Effect of high-intensity resistance exercise on cardiometabolic health in older men with osteosarcopenia: the randomised controlled Franconian Osteopenia and Sarcopenia Trial (FrOST)

Kemmler W, Kohl M, von Stengel S, Schöne D (2020)

Publication Type: Journal article

Publication year: 2020

Journal

BMJ Open Sport and Exercise Medicine BMJ Publishing Group

Book Volume: 6

Journal Issue: 1

DOI: 10.1136/bmjsem-2020-000846

Abstract

ObjectivesSarcopenia is related to the metabolic syndrome (MetS), a cluster of cardiometabolic risk-factors (CRF). Most exercise trials apply aerobic rather than resistance exercise to address CRF, while the strategy for maintaining muscle and bone is the opposite. However, there is considerable evidence that resistance exercise positively affects CRF. In the present study, we determined the effect of high-intensity resistance exercise training (HIT-RT) on CRF represented by the MetS in older men.MethodsForty-three osteosarcopenic and predominately obese older men (>72 years) living independently in Erlangen-Nurnberg, Germany were randomly assigned to two study arms. The HIT-RT group (n=21) conducted a periodised high intensity/effort protocol dedicated to muscle and bone mass and function two times per week, while the control group (CG: n=22) maintained their habitual physical activities. Both groups were supplemented with protein, cholecalciferol and calcium. Study outcomes presented here were the MetS-Z (MetSZ) score and its underlying risk-factors.ResultsAfter 18 months of intervention, we observed significant effects for the MetSZ score (p<0.001), with significant improvements in the HIT-RT and significant worsening in the CG. In detail, all parameters constituting the MetS contributed to this result, however, only waist-circumference, HDL-cholesterol and mean arterial blood pressure revealed significant effects. No adverse events were reported and high adherence was determined for the HIT-RT-protocol.ConclusionContinuously supervised HIT-RT is an effective, attractive, feasible and safe method to address cardiometabolic risk factors in community-dwelling men aged 72 years and older. Further, considering the proven effects on musculoskeletal risk factors, the present results indicate a more prominent role for HIT-RT within non-pharmacological prevention strategies of older adults.Trial registration numberNCT03453463.

Authors with CRIS profile

Wolfgang Kemmler Lehrstuhl für Medizinische Physik und Mikrogewebetechnik Simon von Stengel Lehrstuhl für Medizinische Physik und Mikrogewebetechnik Daniel Schöne Lehrstuhl für Medizinische Physik und Mikrogewebetechnik

Involved external institutions

Hochschule Furtwangen DE Germany (DE)

How to cite

APA:

Kemmler, W., Kohl, M., von Stengel, S., & Schöne, D. (2020). Effect of high-intensity resistance exercise on cardiometabolic health in older men with osteosarcopenia: the randomised controlled Franconian Osteopenia and Sarcopenia Trial (FrOST). BMJ Open Sport and Exercise Medicine, 6(1). https://doi.org/10.1136/bmjsem-2020-000846

MLA:

Kemmler, Wolfgang, et al. "Effect of high-intensity resistance exercise on cardiometabolic health in older men with osteosarcopenia: the randomised controlled Franconian Osteopenia and Sarcopenia Trial (FrOST)." BMJ Open Sport and Exercise Medicine 6.1 (2020).

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