Is exercise used as medicine? Association of meeting strength training guidelines and functional limitations among older US adults

Prev Med. 2014 Sep:66:1-5. doi: 10.1016/j.ypmed.2014.05.012. Epub 2014 May 27.

Abstract

Objective: To determine the association between meeting strength training guidelines (≥2 times per week) and the presence of functional limitations among older adults.

Methods: This cross-sectional study used data from older adult participants (N=6763) of the National Health Interview Survey conducted in 2011 in the United States.

Results: Overall, 16.1% of older adults reported meeting strength training guidelines. For each of nine functional limitations, those with the limitation were less likely to meet strength training recommendations than those without the limitation. For example, 20.0% of those who reported no difficulty walking one-quarter mile met strength training guidelines, versus only 10.1% of those who reported difficulty (p<.001). In sum, 21.7% of those with no limitations (33.7% of sample) met strength training guidelines, versus only 15.9% of those reporting 1-4 limitations (38.5% of sample) and 9.8% of those reporting 5-9 limitations (27.8% of sample) (p<.001).

Conclusion: Strength training is uncommon among older adults and even less common among those who need it the most. The potential for strength training to improve the public's health is therefore substantial, as those who have the most to gain from strength training participate the least.

Keywords: Aging; Exercise; Function; Health behavior; Lifestyle; Muscle strength; Physical activity; Public health; Quality of life; Strength training.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging
  • Cross-Sectional Studies
  • Exercise*
  • Female
  • Health Behavior
  • Health Surveys
  • Humans
  • Male
  • Muscle Strength
  • Physical Fitness / physiology*
  • Preventive Medicine
  • Quality of Life
  • Resistance Training*
  • United States