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Published in: Sports Medicine 12/2001

01-10-2001 | Review Article

Musculoskeletal Fitness, Health Outcomes and Quality of Life

Authors: Robert T. Kell, Gordon Bell, Art Quinney

Published in: Sports Medicine | Issue 12/2001

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Abstract

The health benefits and quality-of-life outcomes of a fit musculoskeletal system (musculoskeletal fitness) are reviewed in this article. The World Health Organization suggests health is a state of complete physical, mental or social well-being and not merely the absence of disease or infirmity. Physical health includes such characteristics as body size and shape, sensory acuity, susceptibility to disease and disorders, body functioning, recuperative ability and the ability to perform certain tasks.
One aspect of physical health is the musculoskeletal system, which consists of 3 components; muscular strength, endurance and flexibility. Muscular strength (dynamic) is defined as the maximum force a muscle or muscle group can generate at a specific velocity. Muscular endurance is the ability of a muscle or muscle group to perform repeated contractions against a load for an extended period of time. Flexibility has 2 components, dynamic or static, where dynamic flexibility is the opposition or resistance of a joint to motion, that is, the forces opposing movement rather than the range of movement itself. Static flexibility is the range of motion about a joint, typically measured as the degree of arc at the end of joint movement. If strength, endurance and flexibility are not maintained, musculoskeletal fitness is then compromised which can significantly impact physical health and well-being.
Many health benefits are associated with musculoskeletal fitness, such as reduced coronary risk factors, increased bone mineral density (reduced risk of osteoporosis), increased flexibility, improved glucose tolerance, and greater success in completion of activities of daily living (ADL).With aging, the performance of daily tasks can become a challenge. Additionally, falls, bone fractures and the need for institutional care indicate a musculoskeletal weakness as we age. The earlier in life an individual becomes physically active the greater the increase in positive health benefits; however, becoming physically active at any age will benefit overall health.
Improved musculoskeletal fitness (for example, through resistance training combined with stretching) is associated with an enhanced health status. Thus, maintaining musculoskeletal fitness can increase overall quality of life.
Literature
1.
go back to reference Donatelle RJ, Davis LG. Access to health. 3rd ed. Englwood Cliffs (NJ): Prentice Hall, 1994 Donatelle RJ, Davis LG. Access to health. 3rd ed. Englwood Cliffs (NJ): Prentice Hall, 1994
2.
go back to reference Fox E, Bowers R, Foss M. The physiological basis for exercise and sport. 5th ed. Madison (AL): WCB Brown & Benchmark, 1993 Fox E, Bowers R, Foss M. The physiological basis for exercise and sport. 5th ed. Madison (AL): WCB Brown & Benchmark, 1993
3.
go back to reference Haennel R, Teo K-K, Quinney A, et al. Effects of hydraulic circuit training on cardiovascular function. Med Sci Sports Exerc 1989; 21: 605–12PubMed Haennel R, Teo K-K, Quinney A, et al. Effects of hydraulic circuit training on cardiovascular function. Med Sci Sports Exerc 1989; 21: 605–12PubMed
4.
go back to reference Abernethy PJ, Jurimae J, Logan PA, et al. Acute and chronic response of skeletal muscle to resistance exercise. Sports Med 1994; 17 (1): 22–38PubMedCrossRef Abernethy PJ, Jurimae J, Logan PA, et al. Acute and chronic response of skeletal muscle to resistance exercise. Sports Med 1994; 17 (1): 22–38PubMedCrossRef
5.
go back to reference Carpinelli RN, Otto RM. Strength training: single versus multiple sets. Sports Med 1998; 26 (2): 73–84PubMedCrossRef Carpinelli RN, Otto RM. Strength training: single versus multiple sets. Sports Med 1998; 26 (2): 73–84PubMedCrossRef
6.
7.
go back to reference Feigenbaum MS, Pollock ML. Prescription of resistance training for health and disease. Med Sci Sports Exerc 1999; 31 (1): 38–45PubMedCrossRef Feigenbaum MS, Pollock ML. Prescription of resistance training for health and disease. Med Sci Sports Exerc 1999; 31 (1): 38–45PubMedCrossRef
8.
go back to reference Hurley B. Does strength training improve health status? J Strength Cond 1994; 16 (13): 7–12CrossRef Hurley B. Does strength training improve health status? J Strength Cond 1994; 16 (13): 7–12CrossRef
9.
go back to reference Hurley BF, Hagberg JM, Goldberg AP, et al. Resistive training can reduce coronary risk factors without altering V̇O2max or percent body fat. Med Sci Sports Exerc 1988; 20 (2): 150–4PubMedCrossRef Hurley BF, Hagberg JM, Goldberg AP, et al. Resistive training can reduce coronary risk factors without altering V̇O2max or percent body fat. Med Sci Sports Exerc 1988; 20 (2): 150–4PubMedCrossRef
10.
go back to reference Collins MA, Cureton KJ, Hill DW, et al. Relationship of heart rate to oxygen uptake during weight lifting exercise. Med Sci Sports Exerc 1991; 23 (5): 636–40PubMed Collins MA, Cureton KJ, Hill DW, et al. Relationship of heart rate to oxygen uptake during weight lifting exercise. Med Sci Sports Exerc 1991; 23 (5): 636–40PubMed
11.
go back to reference Rozenek R, Rosenau L, Rosenau P, et al. The effect of intensity on heart rate and blood lactate response to resistance exercise. J Strength Cond Res 1993; 7: 51–4 Rozenek R, Rosenau L, Rosenau P, et al. The effect of intensity on heart rate and blood lactate response to resistance exercise. J Strength Cond Res 1993; 7: 51–4
12.
go back to reference McCarthy JP, Bamman MM, Yelle JM, et al. Resistance exercise training and the orthostatic response. Eur J Appl Physiol 1997; 76 (1): 32–40CrossRef McCarthy JP, Bamman MM, Yelle JM, et al. Resistance exercise training and the orthostatic response. Eur J Appl Physiol 1997; 76 (1): 32–40CrossRef
13.
go back to reference DeGroot DW, Quinn TJ, Kertzer R, et al. Circuit weight training in cardiac patients: determining optimal workloads for safety and energy expenditure. J Cardiopulm Rehabil 1998; 18 (2): 145–52PubMedCrossRef DeGroot DW, Quinn TJ, Kertzer R, et al. Circuit weight training in cardiac patients: determining optimal workloads for safety and energy expenditure. J Cardiopulm Rehabil 1998; 18 (2): 145–52PubMedCrossRef
14.
go back to reference Davies CT, Few J, Foster KG, et al. Plasma catecholamine concentration during dynamic exercise involving different muscle groups. Eur J Appl Physiol 1974; 32 (3): 195–206CrossRef Davies CT, Few J, Foster KG, et al. Plasma catecholamine concentration during dynamic exercise involving different muscle groups. Eur J Appl Physiol 1974; 32 (3): 195–206CrossRef
15.
go back to reference McCartney N, McKelvie RS, Martin J, et al. Weight-training-induced attenuation of the circulatory response of older males to weight lifting. J Appl Physiol 1993; 74 (3): 1056–60PubMed McCartney N, McKelvie RS, Martin J, et al. Weight-training-induced attenuation of the circulatory response of older males to weight lifting. J Appl Physiol 1993; 74 (3): 1056–60PubMed
16.
go back to reference Fleck SJ. Cardiovascular adaptations to resistance training. Med Sci Sports Exerc 1988; 20 (5 Suppl.): S146–S151PubMed Fleck SJ. Cardiovascular adaptations to resistance training. Med Sci Sports Exerc 1988; 20 (5 Suppl.): S146–S151PubMed
17.
go back to reference Van Hoof R, Macor F, Lijnen P, et al. Effect of strength training on blood pressure measured in various conditions in sedentary men. Int J Sports Med 1996; 17 (6): 415–22PubMedCrossRef Van Hoof R, Macor F, Lijnen P, et al. Effect of strength training on blood pressure measured in various conditions in sedentary men. Int J Sports Med 1996; 17 (6): 415–22PubMedCrossRef
18.
go back to reference Copeland SR, Mills MC, Lerner JL, et al. Hemodynamic effects of aerobic vs resistance exercise. J Hum Hypertens 1996; 10 (11): 747–53PubMed Copeland SR, Mills MC, Lerner JL, et al. Hemodynamic effects of aerobic vs resistance exercise. J Hum Hypertens 1996; 10 (11): 747–53PubMed
19.
go back to reference Saltin B, Astrand PO. Maximal oxygen uptake in athletes. J Appl Physiol 1967; 23 (3): 353–8PubMed Saltin B, Astrand PO. Maximal oxygen uptake in athletes. J Appl Physiol 1967; 23 (3): 353–8PubMed
20.
go back to reference Ekblom B, Kilbom A, Soltysiak J. Physical training, bradycardia, and autonomic nervous system. Scand J Clin Lab Invest 1973; 32 (3): 251–6PubMedCrossRef Ekblom B, Kilbom A, Soltysiak J. Physical training, bradycardia, and autonomic nervous system. Scand J Clin Lab Invest 1973; 32 (3): 251–6PubMedCrossRef
21.
go back to reference Frick MH, Elovainio RO, Somer T. The mechanism of bradycardia evoked by physical training. Cardiology 1967; 51 (1): 46–54CrossRef Frick MH, Elovainio RO, Somer T. The mechanism of bradycardia evoked by physical training. Cardiology 1967; 51 (1): 46–54CrossRef
22.
go back to reference Haennel RG, Snydmiller GD, Teo KK, et al. Changes in blood pressure and cardiac output during maximal isokinetic exercise. Arch Phys Med Rehabil 1992; 73 (2): 150–5PubMed Haennel RG, Snydmiller GD, Teo KK, et al. Changes in blood pressure and cardiac output during maximal isokinetic exercise. Arch Phys Med Rehabil 1992; 73 (2): 150–5PubMed
23.
go back to reference Lentini AC, McKelvie RS, McCartney N, et al. Left ventricular response in healthy young men during heavy-intensity weightlifting exercise. J Appl Physiol 1993; 75 (6): 2703–10PubMed Lentini AC, McKelvie RS, McCartney N, et al. Left ventricular response in healthy young men during heavy-intensity weightlifting exercise. J Appl Physiol 1993; 75 (6): 2703–10PubMed
24.
go back to reference Miles DS, Owens JJ, Golden JC, et al. Central and peripheral hemodynamics during maximal leg extension exercise. Eur J Appl Physiol 1987; 56 (1): 12–7CrossRef Miles DS, Owens JJ, Golden JC, et al. Central and peripheral hemodynamics during maximal leg extension exercise. Eur J Appl Physiol 1987; 56 (1): 12–7CrossRef
25.
go back to reference Fleck SJ, Pattany PM, Stone MH, et al. Magnetic resonance imaging determination of left ventricular mass: junior Olympic weightlifters. Med Sci Sports Exerc 1993; 25 (4): 522–7PubMed Fleck SJ, Pattany PM, Stone MH, et al. Magnetic resonance imaging determination of left ventricular mass: junior Olympic weightlifters. Med Sci Sports Exerc 1993; 25 (4): 522–7PubMed
26.
go back to reference Morganroth J, Maron BJ, Henry WL, et al. Comparative left ventricular dimensions in trained athletes. Ann Intern Med 1975; 82 (4): 521–4PubMed Morganroth J, Maron BJ, Henry WL, et al. Comparative left ventricular dimensions in trained athletes. Ann Intern Med 1975; 82 (4): 521–4PubMed
27.
go back to reference Ricci G, Lajoie D, Petitclerc R, et al. Left ventricular size following endurance, sprint, and strength training. Med Sci Sports Exerc 1982; 14 (5): 344–7PubMed Ricci G, Lajoie D, Petitclerc R, et al. Left ventricular size following endurance, sprint, and strength training. Med Sci Sports Exerc 1982; 14 (5): 344–7PubMed
28.
go back to reference Fleck SJ, Kraemer WJ. Designing resistance training programs. 2nd ed. Champaign (IL): Human Kinetics; 1997 Fleck SJ, Kraemer WJ. Designing resistance training programs. 2nd ed. Champaign (IL): Human Kinetics; 1997
29.
go back to reference Sagiv M, Hanson P, Goldhammer E, et al. Left ventricular and hemodynamic responses during upright isometric exercise in normal young and elderly men. Gerontology 1988; 34 (4): 165–70PubMedCrossRef Sagiv M, Hanson P, Goldhammer E, et al. Left ventricular and hemodynamic responses during upright isometric exercise in normal young and elderly men. Gerontology 1988; 34 (4): 165–70PubMedCrossRef
30.
go back to reference Sagiv M, Sagiv A, Ben-Sira D, et al. Effects of chronic overload training and aging on left ventricular systolic function. Gerontology 1997; 43 (6): 307–15PubMedCrossRef Sagiv M, Sagiv A, Ben-Sira D, et al. Effects of chronic overload training and aging on left ventricular systolic function. Gerontology 1997; 43 (6): 307–15PubMedCrossRef
31.
go back to reference Lewis SF, Snell PG, Taylor WF, et al. Role of muscle mass and mode of contraction in circulatory responses to exercise. J Appl Physiol 1985; 58 (1): 146–51PubMedCrossRef Lewis SF, Snell PG, Taylor WF, et al. Role of muscle mass and mode of contraction in circulatory responses to exercise. J Appl Physiol 1985; 58 (1): 146–51PubMedCrossRef
32.
go back to reference Sale DG, Moroz DE, McKelvie RS, et al. Comparison of blood pressure response to isokinetic and weight-lifting exercise. Eur J Appl Physiol 1993; 67 (2): 115–20CrossRef Sale DG, Moroz DE, McKelvie RS, et al. Comparison of blood pressure response to isokinetic and weight-lifting exercise. Eur J Appl Physiol 1993; 67 (2): 115–20CrossRef
33.
go back to reference Sagiv M, Goldhammer E, Abinader EG, et al. Aging and the effect of increased after-load on left ventricular contractile state. Med Sci Sports Exerc 1988; 20 (3): 281–4PubMedCrossRef Sagiv M, Goldhammer E, Abinader EG, et al. Aging and the effect of increased after-load on left ventricular contractile state. Med Sci Sports Exerc 1988; 20 (3): 281–4PubMedCrossRef
34.
go back to reference MacDougall JD, Tuxen D, Sale DG, et al. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol 1985; 58 (3): 785–90PubMed MacDougall JD, Tuxen D, Sale DG, et al. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol 1985; 58 (3): 785–90PubMed
35.
go back to reference Donald KW, Lind AR, McNicol GW. Cardiovascular responses to sustained (static) contractions. Circ Res 1982; 20: 115–32 Donald KW, Lind AR, McNicol GW. Cardiovascular responses to sustained (static) contractions. Circ Res 1982; 20: 115–32
36.
go back to reference Harris KA, Holly RG. Physiological response to circuit weight training in borderline hypertensive subjects. Med Sci Sports Exerc 1987; 19 (3): 246–52PubMed Harris KA, Holly RG. Physiological response to circuit weight training in borderline hypertensive subjects. Med Sci Sports Exerc 1987; 19 (3): 246–52PubMed
37.
go back to reference Hoque MS, Ali SM, Waiz A. An exercise training combined with dietary program for patients with hypertension. Bangladesh Med Res Counc Bull 1998; 24 (1): 14–9PubMed Hoque MS, Ali SM, Waiz A. An exercise training combined with dietary program for patients with hypertension. Bangladesh Med Res Counc Bull 1998; 24 (1): 14–9PubMed
38.
go back to reference Seals DR, Hagberg JM. The effect of exercise training on human hypertension: a review. Med Sci Sports Exerc 1984; 16 (3): 207–15PubMedCrossRef Seals DR, Hagberg JM. The effect of exercise training on human hypertension: a review. Med Sci Sports Exerc 1984; 16 (3): 207–15PubMedCrossRef
39.
go back to reference Astrand PO. ‘Why exercise?’ Med Sci Sports Exerc 1992; 24 (2): 153–62PubMed Astrand PO. ‘Why exercise?’ Med Sci Sports Exerc 1992; 24 (2): 153–62PubMed
40.
go back to reference Johnson CC, Stone MH, Lopez SA, et al. Diet and exercise in middle-aged men. J Am Diet Assoc 1982; 81 (6): 695–701PubMed Johnson CC, Stone MH, Lopez SA, et al. Diet and exercise in middle-aged men. J Am Diet Assoc 1982; 81 (6): 695–701PubMed
41.
go back to reference Wallace MB, Moffatt RJ. Acute effects of resistance exercise on plasma lipids and lipoproteins [abstract]. Med Sci Sports Exerc 1989; 21 (2 Suppl.): S116 Wallace MB, Moffatt RJ. Acute effects of resistance exercise on plasma lipids and lipoproteins [abstract]. Med Sci Sports Exerc 1989; 21 (2 Suppl.): S116
42.
go back to reference Weltman A, Janney C, Rians CB, et al. The effects of hydrolicresistance strength training on serum lipid levels in prepubertal boys. Am J Dis Child 1987; 141: 777–80PubMed Weltman A, Janney C, Rians CB, et al. The effects of hydrolicresistance strength training on serum lipid levels in prepubertal boys. Am J Dis Child 1987; 141: 777–80PubMed
43.
go back to reference Goldberg L, Elliot DL, Schutz RW, et al. Changes in lipid and lipoprotein levels after weight training. JAMA 1984; 252 (4): 504–6PubMedCrossRef Goldberg L, Elliot DL, Schutz RW, et al. Changes in lipid and lipoprotein levels after weight training. JAMA 1984; 252 (4): 504–6PubMedCrossRef
44.
go back to reference Yki-Jarvinen H, Koivisto VA, Taskinen MR, et al. Glucose tolerance, plasma lipoproteins and tissue lipoprotein lipase activities in body builders. Eur J Appl Physiol 1984; 53 (3): 253–9CrossRef Yki-Jarvinen H, Koivisto VA, Taskinen MR, et al. Glucose tolerance, plasma lipoproteins and tissue lipoprotein lipase activities in body builders. Eur J Appl Physiol 1984; 53 (3): 253–9CrossRef
45.
go back to reference Guyton A. Textbook of medical physiology. 8th ed. Philadelphia (PA): W.B. Saunders Company, 1991 Guyton A. Textbook of medical physiology. 8th ed. Philadelphia (PA): W.B. Saunders Company, 1991
46.
go back to reference Eriksson J, Taimela S, Eriksson K, et al. Resistance training in the treatment of non-insulin-dependent diabetes mellitus. Int J Sports Med 1997; 18 (4): 242–6PubMedCrossRef Eriksson J, Taimela S, Eriksson K, et al. Resistance training in the treatment of non-insulin-dependent diabetes mellitus. Int J Sports Med 1997; 18 (4): 242–6PubMedCrossRef
47.
go back to reference Eriksson J, Tuominen J, Valle T, et al. Aerobic endurance exercise or circuit-type resistance training for individuals with impaired glucose tolerance? Horm Metab Res 1998; 30 (1): 37–41PubMedCrossRef Eriksson J, Tuominen J, Valle T, et al. Aerobic endurance exercise or circuit-type resistance training for individuals with impaired glucose tolerance? Horm Metab Res 1998; 30 (1): 37–41PubMedCrossRef
48.
go back to reference Ishii T, Yamakita T, Sato T, et al. Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake. Diabetes Care 1998; 21 (8): 1353–5PubMedCrossRef Ishii T, Yamakita T, Sato T, et al. Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake. Diabetes Care 1998; 21 (8): 1353–5PubMedCrossRef
49.
go back to reference Smutok MA, Reece C, Kokkinos PF, et al. Aerobic versus strength training for risk factor intervention in middle-aged men at high risk for coronary heart disease. Metabolism 1993; 42 (2): 177–84PubMedCrossRef Smutok MA, Reece C, Kokkinos PF, et al. Aerobic versus strength training for risk factor intervention in middle-aged men at high risk for coronary heart disease. Metabolism 1993; 42 (2): 177–84PubMedCrossRef
50.
go back to reference Miller WJ, Sherman WM, Ivy JL. Effect of strength training on glucose tolerance and post-glucose insulin response. Med Sci Sports Exerc 1984; 16 (6): 539–43PubMed Miller WJ, Sherman WM, Ivy JL. Effect of strength training on glucose tolerance and post-glucose insulin response. Med Sci Sports Exerc 1984; 16 (6): 539–43PubMed
51.
go back to reference Cononie CC, Graves JE, Pollock ML, et al. Effect of exercise training on blood pressure in 70- to 79-yr-old men and women. Med Sci Sports Exerc 1991; 23 (4): 505–11PubMed Cononie CC, Graves JE, Pollock ML, et al. Effect of exercise training on blood pressure in 70- to 79-yr-old men and women. Med Sci Sports Exerc 1991; 23 (4): 505–11PubMed
52.
go back to reference McCartney N. Role of resistance training in heart disease. Med Sci Sports Exerc 1998; 30 Suppl. 10: S396–S402PubMed McCartney N. Role of resistance training in heart disease. Med Sci Sports Exerc 1998; 30 Suppl. 10: S396–S402PubMed
53.
go back to reference Fiatarone MA, Evans WJ. The etiology and reversibility of muscle dysfunction in the aged. J Gerontol 1993; 48 Spec No.: 77–83PubMedCrossRef Fiatarone MA, Evans WJ. The etiology and reversibility of muscle dysfunction in the aged. J Gerontol 1993; 48 Spec No.: 77–83PubMedCrossRef
54.
go back to reference Bergstrom G, Aniansson A, Bjelle A, et al. Functional consequences of joint impairment at age 79. Scand J Rehab Med 1985; 17: 183–90 Bergstrom G, Aniansson A, Bjelle A, et al. Functional consequences of joint impairment at age 79. Scand J Rehab Med 1985; 17: 183–90
55.
go back to reference Tortora GJ. Principles of human anatomy. 4th ed. New York (NY): Harper & Row, 1986 Tortora GJ. Principles of human anatomy. 4th ed. New York (NY): Harper & Row, 1986
56.
go back to reference Young A, Stokes M, Crowe M. Size and strength of the quadriceps muscles of old and young women. Eur J Clin Invest 1984; 14: 282–7PubMedCrossRef Young A, Stokes M, Crowe M. Size and strength of the quadriceps muscles of old and young women. Eur J Clin Invest 1984; 14: 282–7PubMedCrossRef
57.
go back to reference Kiltgaard H, Mantoni M, Schiaffino S, et al. Functional, morphological and protein expression of ageing skeletal muscle: a cross-sectional study of elderly men with different training backgrounds. Acta Physiol Scand 1990; 140: 41–54CrossRef Kiltgaard H, Mantoni M, Schiaffino S, et al. Functional, morphological and protein expression of ageing skeletal muscle: a cross-sectional study of elderly men with different training backgrounds. Acta Physiol Scand 1990; 140: 41–54CrossRef
58.
go back to reference Grimby G, Danneskiod-Samsoe B, Hvid K, et al. Morphology and enzymatic capacity in arm and leg-muscles in 78–82 year old men and women. Acta Physiol Scand 1982; 115: 124–34CrossRef Grimby G, Danneskiod-Samsoe B, Hvid K, et al. Morphology and enzymatic capacity in arm and leg-muscles in 78–82 year old men and women. Acta Physiol Scand 1982; 115: 124–34CrossRef
59.
go back to reference Burr DB. Muscle strength, bone mass, and age-related bone loss. J Bone Miner Res 1997; 12 (10): 1547–51PubMedCrossRef Burr DB. Muscle strength, bone mass, and age-related bone loss. J Bone Miner Res 1997; 12 (10): 1547–51PubMedCrossRef
60.
go back to reference Evans WJ. Effects of exercise on body composition and functional capacity of the elderly. J Gerontol A Biol Sci Med Sci 1995; 50 Spec No.: 147–50PubMed Evans WJ. Effects of exercise on body composition and functional capacity of the elderly. J Gerontol A Biol Sci Med Sci 1995; 50 Spec No.: 147–50PubMed
61.
go back to reference Baechle TR. Essentials of strength training and conditioning. Champaign (IL): Human Kinetics, 1994 Baechle TR. Essentials of strength training and conditioning. Champaign (IL): Human Kinetics, 1994
62.
go back to reference Stone MH, Fleck SJ, Triplett NT, et al. Health- and performance related potential of resistance training. Sports Med 1991; 11 (4): 210–31PubMedCrossRef Stone MH, Fleck SJ, Triplett NT, et al. Health- and performance related potential of resistance training. Sports Med 1991; 11 (4): 210–31PubMedCrossRef
63.
go back to reference Fox E, Bowers R, Foss M. Exercise, body composition, and weight control. In: Rogers C, editor. The physiological basis for exercise and sports. 5th ed. Madison (AL): WCB Brown & Benchmark, 1988: 539–74 Fox E, Bowers R, Foss M. Exercise, body composition, and weight control. In: Rogers C, editor. The physiological basis for exercise and sports. 5th ed. Madison (AL): WCB Brown & Benchmark, 1988: 539–74
64.
go back to reference Brooks GA, Fahey TD, White TP. Exercise physiology: human bioenergetics and its application. 2nd ed. Mountain View (CA): Mayfield Publishing Company, 1996 Brooks GA, Fahey TD, White TP. Exercise physiology: human bioenergetics and its application. 2nd ed. Mountain View (CA): Mayfield Publishing Company, 1996
65.
go back to reference Hopp JF. Effects of age and resistance training on skeletal muscle: a review. Phys Ther 1993; 73 (6): 361–73PubMed Hopp JF. Effects of age and resistance training on skeletal muscle: a review. Phys Ther 1993; 73 (6): 361–73PubMed
66.
go back to reference Cohn SH, Vaswani A, Zanzid I, et al. Changes in body chemical composition with age measured by total-body neutron activation. Metabolism 1976; 25: 85–95PubMedCrossRef Cohn SH, Vaswani A, Zanzid I, et al. Changes in body chemical composition with age measured by total-body neutron activation. Metabolism 1976; 25: 85–95PubMedCrossRef
67.
go back to reference Campbell MJ, McComas AJ, Petito F. Physiological changes in ageing muscles. J Neurol Neurosurg Psychol 1973; 36: 174–82CrossRef Campbell MJ, McComas AJ, Petito F. Physiological changes in ageing muscles. J Neurol Neurosurg Psychol 1973; 36: 174–82CrossRef
68.
go back to reference Evans WJ, Campbell WW. Sarcopenia and age-related changes in body composition and functional capacity. J Nutr 1993; 123 Suppl. 2: 465–8PubMed Evans WJ, Campbell WW. Sarcopenia and age-related changes in body composition and functional capacity. J Nutr 1993; 123 Suppl. 2: 465–8PubMed
69.
go back to reference Evans WJ. Reversing sarcopenia: how weight training can build strength and vitality. Geriatrics 1996; 51 (5): 46–7, 51–3, quiz 54PubMed Evans WJ. Reversing sarcopenia: how weight training can build strength and vitality. Geriatrics 1996; 51 (5): 46–7, 51–3, quiz 54PubMed
70.
go back to reference Vandervoort AA, McComas AJ. Contractile changes in opposing muscles of the human ankle joint with aging. J Appl Physiol 1986; 61: 361–7PubMed Vandervoort AA, McComas AJ. Contractile changes in opposing muscles of the human ankle joint with aging. J Appl Physiol 1986; 61: 361–7PubMed
71.
go back to reference Kirkendall DT, Garrett Jr. WE. The effects of aging and training on skeletal muscle. Am J Sports Med 1998; 26 (4): 598–602PubMed Kirkendall DT, Garrett Jr. WE. The effects of aging and training on skeletal muscle. Am J Sports Med 1998; 26 (4): 598–602PubMed
72.
go back to reference Lexell J, Taylor CC, Sjostrom M. What is the cause of the ageing atrophy? Total number, size and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci 1988; 84: 275–94PubMedCrossRef Lexell J, Taylor CC, Sjostrom M. What is the cause of the ageing atrophy? Total number, size and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci 1988; 84: 275–94PubMedCrossRef
73.
go back to reference Tsuneko S, Hiromichi A, Kuniyoshi K, et al. Age changes in size and number of muscle fibers in human minor pectoral muscle. Mech Ageing Dev 1984; 28: 99–109CrossRef Tsuneko S, Hiromichi A, Kuniyoshi K, et al. Age changes in size and number of muscle fibers in human minor pectoral muscle. Mech Ageing Dev 1984; 28: 99–109CrossRef
74.
go back to reference McComas AJ. Aging. Skeletal muscle: form and function. Champaign (IL): Human Kinetics, 1996 McComas AJ. Aging. Skeletal muscle: form and function. Champaign (IL): Human Kinetics, 1996
75.
go back to reference Aniansson A, Grimby G, Nygaard E, et al. Muscle fiber composition and fiber area in various age groups [abstract]. Muscle Nerve 1980 May/Jun; 3: 271–2 Aniansson A, Grimby G, Nygaard E, et al. Muscle fiber composition and fiber area in various age groups [abstract]. Muscle Nerve 1980 May/Jun; 3: 271–2
76.
go back to reference Young A, Hughes I, Round JM, et al. The effect of knee injury on the number of muscle fibers in the human quadriceps femoris. Clin Sci 1982; 62: 227–34PubMed Young A, Hughes I, Round JM, et al. The effect of knee injury on the number of muscle fibers in the human quadriceps femoris. Clin Sci 1982; 62: 227–34PubMed
77.
go back to reference Larsson L, Grimby G, Karlsson J. Muscle strength and speed of movement in relation to age and muscle morphology. J Appl Physiol 1979; 46: 451–6PubMed Larsson L, Grimby G, Karlsson J. Muscle strength and speed of movement in relation to age and muscle morphology. J Appl Physiol 1979; 46: 451–6PubMed
78.
go back to reference Frontera WR, Meredith CN, O’Reilly KP. Strength conditioning in older men: skeletal muscle hypertrophy and improved muscle function. J Appl Physiol 1988; 64 (3): 1038–44PubMed Frontera WR, Meredith CN, O’Reilly KP. Strength conditioning in older men: skeletal muscle hypertrophy and improved muscle function. J Appl Physiol 1988; 64 (3): 1038–44PubMed
79.
go back to reference Tesch PA. Skeletal muscle adaptations consequent to long-term heavy resistance exercise. Med Sci Sports Exerc 1988; 20 (5): S132–S134PubMed Tesch PA. Skeletal muscle adaptations consequent to long-term heavy resistance exercise. Med Sci Sports Exerc 1988; 20 (5): S132–S134PubMed
80.
go back to reference Fiatarone MA, O’Neill EF, Ryan ND, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 1994; 330 (25): 1769–75PubMedCrossRef Fiatarone MA, O’Neill EF, Ryan ND, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 1994; 330 (25): 1769–75PubMedCrossRef
81.
go back to reference Tracy BL, Ivey FM, Hurlbut D, et al. Muscle quality. II. Effects Of strength training in 65- to 75-yr-old men and women. J Appl Physiol 1999; 86 (1): 195–201PubMed Tracy BL, Ivey FM, Hurlbut D, et al. Muscle quality. II. Effects Of strength training in 65- to 75-yr-old men and women. J Appl Physiol 1999; 86 (1): 195–201PubMed
82.
go back to reference Treuth MS, Ryan AS, Pratley RE, et al. Effects of strength training on total and regional body composition in oldermen [published erratum appears in J Appl Physiol 1994 Dec; 77 (6): following table of contents]. J Appl Physiol 1994; 77 (2): 614–20PubMed Treuth MS, Ryan AS, Pratley RE, et al. Effects of strength training on total and regional body composition in oldermen [published erratum appears in J Appl Physiol 1994 Dec; 77 (6): following table of contents]. J Appl Physiol 1994; 77 (2): 614–20PubMed
83.
go back to reference Miller JP, Pratley RE, Goldberg AP, et al. Strength training increases insulin action in healthy 50- to 65-yr-old men. J Appl Physiol 1994; 77 (3): 1122–7PubMed Miller JP, Pratley RE, Goldberg AP, et al. Strength training increases insulin action in healthy 50- to 65-yr-old men. J Appl Physiol 1994; 77 (3): 1122–7PubMed
84.
go back to reference Nichols JF, Omizo DK, Peterson KK, et al. Efficacy of heavy resistance training for active women over sixty: muscular strength, body composition, and program adherence. J Am Geriatr Soc 1993; 41 (3): 205–10PubMed Nichols JF, Omizo DK, Peterson KK, et al. Efficacy of heavy resistance training for active women over sixty: muscular strength, body composition, and program adherence. J Am Geriatr Soc 1993; 41 (3): 205–10PubMed
85.
go back to reference Aniansson A, Rundgren A, Sperling L. Evaluation of functional capacity in activities of daily living in 70-year-old men and women. Scand J Rehab Med 1980; 12: 145–54 Aniansson A, Rundgren A, Sperling L. Evaluation of functional capacity in activities of daily living in 70-year-old men and women. Scand J Rehab Med 1980; 12: 145–54
86.
go back to reference Jette AM, Branch LG, Berlin J. Musculoskeletal impairments and physical disablement among the aged. J Gerontol 1990; 45 (6): M203–M208PubMedCrossRef Jette AM, Branch LG, Berlin J. Musculoskeletal impairments and physical disablement among the aged. J Gerontol 1990; 45 (6): M203–M208PubMedCrossRef
87.
go back to reference Giampaoli S, Ferrucci L, Cecchi F, et al. Hand-grip strength predicts incident disability in non-disabled older men. Age Ageing 1999; 28: 283–8PubMedCrossRef Giampaoli S, Ferrucci L, Cecchi F, et al. Hand-grip strength predicts incident disability in non-disabled older men. Age Ageing 1999; 28: 283–8PubMedCrossRef
88.
go back to reference Kallman DA, Plato CC, Tobin JD. The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol 1990; 45 (3):M82–M88PubMedCrossRef Kallman DA, Plato CC, Tobin JD. The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol 1990; 45 (3):M82–M88PubMedCrossRef
89.
go back to reference Young A, Skelton DA. Applied physiology of strength and power in old age. Int J Sports Med 1994; 15 (3): 149–51PubMedCrossRef Young A, Skelton DA. Applied physiology of strength and power in old age. Int J Sports Med 1994; 15 (3): 149–51PubMedCrossRef
90.
go back to reference Bassey EJ, Fiatarone MA, O’Neill EF, et al. Leg extensor power and functional performance in very old men and women. Clin Sci 1992; 82: 321–7PubMed Bassey EJ, Fiatarone MA, O’Neill EF, et al. Leg extensor power and functional performance in very old men and women. Clin Sci 1992; 82: 321–7PubMed
91.
go back to reference Ringsberg K, Gerdhem P, Johansson J, et al. Is there a relationship between balance, gait performance and muscular strength in 75-year-old women? Age Ageing 1999; 28: 289–93PubMedCrossRef Ringsberg K, Gerdhem P, Johansson J, et al. Is there a relationship between balance, gait performance and muscular strength in 75-year-old women? Age Ageing 1999; 28: 289–93PubMedCrossRef
92.
go back to reference Skelton DA, Greig CA, Davies JM, et al. Strength, power and related functional ability of healthy people aged 65–89 years. Age Ageing 1994; 23 (5): 371–7PubMedCrossRef Skelton DA, Greig CA, Davies JM, et al. Strength, power and related functional ability of healthy people aged 65–89 years. Age Ageing 1994; 23 (5): 371–7PubMedCrossRef
93.
go back to reference Laukkanen P, Heikkinen E, Kauppinen M. Muscle strength and mobility as predictors of survival in 75–84-year-old people. Age Ageing 1995; 24 (6): 468–73PubMedCrossRef Laukkanen P, Heikkinen E, Kauppinen M. Muscle strength and mobility as predictors of survival in 75–84-year-old people. Age Ageing 1995; 24 (6): 468–73PubMedCrossRef
94.
go back to reference Pollock ML, Evans WJ. Resistance training for health and disease: introduction. Med Sci Sports Exerc 1999; 31 (1): 10–1PubMedCrossRef Pollock ML, Evans WJ. Resistance training for health and disease: introduction. Med Sci Sports Exerc 1999; 31 (1): 10–1PubMedCrossRef
95.
go back to reference Moritani T, deVries H. Potential for muscle hypertrophy in older men. J Gerontol 1980; 35: 672–82PubMedCrossRef Moritani T, deVries H. Potential for muscle hypertrophy in older men. J Gerontol 1980; 35: 672–82PubMedCrossRef
96.
go back to reference Dupler TL, Cortes C. Effects of a whole-body resistive training regimen in the elderly. J Gerontol 1993; 39: 314–9CrossRef Dupler TL, Cortes C. Effects of a whole-body resistive training regimen in the elderly. J Gerontol 1993; 39: 314–9CrossRef
97.
go back to reference Frost HM. Perspective on our age-related bone loss: Insights from a new paradigm. J Bone Miner Res 1997; 12 (10): 1539–45PubMedCrossRef Frost HM. Perspective on our age-related bone loss: Insights from a new paradigm. J Bone Miner Res 1997; 12 (10): 1539–45PubMedCrossRef
98.
go back to reference Lohman T, Going S, Pamenter R, et al. Effects of resistance training on regional and total bone mineral density in premenopausal women: a randomized prospective study. J Bone Miner Res 1995; 10 (7): 1015–24PubMedCrossRef Lohman T, Going S, Pamenter R, et al. Effects of resistance training on regional and total bone mineral density in premenopausal women: a randomized prospective study. J Bone Miner Res 1995; 10 (7): 1015–24PubMedCrossRef
99.
go back to reference Block JE, Friedlander AL, Brooks GA, et al. Determinants of bone density among athletes engaged in weight-bearing and non-weight-bearing activity. J Appl Physiol 1989; 67 (3): 1100–5PubMed Block JE, Friedlander AL, Brooks GA, et al. Determinants of bone density among athletes engaged in weight-bearing and non-weight-bearing activity. J Appl Physiol 1989; 67 (3): 1100–5PubMed
100.
go back to reference Conroy BP, Kraemer WJ, Maresh CM, et al. Bone mineral density in elite junior Olympic weightlifters. Med Sci Sports Exerc 1993; 25 (10): 1103–9PubMed Conroy BP, Kraemer WJ, Maresh CM, et al. Bone mineral density in elite junior Olympic weightlifters. Med Sci Sports Exerc 1993; 25 (10): 1103–9PubMed
101.
go back to reference Lewis RD, Modlesky CM. Nutrition, physical activity, and bone health in women. Int J Sport Nutr 1998; 8 (3): 250–84PubMed Lewis RD, Modlesky CM. Nutrition, physical activity, and bone health in women. Int J Sport Nutr 1998; 8 (3): 250–84PubMed
102.
go back to reference Kohrt WM, Ehsani AA, Birge Jr. SJ. Effects of exercise involving predominantly either joint-reaction or ground-reaction forces on bone mineral density in older women. J Bone Miner Res 1997; 12 (8): 1253–61PubMedCrossRef Kohrt WM, Ehsani AA, Birge Jr. SJ. Effects of exercise involving predominantly either joint-reaction or ground-reaction forces on bone mineral density in older women. J Bone Miner Res 1997; 12 (8): 1253–61PubMedCrossRef
103.
go back to reference Karlsson MK, Vergnaud P, Delmas PD, et al. Indicators of bone formation in weight lifters. Calcif Tissue Int 1995; 56 (3): 177–80PubMedCrossRef Karlsson MK, Vergnaud P, Delmas PD, et al. Indicators of bone formation in weight lifters. Calcif Tissue Int 1995; 56 (3): 177–80PubMedCrossRef
104.
go back to reference Ryan AS, Treuth MS, Rubin MA, et al. Effects of strength training on bone mineral density: hormonal and bone turnover relationships. J Appl Physiol 1994; 77 (4): 1678–84PubMed Ryan AS, Treuth MS, Rubin MA, et al. Effects of strength training on bone mineral density: hormonal and bone turnover relationships. J Appl Physiol 1994; 77 (4): 1678–84PubMed
105.
go back to reference Karlsson MK, Johnell O, Obrant KJ. Bone mineral density in weight lifters. Calcif Tissue Int 1993; 52 (3): 212–5PubMedCrossRef Karlsson MK, Johnell O, Obrant KJ. Bone mineral density in weight lifters. Calcif Tissue Int 1993; 52 (3): 212–5PubMedCrossRef
106.
go back to reference American College of Sports Medicine. Guidelines for exercise testing and prescription. 4th ed. Philadelphia (PA): Lea and Febiger, 1991 American College of Sports Medicine. Guidelines for exercise testing and prescription. 4th ed. Philadelphia (PA): Lea and Febiger, 1991
107.
go back to reference Chapman EA, de Vries HA, Swezey R. Joint stiffness: effects of exercise on young and old men. J Gerontol 1972; 27 (2): 218–21PubMedCrossRef Chapman EA, de Vries HA, Swezey R. Joint stiffness: effects of exercise on young and old men. J Gerontol 1972; 27 (2): 218–21PubMedCrossRef
108.
go back to reference Goldspink G. Cellular and molecular aspects of adaptation in skeletal muscle. In: Komi PV, editor. Strength and power in sport. London: Blackwell Science Ltd, 1992: 211–29 Goldspink G. Cellular and molecular aspects of adaptation in skeletal muscle. In: Komi PV, editor. Strength and power in sport. London: Blackwell Science Ltd, 1992: 211–29
109.
go back to reference Johnson RC, Smidt GL. Hip motion measurements for selected activities of daily living. Clin Observations 1970; 72: 205–15 Johnson RC, Smidt GL. Hip motion measurements for selected activities of daily living. Clin Observations 1970; 72: 205–15
110.
go back to reference Murray MP, Kory RC, Clarkson BH. walking patterns in healthy old men. J Gerontol 1969; 24: 169–78PubMedCrossRef Murray MP, Kory RC, Clarkson BH. walking patterns in healthy old men. J Gerontol 1969; 24: 169–78PubMedCrossRef
111.
go back to reference Voorrips LE, Koen AP, Lemmink PM, et al. The physical condition of elderly women differing in habitual physical activity. Med Sci Sports Exerc 1993; 25 (10): 1152–7PubMed Voorrips LE, Koen AP, Lemmink PM, et al. The physical condition of elderly women differing in habitual physical activity. Med Sci Sports Exerc 1993; 25 (10): 1152–7PubMed
112.
go back to reference Raab DM, Agre JC, McAdam M, et al. Light resistance and stretching exercise in elderly women: effect upon flexibility. Arch Phys Med Rehabil 1988; 69: 268–72PubMed Raab DM, Agre JC, McAdam M, et al. Light resistance and stretching exercise in elderly women: effect upon flexibility. Arch Phys Med Rehabil 1988; 69: 268–72PubMed
113.
go back to reference Warburton D, Gledhill N, Quinney A. The effects of changes in musculoskeletal fitness on health. Can J Appl Physiol 2001; 26 (2): 161–216PubMedCrossRef Warburton D, Gledhill N, Quinney A. The effects of changes in musculoskeletal fitness on health. Can J Appl Physiol 2001; 26 (2): 161–216PubMedCrossRef
114.
go back to reference Payne N, Gledhill N, Katzmarzyk PT, et al. Health implications of musculoskeletal fitness. Can J Appl Physiol 2000; 25 (2): 114–26PubMedCrossRef Payne N, Gledhill N, Katzmarzyk PT, et al. Health implications of musculoskeletal fitness. Can J Appl Physiol 2000; 25 (2): 114–26PubMedCrossRef
Metadata
Title
Musculoskeletal Fitness, Health Outcomes and Quality of Life
Authors
Robert T. Kell
Gordon Bell
Art Quinney
Publication date
01-10-2001
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 12/2001
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.2165/00007256-200131120-00003