus endurance) | A vs B | 1. Lumbar spine BMD 2. Femoral neck BMD | 18 | Mean difference (95% CI) 1. Lumbar spine BMD: 0.014 (0.006 to 0.021) 2. Femoral neck BMD: 0.015 (0.008 to 0.021)Â¥ |
bPruitt 1995 4/10 [64] | RCT 40/26 | Setting: Community; America Healthy status: Healthy A. High intensity resistance training n= 15 (randomised); 8 (analysed) Age: 67.0 (0.5) B. Low intensity resistance training n= 13 (randomised); 7 (analysed) Age: 67.6 (1.4) C. Control: not relevant for this comparison Female: 100% | A and B. Supervised exercise session comprising bench press, lateral pull down, military press, biceps curl, knee extension, knee flexion, hip abduction and adduction, leg press, back extension. A. Intensity: High 14 reps x 1 set at 40% 1RM for warm up; 7 reps x 2 sets at 80% 1RM B. Intensity: Low 14 reps x 3 sets at 40% 1RM For both A and B: Frequency: 3 times/week Session duration: 50 -55min/lifting time Delivered by: NR Duration of the intervention (wks): 52 | A vs B | 1. Total hip BMD 2. Femoral neck BMD 3. Ward’s triangle BMD 4. Lumbar spine (L2-L4) BMD | 12 | Change score (mean ± SD) 1. Total hip BMD A. High intensity: 0.005 ± 0.014 B. Low intensity: 0.008 ± 0.012 2. Femoral neck BMD A. High intensity: -0.002 ± 0.154 B. Low intensity: 0.025 ± 0.008 3. Ward’s triangle BMD A. High intensity: 0.018 ± 0.032 B. Low intensity: 0.022 ± 0.045 4. Lumbar spine (L2-L4) BMD A. High intensity: 0.007 ± 0.018 B. Low intensity: 0.005 ± 0.027 |
dTaaffe 1996 4/10 [101] | RCT 36/21 | Setting: Community; United States Health status: Healthy A. High intensity resistance training group n= 12 (randomised); 7 (analysed) Age: 67.0 (0.2) B. Low intensity resistance training group n= 13 (randomised); 7 (analysed) Age: 67.6 (0.5) C. Control n= 11 (randomised); 7 (analysed) Age: 69.6 (1.3) Female: 100% | Supervised exercise training targeted thigh muscle strength including leg press, knee extension and knee flexion. Exercise sessions were bracketed by warm up and cool-down periods A. Intensity: 1 set of 14 reps at an intensity of 40% 1RM and 2 sets of 7 reps at an intensity of 80% of 1RM B. Intensity: 3 sets of 14 reps at an intensity of 40% of 1RM For both groups Frequency: 3 times/week Session duration: NR Delivered by: NR Duration of the intervention (wks): 52 Primary exercise type: Resistance | A vs B A vs C B vs C | 1. Middle third of the femur BMD 2. Thigh BMD | 12 | % Change score (mean ± SEM) 1. Middle third of the femur BMD¥ A. High intensity: 1.0± 1.0 B. Low inteisty: -2.2 ± 0.5 C. Control: -1.8 ± 0.6 2. NR |
bTaaffe 1999 5/10 [72] | RCT 53/46 | Setting: Community; United States Health status: Healthy A. High-intensity resistance training (1 day per week) n= 14 (randomised); 11 (analysed) Age: 68.5 (3.6) Female: 36% B. High-intensity resistance training (2 days per week) n= 14 (randomised); 12 (analysed) Age: 69.4 (3.0) Female: 29% C. High-intensity resistance training (3 days per week) n= 11 (randomised & analysed) Age: 71.0 (4.1) Female: 36% D. Control: not relevant for this comparison | Training includes the whole body (bench press, military press, latissimus pull-down, biceps curl, and leg press) All trainings were started with a warm up that included stretching and one set each of bench press and leg press (40% of 1-RM, 10 repetitions) and concluded with a cool-down period of stretching. Intensity: started at 60% of the 1RM and gradually increase in intensity A. Frequency: 1 time/week B. Frequency: 2 times/week C. Frequency: 3 times/week Intensity: 8 reps x 3 sets at 80% of 1 RM Session duration: NR Delivered by: NR Duration of the intervention (wks): 24 | A vs B A vs C B vs C | 1. Lumbar spine (L2-L4) BMD 2. Total hip BMD 3. Midradius BMD 4. Total body BMC | 6 | Final score (mean ± SD) 1. Lumbar spine (L2-L4) BMD A. Resistance 1x/week: 1.025 ± 0.006 B. Resistance 2x/week: 1.033 ± 0.006 C. Resistance 3x/week: 1.032 ± 0.007 2. Total hip BMD A. Resistance 1x/week: 0.865 ± 0.010 B. Resistance 2x/week: 0.866 ± 0.006 C. Resistance 3x/week: 0.864 ± 0.010 3. Midradius BMD A. Resistance 1x/week: 0.605 ± 0.003 B. Resistance 2x/week: 0.604 ± 0.003 C. Resistance 3x/week: 0.608 ± 0.003 4. Total body BMC A. Resistance 1x/week: 2552 ± 15 B. Resistance 2x/week: 2530 ± 14 C. Resistance 3x/week: 2525 ± 14 |