The VE group consisted of 8 women and 12 men (age 69.6 ± 3.9 years; weight 70.7 ± 12.1 kg; height 161.3 ± 6.9 cm). The control group consisted of 6 women and 14 men (age 71.2 ± 3.7 years; weight 76.1 ± 12.3 kg; height 167.5 ± 9.8 cm). Only 20 subjects of the VE group and 8 of the control group correctly completed the trials (see Figure 1 and Limitation of the Study paragraph). Adherence to protocol of the VE group was checked daily by our motor scientist by means of a daily record where he noted the week and participation number, the mean HR of the sessions, the type of exercises, and the number of repetitions per set carried out. During the training period, no adverse events such as dizziness, musculoskeletal pain, or cardiovascular issues were recorded. After 12 weeks, there were significant improvements in strength, flexibility, balance, and agility tested by SFT. T0-T1 differences are shown in Figures ​Figures22 and ​and3.3. Namely, 5 tests out of 6 showed significant improvement: Chair Stand (T0 12.4 ± 2.4; T1 13.5 ± 2.6, p < 0.01), Arm Curl (T0 14.2 ± 3.6; T1 16.6 ± 3.6, p < 0.01), 2 min step (T0 98.2 ± 15.7; T1 108.9 ± 16.2, p < 0.01), Chair Sit-and-Reach (T0 −9.9 ± 7.7 cm; T1 1.7 ± 6.3 cm, p < 0.01), and Back Scratch (T0 −15.8 ± 10.9 cm; T1 −8.4 ± 13.1 cm, p < 0.01). Conversely, the 8-foot up and go test (T0 6.5 ± 7.6 sec; T1 4.5 ± 0.6 sec, p > 0.05) showed no significant statistical difference due to a high SD in T0 assessment.
2. On Super Slow, you should be using about as much resistance as you use on a traditional strength training workout. A traditional strength training set is 10 repetitions at a speed of 2 seconds up and 2 seconds down per repetition. That's 40 seconds per working set. 2-4 Super Slow repetitions, at 10 seconds up and 10 seconds down, is 40-80 seconds, or at most twice as much time. At that pace, if you could handle 100 pounds at 10 reps of 2/2 you should be able to handle 100 pounds for 3 reps of 10/10.
It is well known that exercise in the older population may prevent several diseases [1–4]. Reduced physical activity impairs the quality of life in elderly people with Alzheimer's Disease [4], Parkinson's Disease [5], and Depressive Disorders [6]. Moreover, musculoskeletal, cardiopulmonary, and cerebrovascular decline are associated with poor physical fitness because of the cumulative effects of illness, multiple drug intake, fatigue, and bed rest [7, 8]. The effects of physical activity and exercise programs on fitness and health-related quality of life (HRQOL) in elderly adults have been widely studied by several authors [9–11]. De Vries et al. [11] conducted a meta-analysis focusing on elderly patients with mobility problems and/or multimorbidity. Eighteen articles describing a wide variety of actions were analyzed. Most used a multicomponent training program focusing on the combination of strength, balance, and endurance training. In 9 of the 18 studies included, interventions were supervised by a physical therapist. Intensity of the intervention was not reported and the duration of the intervention varied from 5 weeks to 18 months. This meta-analysis concluded that, considering quality of life, the exercise versus no-exercise studies found no significant effects. High-intensity exercise appears to be somewhat more effective in improving physical functioning than low-intensity exercise. These positive effects are of great value in the patient population but the most effective type of intervention remains unclear. Brovold et al. [7] recently examined the effects of high-intensity training versus home-based exercise programs using the Norwegian Ullevaal Model [12] on a group of over-65-year-olds after discharge from hospital. These authors based their study on the Swedish Friskis-Svettis model [13] which was designed by Johan Holmsater for patients with coronaropathy to promote their return to work and everyday activities and improve their prognoses. This model includes three intervals of high intensity and two intervals of moderate intensity, each one lasting for 5 to 10 minutes. Included in each is coordination. Exercises consist of simple aerobic dance movements and involve the use of both upper and lower extremities to challenge postural control [13]. Exercise intensity was adjusted using the Borg Rating of Perceived Exertion (RPE) Scale. Moderate intensity was set between 11 and 13, and high intensity was set between 15 and 17 on the Borg Scale.
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