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1 year of heavy resistance training benefits older adults, study finds

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1 year of heavy resistance training benefits older adults, study finds
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A recent study found that heavy resistance training among older adults may help preserve long-term leg muscle function. FG Trade/Getty Images
  • Exercise is an important lifestyle component at any age, particularly for older adults.
  • A recent study found that heavy resistance training may better preserve leg muscle function in older adults than moderate-intensity exercise or not exercising.
  • The findings show the benefits persisted for years after the strength training intervention.
  • Experts recommend older adults interested in heavy resistance training should seek appropriate guidance to build up to higher resistance levels.

Building and maintaining strong muscles helps with function and contributes to well-being.

Muscle function typically declines in older adults, which may lead to reduced mobility and independence and increase the risk of falls.

Researchers are interested in the best ways for older adults to use lifestyle interventions to maintain their health. Resistance training, which involves using weight to help with muscle strength, is one such intervention.

A recent study published in BMJ Open Sport & Exercise Medicine examined the long-term benefits of heavy resistance training for older adults.

The study found that one year of heavy resistance training helped older adults maintain isometric leg strength up to four years. The findings suggest that heavy resistance training may help with long-term muscle function preservation.

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The current study examined at some long-term benefits of heavy resistance training. It was an interim analysis of the LIve Active Successful Ageing (LISA) study, a parallel-group randomized controlled trial.

The trial included 451 older adults who were divided into three groups. The first group underwent one year of heavy resistance training, the second group underwent moderate-intensity training, and the third group was a non-exercising control group.

As noted in the previous outline for the LISA study protocols, the high-resistance training group used exercise machines for activities like leg and chest presses, low rowing, and leg curls.

In contrast, the moderate-intensity training group did exercises like squats, push-ups, and seated low rowing. While the heavy resistance training group used exercise machines, the moderate intensity training group used elastic exercise bands and their body weight for resistance.

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Both groups also did abdominal and lower back exercises to help build core strength. The heavy resistance training group worked at a private fitness center three times a week. In contrast, the moderate resistance group did one weekly training session at a hospital and two weekly exercise sessions at home.

This outline also noted that the control group was expected to continue habitual physical activity levels, less than 1 hour of regular strenuous weekly activity.

This current analysis followed up with participants three years after the end of the one-year intervention.

Researchers conducted tests to examine the visceral fat mass, isometric leg strength of the quadriceps, and maximal isometric quadriceps torque. They also performed brain and thigh MRI scans and tracked daily step counts for participants. These were the same tests that participants had undergone at baseline, post-intervention, and one year after post-intervention.

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Overall, the benefits for the heavy resistance training group were the highest at the 4-year mark.

The heavy resistance group maintained its baseline performance for isometric leg strength, while the other groups experienced a decline. However, researchers note that the decrease in isometric leg strength for the moderate-intensity group was insignificant.

Both resistance training groups did not experience a change in visceral fat content over the four years, while the control group experienced an increase in visceral fat content. All three groups also experienced similar decreases in handgrip strength, lean leg mass, and leg extensor power.

Researchers believe the benefits of resistance training for leg strength could be due to neural adaptations, even when things like leg lean mass decrease.

Overall, the results indicate the potential long-term benefits of heavy resistance training for older adults.

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The authors note, “In well-functioning older adults at retirement age, 1 year of HRT [heavy resistance training] may induce long-lasting beneficial effects by preserving muscle function.”

Despite the implications, this research has some limitations.

First, since this was an interim analysis of a previous intervention, researchers are limited by any limitations in the LISA study. For example, it was conducted in Denmark, meaning the results cannot necessarily be generalized to other population groups.

Further, these findings cannot establish causality, and some data relies on participant reporting. Some differences between how interventions were conducted could have made a difference in the results as well.

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Researchers also note that the participants in the study were likely healthier and more active than the average aging population. Not all participants who started the study were present at follow-up either.

While this study points to the idea that heavy resistance training may benefit older adults most, it doesn’t mean that other forms of resistance training aren’t helpful.

“I am not surprised that it was found that in well-functioning older adults, 1 year of heavy resistance training demonstrated long lasting beneficial effects by preserving muscle function,” Karly Mendez, a human performance specialist with Memorial Hermann, not involved in the study, told MNT.

“It is never too late to begin resistance training as it will only help with functional (everyday tasks) of living. Older adults can experience significant benefits related to overall health when incorporating strength training, like muscle strength and bone density. Strength training can be tailored to age, abilities, and current health status,” Mendez added.

Non-study author Ryan Glatt, CPT, senior brain health coach and director of the FitBrain Program at Pacific Neuroscience Institute in Santa Monica, CA, further noted the following considerations:

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“As people age, muscles decline in size and strength (sarcopenia), with increased fat and connective tissue, reduced neuromuscular efficiency, and lower activity levels exacerbating the loss. The study on heavy resistance training (HRT) suggests it might maintain muscle strength for up to four years in older adults. However, the long-term benefits need more replication. While HRT showed better results than moderate training, the specific population limits generalizability. Claims about neural adaptations over muscle size need further evidence. Recommendations for HRT should be cautious, considering individual health risks.”

People who are interested in beginning strength training can take steps to do so safely and at a pace that works for them.

Doctors can recommend exercise regimens and consider things like chronic conditions or other potential risks that a person may have. Working with a personal trainer or physical therapist can also help you safely integrate resistance training into your routine.

Resistance training can include activities like lifting weights or using resistance bands. People should work to build up strength, starting with lower-weight options rather than heavier ones.

Mendez noted the following:

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“No matter your age or health status, you want to take it slow when beginning strength training. This is important so your body gets used to the workouts and you reduce the risk of injury. A general rule is to start with just the barbell and/or light weights. I would recommend starting with 3-5 pounds or even bodyweight exercises like push-ups, lunges, squats, crunches, etc.”

Glatt offered the following recommendations for people new to strength training:

  • consult a professional
  • begin with simple bodyweight exercises
  • focus on proper form
  • increase intensity gradually
  • allow for recovery
  • maintain consistency
  • monitor progress
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“Forget living longer, exercise can make life easier right now”—a 72-year-old fitness influencer and marathon runner shares two accessible ways to start moving

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“Forget living longer, exercise can make life easier right now”—a 72-year-old fitness influencer and marathon runner shares two accessible ways to start moving

Retirement is often a time when people slow down, but in Christine Hobson’s case, she’s speeding up. When her daughter persuaded her to join a running club so she wouldn’t get bored, she had no idea she’d get the fitness bug and run 125 marathons in total, visiting all seven continents.

And the 72-year-old former teacher has plans to run the North Pole marathon in 2027.

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Why 21-15-9 Might be the Smartest Workout Format in Fitness – and How to Use it to Drive Muscle Growth

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Why 21-15-9 Might be the Smartest Workout Format in Fitness – and How to Use it to Drive Muscle Growth

CrossFit means a lot of things to a lot of people – because it’s made up of a lot of things.

Since the rise of the fitness giant, countless brands, events and training methods have sprung up around it – not claiming to be CrossFit, but looking suspiciously CrossFit-esque.

There are, however, a handful of things that are uniquely CrossFit: the ‘Girls’ benchmark workouts. The Hero WODs and, of course, its signature rep schemes.

Chief among them is ’21-15-9′.

The 21-15-9 rep scheme may just be the single most CrossFit thing in existence. But what exactly is it? Where did it come from? And why might it actually be better at building muscle in a hurry than its conditioning roots would have you believe?

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Let’s have a look.

What Is 21-15-9?

If you’ve never encountered it before, the format couldn’t be simpler. Choose two exercises (occasionally more) and perform 21 reps of each, then 15 reps of each, then nine reps of each, completing the entire workout as quickly as possible – with good form.

Probably the best-known example is ‘Fran’: 21 thrusters and pull-ups, followed by 15 of each, then nine. On paper it doesn’t look especially intimidating. In practice, it’s one of the most feared benchmark workouts in fitness.

Where Did it Come From?

Unlike many modern training methods, 21-15-9 didn’t come out of a study. It came from the gym floor.

CrossFit founder Greg Glassman has explained that the format emerged through years of coaching and experimentation in the 1990s. Rather than chasing a perfect sets-and-reps prescription, he was looking for a workout that allowed athletes to maintain a high power output from start to finish.

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The thinking is surprisingly elegant. You begin with 21 reps while fresh. By the time you reach the set of 15, your ability to produce force has already fallen. By the final nine, you’re significantly more fatigued – but the workload has dropped by almost the same amount.

Instead of grinding through increasingly miserable sets of the same length, the workout ‘meets you where you are’, reducing the work required as your capacity declines. The result is a workout that encourages you to keep moving instead of standing around trying to recover.

The numbers themselves are also remarkably practical. Forty-five total reps per movement provides plenty of training volume without turning the session into an endurance slog, while every set divides neatly into thirds if you need to break it up.

(Although I’ve got to be honest, I’m a 20-15-10-5 man myself, just for the sake of round numbers.)

Why Does it Work So Well?

Although there isn’t research showing that 21-15-9 is somehow the magic formula, there are obvious reasons why it consistently produces brutally effective workouts.

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Descending reps help maintain intensity. As fatigue accumulates, reducing the target allows movement quality, bar speed and overall work rate to stay higher than they would if you simply repeated the same number of reps over and over.

It also tends to land in a physiological sweet spot. Most 21-15-9 workouts take between three and eight minutes, depending on the movements and the athlete. That’s long enough to create a serious cardiovascular challenge while still requiring meaningful force production throughout. You’re taxing your anaerobic systems hard while relying on your aerobic system to help you recover just enough to keep going.

Finally, there’s the psychological trick. The hardest-looking part comes first. Once you’ve survived the opening 21, every remaining round appears more manageable. ‘Only 15 left.’ Then, ‘Just nine.’ In reality, you’re becoming more fatigued with every rep, but the shrinking target keeps you attacking the workout instead of pacing too conservatively.

Why it Might be Surprisingly Good for Building Muscle

Perhaps the biggest misconception about 21-15-9 is that it’s ‘just cardio with weights’.

Choose the right load and something interesting happens. Very few athletes complete every round unbroken. Instead, the workout naturally evolves into a series of short, broken sets separated by only a few seconds of rest.

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Your 21 might become 11-5-5. Your 15 becomes 8-4-3. Your final nine might stay unbroken – or become 5-4.

In effect, you’ve accidentally turned the workout into a form of rest-pause training.

Those brief pauses allow just enough recovery to squeeze out more high-quality repetitions before fatigue catches up again. By the latter stages of each mini-set, you’re repeatedly working very close to failure, recruiting the high-threshold motor units with the greatest potential for muscle growth.

It’s a similar principle to rest-pause training, myo-reps and cluster sets: all methods used to accumulate hypertrophy-friendly volume while keeping the load relatively heavy and the rest periods brutally short.

You’re basically speed-running a large number of hard, growth-stimulating reps in a very small window of time. Could this help explain why elite CrossFit athletes often carry an impressive amount of muscle despite spending relatively little time performing traditional bodybuilding splits?

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It’s certainly plausible, although the ‘elite’ part often selects for athletes with the greatest muscle-building potential.

Much of their training isn’t simply conditioning. It’s high-density resistance training performed under accumulating fatigue, with only fleeting recovery between efforts. In other words, they’re often doing something bodybuilders have deliberately programmed for decades: packing a lot of hard work into a very short period of time.

That’s not to say 21-15-9 is superior to a well-designed hypertrophy programme. If your sole goal is building muscle, there are more efficient ways to do it.

But if you’re looking for a workout that develops fitness, tests your mettle and still provides a meaningful stimulus for strength and size, it’s easy to see why this deceptively simple rep scheme has remained one of CrossFit’s defining fingerprints for more than 20 years.

Best Bodyweight 21-15-9 Workout: ‘JT’

If you’re looking for an interesting twist on the 21-15-9 format, look no further than Hero WOD ‘JT’, which concentrates the muscle-building potential of the format into a brutal upper-body workout.

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Created in honour of Petty Officer 1st Class Jeff Taylor, who was killed in Afghanistan in 2006, the workout strips away barbells altogether and relies solely on three bodyweight movements:

21-15-9 reps of:

Don’t let the lack of equipment fool you. The volume – 45 reps of each movement, 135 reps in total – combined with the descending rep scheme makes this a brutal upper-body test, hammering the shoulders, chest and triceps while demanding serious muscular endurance.

Better still, it perfectly demonstrates one of the biggest strengths of 21-15-9. As fatigue mounts and the sets naturally fragment, the workout begins to resemble one giant rest-pause set, allowing you to accumulate a huge number of hard, near-failure reps in less than 10 minutes.

If your goal is building an impressive upper body while developing serious work capacity, there are few bodyweight workouts that deliver quite so much bang for your buck, making ‘JT’ one of my personal favourites.

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If there’s one thing Kori Sampson knows, it’s how to optimise your body composition for performance. To tap into his knowledge as an elite athlete and coach, we asked him to create a 4-week plan to help you move faster, recover quicker and keep pushing when the fatigue sets in – all while improving your muscle-to-fat ratio.

Ready to build muscle, burn fat and come out the other side looking, feeling and performing better? Click here to get 14 days of free access to the plan via the Men’s Health app.


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10 minutes of swimming might not sound worth it – but I tried it for 2 weeks and found the benefits of a quick dip

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10 minutes of swimming might not sound worth it – but I tried it for 2 weeks and found the benefits of a quick dip

The concept of ‘exercise snacking’ has never been more popular. Not only is it convenient and accessible, but there is solid scientific evidence that short bursts of physical activity can yield real benefits for our health. But can a swimming workout be an effective ‘exercise snack’?

A study published in the European Heart Journal found that just 15 to 20 minutes of vigorous physical activity a week (almost as low as two minutes a day) was enough to significantly lower the risk of heart disease, cancer and early death. The study defined vigorous activity as any exercise that leaves you out of breath and raises your heart rate, including swimming.

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