Why should a slower repetition tempo be prescribed for older individuals?
Elderly trainees fatigue faster than younger trainees when performing explosive reps but not when performing moderate or slow reps.
Do total daily protein requirements increase with age?
No, total daily protein requirements do not increase with age.
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p.18
Strength Training Considerations for the Elderly

Why should a slower repetition tempo be prescribed for older individuals?

Elderly trainees fatigue faster than younger trainees when performing explosive reps but not when performing moderate or slow reps.

p.10
Anabolic Resistance

Do total daily protein requirements increase with age?

No, total daily protein requirements do not increase with age.

p.19
Training Intensity and Volume

What did a 2021 review conclude about recovery indicators after training between trainees in their 20s and those in their 50s or 60s?

Most studies do not find significant differences in recovery indicators after training between these age groups, especially when matched for training status.

p.19
Training Intensity and Volume

What factors affect recovery capacity more than age per se up to ~65 years old?

Being overweight, having systemic inflammation, having low anabolic hormone levels, and being deconditioned.

p.14
Motor Performance Decline with Age

What is the role of myelin in neural signal conduction?

Myelin insulates nerve cell axons to increase the speed of neural signal conduction.

p.10
Anabolic Resistance

How can the negative effects of anabolic resistance be completely overcome?

By ensuring that the leucine threshold is overcome with each meal.

p.23
Training Intensity and Volume

At what age should training volume start to decrease due to impaired recovery capacity and increased injury risk?

After 65 years of age.

p.19
Training Intensity and Volume

Why should compromising on training volume be a last resort for elderly trainees?

Because research suggests that elderly trainees may have more to gain from higher set volumes than younger trainees.

p.12
Nutrition Program Design for the Elderly

How should elderly trainees set up their macronutrient profiles compared to younger trainees?

Elderly trainees can set up their macronutrient profiles mostly the same way as younger trainees, with the notable exception of lower meal frequencies with at least 0.4 g/kg protein per meal, preferably over 40 g protein, to counteract anabolic resistance.

p.11
Fat Loss and Metabolic Rate in Older Adults

How does age affect metabolic rate?

Between 20 and 60 years old, metabolic rate is unaffected by age if adjusted for fat-free mass. After age 60, metabolism slows down but the decline doesn't exceed 20%.

p.11
Fat Loss and Metabolic Rate in Older Adults

Can older adults still lose fat effectively?

Yes, older adults can still lose fat effectively, but they need to eat a bit less to achieve the same fat loss due to a slower metabolism.

p.10
Anabolic Resistance

What is the minimum protein intake per meal recommended for elderly individuals?

A minimum of 0.4 g/kg protein with each meal and never less than 40 g for men.

p.19
Training Intensity and Volume

Why do many coaches assume older trainees should train with lower volumes?

Because of impaired recovery capacity.

p.23
Training Intensity and Volume

How much lower should the recovery factor be for an 80-year-old compared to someone below 50 years old?

0.48 lower.

p.26
Strength Training Considerations for the Elderly

Is a decrease in training volume or frequency necessary in programs for the elderly?

No, but there should be extra emphasis on prehabilitation.

p.18
Strength Training Considerations for the Elderly

How does an autoregulated repetition tempo benefit elderly trainees?

It automatically adjusts to a slower tempo, which helps in reducing fatigue.

p.15
Motor Performance Decline with Age

How does aging affect the nervous system's ability to direct muscles?

Aging makes the nervous system less capable of directing muscles how to move, similar to an old computer that’s no longer as fast or reliable, leading to decreased motor efficiency and making elderly people less explosive.

p.15
Connective Tissue Strength and Injury Risk

What is one important reason for the loss of connective tissue strength with age?

One important reason for the loss of connective tissue strength with age is the loss of growth hormone production, which is required to maintain high rates of protein synthesis in connective tissue.

p.1
Strength Training Considerations for the Elderly

What are some key considerations for strength training in the elderly?

Key considerations include focusing on lower intensity, higher volume, and exercises that improve balance and functional strength.

p.24
Strength Training Considerations for the Elderly

How can elderly trainees benefit from high-frequency training?

Elderly trainees can benefit from high-frequency training as it is an effective way to increase training volume while mitigating fatigue per session. However, it is important to keep the total weekly training volume reasonable for the individual's training level.

p.8
Health Conditions and Exercise Recommendations

What is considered a panacea for maintaining a long and muscular life?

Exercise is considered a panacea for maintaining a long and muscular life.

p.9
Anabolic Resistance

How can anabolic resistance be managed effectively?

By staying lean and healthy, continuing strength training, and with special nutritional program design.

p.24
Strength Training Considerations for the Elderly

According to a 2011 meta-analysis, what factor does not influence muscle growth independently of training volume in elderly trainees?

Training frequency does not influence muscle growth independently of training volume in elderly trainees.

p.14
Motor Performance Decline with Age

How does the body compensate for the degradation of motor neurons and myelin?

The body compensates by 'sprouting', which involves connecting the remaining motor axons together to form larger motor units.

p.9
Anabolic Resistance

What are the primary causes of anabolic resistance?

Inactivity and aging, though carb tolerance and inflammation also seem to operate via similar mechanisms.

p.24
Strength Training Considerations for the Elderly

Why is the typical 70-year-old likely to have poorer recovery capacity than the typical 20-year-old?

The typical 70-year-old is likely to have poorer recovery capacity not because they are older, but because they are very deconditioned and in worse shape.

p.25
Health Conditions and Exercise Recommendations

Why might coaches take it very easy with training stress for elderly trainees with health conditions?

Coaches might take it easy due to the daunting nature of working with individuals with serious pathologies and the likely low level of conditioning of these individuals.

p.27
Youth Strength Training Guidelines

Is strength training safe for children?

Yes, strength training is a very safe form of exercise for children, just like it is for adults.

p.6
Strength Training Considerations for the Elderly

According to Roth et al. (2001), what factors do not affect muscle volume response to whole-body strength training?

Neither age nor gender affects muscle volume response to whole-body strength training.

p.14
Motor Performance Decline with Age

By how much can 'sprouting' reduce force production losses?

'Sprouting' can reduce force production losses by up to 50%.

p.10
Anabolic Resistance

What is the ideal number of meals per day for older trainees to maximize protein balance and muscle growth?

2-4 meals a day.

p.1
Nutrition Program Design for the Elderly

What is the primary focus of age-specific programming for the elderly?

The primary focus is to address the unique physiological changes and health conditions associated with aging.

p.9
Anabolic Resistance

How much protein do elderly individuals with anabolic resistance require to maximize muscle protein synthesis compared to young individuals?

Elderly individuals require a higher leucine dose and thus more protein, showing a dose-response increase in protein synthesis up to 45 grams of protein, whereas young individuals experience little further increase beyond 20 grams of high-quality protein.

p.16
Connective Tissue Strength and Injury Risk

Why are older trainees more prone to injury?

Weaker connective tissue makes older trainees considerably more prone to injury.

p.16
Strength Training Considerations for the Elderly

Why might higher rep work be more beneficial for elderly trainees?

Elderly trainees become more type I fiber dominant and less capable of producing high force and power outputs while being at greater risk for connective tissue injury, so higher rep work often provides a better cost-benefit.

p.12
Training Intensity and Volume

What did the 2020 meta-analysis by Straight et al. find about training intensities in elderly trainees?

The 2020 meta-analysis by Straight et al. found that higher training intensities are associated with less muscle growth in elderly trainees.

p.25
Health Conditions and Exercise Recommendations

What does the American Heart Center recommend regarding strength training for individuals with cardiovascular disease?

The American Heart Center recommends strength training for most individuals with or without cardiovascular disease.

p.11
Fat Loss and Metabolic Rate in Older Adults

What factors primarily slow down metabolic rate as we age?

Inactivity and loss of fat-free mass, notably muscle mass, primarily slow down metabolic rate as we age.

p.15
Connective Tissue Strength and Injury Risk

What happens to connective tissue strength in elderly people?

Elderly people have weaker and stiffer connective tissues due to a lower rate of protein turnover, which makes their joints and tendons weaker.

p.19
Training Intensity and Volume

Why do post-menopausal female trainees show greater muscle damage after exercise than younger women?

Due to the sharp decrease in estrogen levels during menopause.

p.1
Connective Tissue Strength and Injury Risk

What role does connective tissue strength play in injury risk for older adults?

Weaker connective tissues increase the risk of injuries, making it important to include exercises that strengthen tendons and ligaments.

p.19
Training Intensity and Volume

What did a 2011 meta-analysis find about elderly trainees' response to training volume?

Elderly trainees have a positive dose-response to training volume with no evidence of detrimental effects at higher volumes.

p.25
Health Conditions and Exercise Recommendations

Do most chronic health conditions require special programming for exercise?

No, most chronic health conditions do not require special programming for exercise.

p.27
Youth Strength Training Guidelines

What are some benefits of strength training for school-aged youth according to a 2023 meta-analysis?

Strength training improved overall cognitive, academic, and on-task behaviors in school-aged youth.

p.3
Sarcopenia and Aging

At what age does sarcopenia typically begin?

Sarcopenia typically begins in the 30s.

p.2
Youth Strength Training Guidelines

What are some guidelines for working with youth in strength training?

Guidelines for youth strength training include focusing on proper technique, using age-appropriate exercises, and ensuring supervision by qualified professionals.

p.18
Strength Training Considerations for the Elderly

What happens to elderly trainees when they perform explosive reps?

They fatigue faster compared to when they perform moderate or slow reps.

p.9
Anabolic Resistance

What is anabolic resistance?

Anabolic resistance refers to a reduced rate of anabolism (protein synthesis) after meals and strength training.

p.10
Anabolic Resistance

Why might higher meal frequencies not maximize protein balance and muscle growth in older adults?

Because they may require a needlessly high total daily protein consumption.

p.9
Anabolic Resistance

What is a primary mechanism of anabolic resistance?

The leucine threshold increases.

p.9
Anabolic Resistance

What did a 2023 systematic review of 38 studies find about leucine dose and muscle protein synthesis?

A meal’s leucine dose didn’t significantly predict muscle protein synthesis in younger lifters, but it did in older (57+ years old) lifters.

p.16
Connective Tissue Strength and Injury Risk

What type of training intensities pose a greater injury risk for older trainees?

High training intensities pose significantly greater injury risk than lower training intensities.

p.16
Strength Training Considerations for the Elderly

What should be considered when prescribing rep targets for elderly trainees?

It’s worth erring on the side of prescribing higher rep targets to avoid overuse injuries and accommodate their type I fiber dominance.

p.5
Sarcopenia and Aging

What do muscle biopsies suggest about the effect of age on muscle tissue?

Muscle biopsies suggest that muscle tissue does not suffer from age per se.

p.27
Youth Strength Training Guidelines

Can prepubertal children build as much muscle mass as adults?

No, prepubertal children cannot build as much muscle mass as adults, but they can achieve significant body recomposition and improve their athletic performance.

p.27
Youth Strength Training Guidelines

Why is purely online coaching not advisable for minors?

Purely online coaching is not advisable for minors because in-person supervision is strongly recommended to ensure appropriate exercise technique and controlled movements.

p.3
Sarcopenia and Aging

At what age do Olympic weightlifters typically peak?

Olympic weightlifters typically peak at age 26.

p.26
Strength Training Considerations for the Elderly

How should training intensity be adjusted in programs designed for elderly individuals?

A lower average training intensity with more reps per set.

p.1
Motor Performance Decline with Age

How does motor performance decline with age?

Motor performance declines due to factors like reduced muscle mass, slower nerve conduction, and decreased coordination.

p.1
Fat Loss and Metabolic Rate in Older Adults

How does aging affect metabolic rate and fat loss?

Aging typically reduces metabolic rate, making it harder to lose fat and maintain a healthy weight.

p.1
Training Intensity and Volume

Why is training intensity and volume important in elderly exercise programs?

Proper intensity and volume are crucial to avoid overtraining and injuries while still providing enough stimulus for muscle maintenance and growth.

p.25
Health Conditions and Exercise Recommendations

Why should individuals with type II diabetes engage in strength training?

Strength training is one of the most effective treatments for type II diabetes.

p.6
Strength Training Considerations for the Elderly

What did Ivey et al. (2000) conclude about muscle growth rates between younger and older trainees?

They concluded that aging does not affect the muscle mass response to either strength training or detraining.

p.3
Sarcopenia and Aging

What is notable about the prime age of top bodybuilders?

Top bodybuilders, as judged by the Mr. Olympia competition, were all in their prime until at least their 30s.

p.26
Strength Training Considerations for the Elderly

What is a key characteristic of repetition tempo in optimal training programs for the elderly?

A slower, more controlled repetition tempo.

p.14
Motor Performance Decline with Age

What happens to spinal motor neuron cells as we age?

Spinal motor neuron cells can die (apoptosis) along with a reduction in the amount and diameter of myelin.

p.10
Anabolic Resistance

What is a key strategy to counteract anabolic resistance in the elderly?

Prescribing fewer, larger meals to induce clear anabolic signals.

p.15
Motor Performance Decline with Age

Why does strength start decreasing rapidly after a certain amount of neuronal damage?

Strength starts decreasing rapidly, 2-5 times faster than muscle mass, because there is only so much function that sprouting can save.

p.1
Anabolic Resistance

Why is it important to consider anabolic resistance in elderly nutrition programs?

Anabolic resistance reduces the body's ability to build muscle, making it crucial to tailor nutrition to enhance muscle protein synthesis.

p.19
Training Intensity and Volume

What is the driving force of strength training adaptations?

Set training volume.

p.19
Training Intensity and Volume

What happens to elderly trainees when they do 6 sets instead of 3 sets per workout for a muscle?

They experience greater increases in protein synthesis and anabolic signaling than younger trainees.

p.12
Nutrition Program Design for the Elderly

What is the recommended approach for energy intake in elderly trainees?

For energy intake, elderly trainees should err on the lower side. After age ~65, it is advised to decrease estimated resting energy intake by 1% for each year up to a maximum of a 20% decrease.

p.7
Strength Training Considerations for the Elderly

What did the 2020 meta-analysis by Straight et al. conclude about muscle growth from strength training after age 60?

The 2020 meta-analysis by Straight et al. concluded that muscle growth from strength training diminishes after age 60, but age only explains about 10% of the variance in muscle growth.

p.27
Youth Strength Training Guidelines

What did a 2023 review on youth athletes conclude about injury rates?

The review concluded that injury rates among youth participants were low and less concerning in well-designed, progressed, supervised, and technique-oriented resistance training programs.

p.25
Health Conditions and Exercise Recommendations

What precaution should coaches take when in doubt about an elderly trainee's ability to exercise?

Have the client cleared for exercise by a medical professional and have them sign a legal disclaimer.

p.27
Youth Strength Training Guidelines

How do youths handle training volumes compared to adults?

Physiologically speaking, youths may handle higher training volumes than adults as they suffer less muscle damage and neuromuscular fatigue from a given workout.

p.2
Training Intensity and Volume

How should training volume be adjusted for the elderly?

Training volume should be adjusted to match the individual's recovery capacity and overall fitness level, often requiring lower volume compared to younger individuals.

p.13
Strength Training Considerations for the Elderly

What is a significant reason high-intensity training may not be worth it for elderly trainees?

High-intensity training may not be worth it for elderly trainees due to the preferential loss of type II fibers and motor units, which makes them more slow-twitch dominant.

p.23
Training Intensity and Volume

What is the recommended adjustment to the Recovery Factor for every decade of life starting at age 50?

Decrease the Recovery Factor by 0.12 for every decade of life starting at age 50.

p.5
Sarcopenia and Aging

What are the primary causes of sarcopenia according to Kim et al. (2010)?

The primary causes of sarcopenia include a sedentary lifestyle and malnutrition.

p.6
Sarcopenia and Aging

What did Wroblewski et al. (2015) find in their research on high-level masters athletes?

They found no significant loss of lean body mass or strength from 40 to 81 years of age in people that kept exercising.

p.27
Youth Strength Training Guidelines

What are some guidelines for strength training with minors?

1. Strongly emphasize appropriate exercise technique and controlled movements. In-person supervision is strongly recommended. 2. Don’t go below 5 reps per set or above 85% of 1RM. 3. Don’t perform strength training more than every other day or 4x per week. 4. Err on the side of minimally effective training volumes.

p.2
Training Intensity and Volume

Why is training intensity important for the elderly?

Training intensity is important to ensure that the exercises are challenging enough to stimulate muscle growth and strength gains.

p.1
Health Conditions and Exercise Recommendations

What are some health conditions that should be considered when designing exercise programs for the elderly?

Conditions like osteoporosis, arthritis, and cardiovascular diseases should be considered to ensure safety and effectiveness.

p.16
Training Intensity and Volume

Can elderly trainees spend most of their training time at lower intensities?

Yes, elderly trainees can generally spend most of their training time at lower intensities if strength is not a primary goal.

p.7
Strength Training Considerations for the Elderly

What is the overall conclusion about starting strength training later in life?

It's never too late to start lifting. While competing with the best of the best in the world may not be realistic after age 40, you can always stay lean and likely retain the majority of your muscle mass all the way into your 80s.

p.25
Health Conditions and Exercise Recommendations

What should be done for individuals with very serious acute health conditions before they start exercising?

Ensure the individual is cleared for exercise by a medical professional.

p.27
Youth Strength Training Guidelines

How often should strength training be performed for minors?

Strength training should not be performed more than every other day or 4 times per week.

p.2
Strength Training Considerations for the Elderly

What are important factors in strength training for the elderly?

Important factors include focusing on safety, using appropriate resistance levels, and incorporating exercises that improve balance and functional strength.

p.2
Connective Tissue Strength and Injury Risk

Why is connective tissue strength important for the elderly?

Connective tissue strength is important to reduce the risk of injuries and maintain joint stability and overall mobility.

p.5
Sarcopenia and Aging

At what age does muscle mass begin to decline in the general population?

Muscle mass begins to decline steadily starting at age 20.

p.6
Strength Training Considerations for the Elderly

What did Roth et al. (2001) find about muscle gain in elderly men and women aged 65-75 years?

They found that elderly men and women gained just as much muscle as men and women in their 20s during 6 months of strength training.

p.2
Sarcopenia and Aging

What is sarcopenia?

Sarcopenia is the loss of muscle mass and strength that occurs with aging.

p.2
Motor Performance Decline with Age

How does aging affect motor performance?

Aging can lead to decreased motor performance, including slower reaction times and reduced coordination.

p.4
Strength Training Considerations for the Elderly

According to Lowndes et al. (2009), is there a relation between age and the rate of muscle growth or isometric strength development in 18- to 39-year-olds?

No, there is no relation between age and the rate of muscle growth or isometric strength development.

p.13
Motor Performance Decline with Age

Why does maximum voluntary muscle activation decrease with age?

Maximum voluntary muscle activation decreases with age due to lower motor neuron firing rates and greater antagonist co-activation.

p.16
Connective Tissue Strength and Injury Risk

What percentage of 1RM is recommended to strengthen connective tissues in elderly trainees?

Some loading over 70% of 1RM is recommended to strengthen connective tissues.

p.25
Health Conditions and Exercise Recommendations

What is the general benefit of exercise for elderly individuals with health conditions?

Exercise benefits almost all common health conditions and is considered the closest thing to a panacea.

p.2
Fat Loss and Metabolic Rate in Older Adults

How does aging affect fat loss?

Aging can make fat loss more challenging due to a slower metabolic rate and changes in hormone levels.

p.2
Sarcopenia and Aging

What is preferential type II fiber loss?

Preferential type II fiber loss refers to the greater loss of fast-twitch muscle fibers compared to slow-twitch fibers as people age.

p.2
Training Intensity and Volume

What is the recommended training frequency for the elderly?

The recommended training frequency for the elderly typically includes 2-3 strength training sessions per week, allowing for adequate recovery.

p.13
Strength Training Considerations for the Elderly

How does the loss of type II fibers affect elderly individuals' response to different types of training?

Elderly individuals may gain more from high-rep sets and less from low-rep sets due to becoming more slow-twitch dominant.

p.2
Anabolic Resistance

What is anabolic resistance?

Anabolic resistance is the reduced ability of older adults to build muscle in response to protein intake and resistance exercise.

p.3
Sarcopenia and Aging

At what age do powerlifters typically reach their prime?

Powerlifters typically reach their prime at age 35.

p.2
Strength Training Considerations for the Elderly

What is the significance of repetition tempo in training for the elderly?

Repetition tempo can affect muscle activation and control, making it an important factor in ensuring effective and safe strength training.

p.13
Sarcopenia and Aging

What happens to type II muscle fibers with age?

Type II muscle fibers atrophy and eventually completely denervate with age, leading to a decrease in type II fiber counts by 25-60%.

p.13
Motor Performance Decline with Age

What happens to neuromuscular junctions with age?

Neuromuscular junctions become unstable with age, leading to impaired signal transfer from the motor cortex to muscles.

p.5
Sarcopenia and Aging

Why do powerlifters and bodybuilders stay in their prime until age 40 despite general muscle mass decline starting at age 20?

Because age is not the primary determinant of sarcopenia; disuse is.

p.25
Health Conditions and Exercise Recommendations

How does strength training benefit individuals undergoing cancer treatment?

Strength training reduces the side effects of cancer and its common treatments.

p.2
Nutrition Program Design for the Elderly

What are key considerations for designing a nutrition program for the elderly?

Key considerations include ensuring adequate protein intake, managing caloric needs, and addressing any specific health conditions.

p.13
Motor Performance Decline with Age

What is one effect of aging on the nervous system's motor performance?

With age, the nervous system’s motor performance decreases, resulting in impaired and more variable motor unit action potential discharge rates and slower muscle fibers.

p.17
Strength Training Considerations for the Elderly

What is a conservative strategy for general health and body recomposition in terms of training for elderly individuals?

Perform most training in the 20-30RM range.

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