Objective: To test the efficacy of high-velocity training in healthy older
persons.
Design: A 12-week randomized trial, with subjects blocked for gender and re
sidence, comparing high-velocity resistance training with a self-paced walk
ing program.
Setting: Retirement community.
Participants: Forty-three volunteers over the age of 70 years.
Intervention: Power group: high-velocity leg exercises 3 times weekly with
weekly increases in resistance combined with 45 minutes of moderate, nonres
istance exercise weekly. Walking group: moderate intensity exercise 30 minu
tes daily, 6 days weekly.
Main Outcome Measures: Variables measured included leg press peak power and
leg extensor strength. Functional performance outcomes included: 6;minute
walk distance, Short Physical Performance Battery, Physical Performance Tes
t, and Medical Outcomes Study Short-Form Health Survey.
Results: Peak power improved 22% (p =.004) in the power group (3.7 +/- 1.0W
/kg to 4.5 +/- 1.4W/kg) but did not change in the walking group (3.99 +/- .
76W/kg to 3.65 +/- .94W/kg). Leg extensor power at resistance of 50%,:60%,
and 70% of body weight increased 50%, 77%, and 141%, respectively, in the p
ower group (p <.0001, repeated-measures analysis of variance). Strength imp
roved 22% in the power-trained individuals and 12% in the walkers (p <.0001
). Training did not improve functional task performance in either group. On
e subject developed a radiculopathy during training.
Conclusions: Resistance training focusing on speed of movement improved leg
power and maximal strength substantially, but did not improve functional p
erformance in healthy high-functioning older volunteers.