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研究生: 張立盈
Li-Ying Chang
論文名稱: 環狀式油壓阻力訓練對於老年女性 肌少症之效益
Effects of hydraulic-resistance circuit training for sarcopenia elder women
指導教授: 相子元
Shiang, Tzyy-Yuang
學位類別: 碩士
Master
系所名稱: 運動競技學系
Department of Athletic Performance
論文出版年: 2012
畢業學年度: 100
語文別: 中文
論文頁數: 103
中文關鍵詞: 老化爆發力最大等長肌力心肺耐力握力
英文關鍵詞: aging, power, maximal isometric voluntary contraction strength, cardiopulmonary endurance, grip
論文種類: 學術論文
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目的:探討12週油壓阻力訓練前、後,以及伴隨一個月不運動對於老年女性肌少症之功能性體適能、肌肉型態和爆發力影響。方法:招募65歲以上肌少症老年女性,隨機分配成運動組和控制組各12名,透過老年人功能性體適能電子測量儀、超音波和等速肌力儀進行測量。使用二因子混合設計觀察2組別和前、後測表現,並以相依樣本t檢定分析運動組前、後測和1個月不運動後之間差異(α =. 05)。結果:運動組30秒站立、2.44公尺坐起繞物、功能性前伸以及2分鐘踏步明顯改善;RF肌肉厚度和VL在肌肉收縮時之肌束長度顯著增加;爆發力大幅提升。經一個月不運動後坐椅體前彎和2分鐘踏步顯著衰退;RF肌肉厚度持續增加;VL肌束長度顯著減少;爆發力顯著退步。結論:經12週訓練對於RFD和MT均有顯著進步,受到肌肉神經系統功能改善,加快肌纖維之徵招,隨後肌肉組織開始增生和肥大,大幅提升整體功能性體適能表現。

Purpose: This study examined the influence of hydraulic-resistance circuit training and short-term detraining on the senior fitness, muscle architecture and rate of force development (RFD) for sarcopenia elder women. Methods: The subjects are 24 sarcopenia elder women who are evenly divided into hydraulic group (HDRE) and control group (CON). Subjects were examined by the senior fitness test, ultrasound and the biodex isokinetic dynamometer. Two factors mixed design (two-way ANOVA) was used to analyze pre- and post-tests between groups, and paired-samples t test was used to analyze pre-, post- and detraining-tests, significant level was set α=.05. Results: After 12 weeks hydraulic-resistance circuit training, the 30 seconds sit to stand test, the 2.44 meters up and go test, the functional reach test and the 2 minutes step were significantly increased. The thickness of rectus femoris (RF) were significantly increased, but fascicle length of the vastus lateralis (VL) was significantly decreased. RFD and impulse were significantly increased. Conclusions: RFD and muscle thickness were increased significantly after 12 weeks hydraulic resistance training. Hydraulic resistance circuit training could be beneficial to neuromuscular system functions. It shows that HDRE training could increase immediately for the recruitment of muscle fibers and be hypertrophy later. Therefore hydraulic circuit training could be the economic way to improve the functional fitness of the elderly women.

中文摘要 i 英文摘要 ii 致謝詞 iii 目次 iv 表次 vi 圖次 vii 第壹章 緒論 01 一、研究背景 01 二、研究問題 09 三、研究目的 10 四、研究假設 11 五、研究限制 12 六、名詞操作性定義 12 七、研究的重要性 14 第貳章 文獻探討 15 一、肌少症和肌肉型態學 15 (一)不同年齡層之肌少症盛行率 15 (二)肌少症之產生機制與分期 18 (三)安靜和動態收縮下肌肉型態變化情形 21 二、爆發力和功能性體適能表現 23 (一)爆發力和功能性體適能重要性 23 三、油壓阻力訓練 26 (一)短期油壓阻力訓練立即的效果 26 (二)長期油壓阻力訓練對於學童、年輕人和殘疾者效果 27 (三)長期油壓阻力訓練對老年人效果 27 六、文獻總結 29 第參章 研究方法 30 一、實驗對象與地點 30 二、實驗儀器與設備 30 三、實驗步驟 33 (一)身體組成測量 33 (二)下肢瞬發力測量 33 (三)肌肉型態測量 34 (四)老人功能性體適能測量 36 四、實驗流程 40 五、資料處理與統計分析 43 第肆章 結果 44 一、受試者基本資料 44 二、測量參數 44 第伍章 討論 72 一、老年人功能性體適能差異 72 二、下肢肌肉型態、肌力和瞬發力表現 75 三、結埨 80 四、建議 81 引用文獻 82 附錄一 受試者須知暨同意書 90 附錄二 受試者基本資料 93 個人小傳 95 圖次 圖1-1-1-1 台灣地區未來幼年、青壯年及高齡人口比率 02 圖1-6-3-1 股外側肌之肌肉型態變化情形 13 圖2-1-2-1 股外側肌肌肉纖維數量變化情形 17 圖2-1-2-2 不同年齡層以核磁共振下大腿肌肉型態表現 17 圖2-1-2-3 不同年齡層最大肌力比較 18 圖2-1-3-1 肌少症的產生機制圖 19 圖2-1-3-2 肌少症判定流程 19 圖3-2-1-1 握力器 31 圖3-2-2-1 生物電阻儀器 31 圖3-2-3-1 等速肌力儀 32 圖3-2-4-1 即時超音波影像儀器 32 圖3-3-3-1 即時超音波實際測量情況 35 圖3-3-3-2 即時超音波影像 35 圖3-3-3-3 ImageJ軟體計算肌束角度和長度 36 圖3-3-4-1 開眼單足立測驗 36 圖3-3-4-2 坐椅體前彎測驗 37 圖3-3-4-3 坐起繞物測驗 38 圖3-3-4-4 30秒坐站測驗 38 圖3-3-4-5 2分鐘踏步測驗 39 圖3-3-4-6 功能性前伸測驗 39 圖3-4-1-1 實驗流程圖 40 圖3-4-2-2 油壓器材擺放方式 40 圖4-2-2-3 肌力指數 60 表次 表1-1-3-1不同地區之老年人肌少症盛行率 05 表1-1-3-2美國境內老年肌少症之相關統計資料 05 表2-1-1-1不同年齡層之肌少症比率 16 表2-1-3-1肌少症產生機制 18 表2-1-3-2肌少症之分期 19 表2-4-1-1短期油壓阻力訓練立即的效果 27 表2-4-2-1長期油壓阻力訓練對於學童、年輕人和殘疾者效果 27 表2-4-3-1長期油壓阻力訓練對老年人效果 28 表3-4-2-1六台油壓阻力器材次序 41 表3-4-3-1老年人運動處方設定 42 表3-4-3-2 RPE自覺量表 42 表4-1-1-1各組受試者身體組成 44 表4-2-1-1功能性體適能項目 45 表4-2-2-1肌肉型態之肌肉厚度 50 表4-2-2-2肌肉型態之肌束角度和肌束長度 56 表4-2-2-4瞬發力和衝量 60 表4-2-2-5身體組成和高齡者體適能指標之統計分析結果 69 表4-2-2-6肌肉型態指標之統計分析結果 70 表4-2-2-7瞬發力和衝量之統計分析結果 71

內政部社會司 (2007) 。我國長期照顧十年計畫-大溫暖社會福利套案之旗艦計畫。2012年2月1日,取自行政院,內政部社會司網址http://sowf.moi.gov.tw/newpage/tenyearsplan.htm
江瑞坤、鄭宇翔、陳欣欣、陳淑娟、蔡坤維 (2006) 。雲嘉老人跌倒之研究。台灣老年醫學雜誌,1,174-81。
佐藤祐造 (2003) 。「高齢者運動処方-理論と実践-」高齢糖尿病患者。The Japanese Society of Physical Fitness and Sport Medicine,52 (1) ,7-8。
李尹鑫、張家豪、王宏正 (2010) 。以測力板檢測中、老年人靜態平衡能力。華人運動生物力學期刊,2 (1) ,16-21。
李成喆、竹島伸生 (2009) 。高齢者における油圧マシンを用いたレジスタンス運動の有用性 に関する研究 (未出版碩士論文) 。名古屋市立大学,日本。
李佳倫、鄭景峰 (2010) 。臺灣老年人身體活動量與功能性體適能的關係。大專體育學刊,12 (4) ,79-89。
李芸慧、相子元(2010) 。油壓與傳統訓練器材之動力學分析 (未出版碩士論文) 。國立台灣師範大學運動科學研究所,台北市。
李海鹏、丁树哲、卢健、陈彩珍 (2008) 。Sarcopenia的健康维护成本及应对策略。西安体育学院学报,25 (6) ,82-86。
林俊達 (2007) 。優秀男子拔河選手增強式肌力訓練效果之生物力學分析 (未出版碩士論文) 。國立屏東教育大學,屏東縣。
林益安、陳淑枝、許美智 (2010) 。阻力訓練對糖尿病相關指標之影響。輔仁大學體育學刊,9,259-273。
邱東貴 (2000) 。體重控制與身體組成。淡江體育特刊,109-116。
唐翔威、林珮欣、鄭惠信、劉栩含、劉守莊、黃美涓 (2008) 。台灣地區不同健康狀況社區居住老年人下肢膝伸直肌力和三十秒坐站測試之間的關係。物理治療,33 (5) ,287-293。
徐錦興、曹德弘 (2009) 。骨骼肌減少症 (Sarcopenia) 及肌力訓練對老年人肌肉適能的影響。中華體育季刊,23 (2) ,20-26。
秦毛漁、盧德發、吳美惠 (2008) 。社區老人跌倒相關因素之探討。護理雜誌,55 (3) ,39-48。
彭千華、劉宇 (2005) 。老年人肌力流失與肌肉疲勞的肌電圖與肌動圖研究 (未出版碩士論文) 。中國文化大學運動教練研究所,台北市。
謝昌成、蔡坤維、劉鎮嘉 (2007) 。老年人的跌倒問題。基層醫學,22 (10) ,352-357。
行政院經濟建設委員會人力規劃處 (2011) 。「2010年至2060年臺灣人口推計」報告。台北市:行政院經濟建設委員會。
Aagaard, P., Simonsen, E. B., Andersen, J. L., Magnusson, P., & Dyhre-Poulsen, P. (2002). Increased rate of force development and neural drive of human skeletal muscle following resistance training. Journal of Applied Physiology, 93(4), 1318-1326.
Abe, T., Sakamaki, M., Yasuda, T., Bemben, M. G., Kondo, M., Kawakami, Y., & Fukunaga, T. (2011). Age-related, site-specific muscle loss in 1507 Japanese men and women aged 20 to 95 years. Journal of Sports Science and Medicine, 10, 145-150.
Akagi, R., Kanehisa, H., Kawakami, Y., & Fukunaga, T. (2008). Establishing a new index of muscle cross-sectional area and its relationship with isometric muscle strength. Journal of Strength & Conditioning Research, 22(1), 82-87.
Al Snih, S., Markides, K. S., Ottenbacher, K. J., & Raji, M. A. (2004). Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clinical and Experimental Research, 16(6), 481-486.
Alegre, L. M., Jimenez, F., Gonzalo-Orden, J. M., Martin-Acero, R., Aguado, X. (2006). Effects of dynamic resistance training on fascicle length and isometric strength. Journal of Sports Science and Medicine, 24, 501–508.
Alexander, N. B., Gross, M. M., Medell, J. L., & Hofmeyer, M. R. (2001). Effects of functional ability and training on chair-rise biomechanics in older adults. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(9), 538-547.
Andersen, J. L., & Aagaard, P. (2000). Myosin heavy chain IIX overshoot in human skeletal muscle. Muscle & Nerve, 23(7), 1095-1104.
Andersen, L. L., Andersen, J. L., Zebis, M. K., & Aagaard, P. (2010). Early and late rate of force development: differential adaptive responses to resistance training? Scandinavian Journal of Medicine & Science in Sports, 20(1), e162-e169. doi: 10.1111/j.1600-0838.2009.00933.x
Baechle, T. R. (1994). Essential of strength training and conditioning. Champaign, IL: Human Kinetics
Balagopal, P., Rooyackers, O. E., Adey, D. B., Ades, P. A., & Nair, K. S. (1997). Effects of aging on in vivo synthesis of skeletal muscle myosin heavy-chain and sarcoplasmic protein in humans. American Journal of Physiology-Endocrinology And Metabolism, 273(4), 790-800.
Ballor, D. L., Becque, M. D., & Katch, V. L. (1987). Metabolic responses during hydraulic resistance exercise. Medicine & Science in Sports & Exercise, 19(4), 363-367.
Bassey, E. J., Fiatarone, M. A., O'Neill, E. F., Kelly, M., Evans, W. J., & Lipsitz, L. A. (1992). Leg extensor power and functional performance in very old men and women. Clinical Science, 82(3), 321-327.
Baumgartner, R. N., Koehler, K. M., Gallagher, D., Romero, L., Heymsfield, S. B., Ross, R. R., et al. (1998). Epidemiology of sarcopenia among the elderly in New Mexico. American Journal of Epidemiology, 147(8), 755-763.
Behm, D. G., & Sale, D. G. (1993). Intended rather than actual movement velocity determines velocity-specific training response. Journal of Applied Physiology, 74(1), 359-368.
Blazevich, A. J., Cannavan, D., Coleman, D. R., & Horne, S. (2007). Influence of concentric and eccentric resistance training on architectural adaptation in human quadriceps muscles. Journal of Applied Physiology, 103(5), 1565-1575.
Blazevich, A. J., Gill, N. D., Bronks, R., & Newton, R. U. (2003). Training-specific muscle architecture adaptation after 5-wk training in athletes. Medicine & Science in Sports & Exercise, 35(12), 2013-2022.
Bleakney, R., & Maffulli, N. (2002). Ultrasound changes to intramuscular architecture of the quadriceps following intramedullary nailing. Journal of Sports Medicine and Physical Fitness, 42(1), 120-125.
Blimkie, C., Rice, S., Webber, C., Martin, J., Levy, D., & Gordon, C. (1996). Effects of resistance training on bone mineral content and density in adolescent females. Canadian Journal of Physiology and Pharmacology, 74(9), 1025-1033.
Bompa, O. T. (1999). Periodization training for sports: Program for peak strength in 35 sport. Champaign, IL: Human Kinetics.
Bottaro, M., Machado, S., Nogueira, W., Scales, R., Veloso, J. ( 2007). Effect of high versus low-velocity resistance training on muscular fitness and functional performance in older men. European Journal of Applied Physiology, 99(3), 257-264
Bottinelli, R., Canepari, M., Pellegrino, M. A., & Reggiani, C. (1996). Force-velocity properties of human skeletal muscle fibres: Myosin heavy chain isoform and temperature dependence. Journal of Physiology, 495(Pt 2), 573-586.
Brooke, M. H., & Kaiser, K. K. (1970). Muscle fiber types: How many and what kind? Archives of Neurology, 23(4), 369-379.
Butterfield, T. A., Leonard, T. R., & Herzog, W. (2005). Differential serial sarcomere number adaptations in knee extensor muscles of rats is contraction type dependent. Journal of Applied Physiology, 99(4), 1352-1358.
Castillo, E. M., Goodman-Gruen, D., Kritz-Silverstein, D., Morton, D. J., Wingard, D. L., & Barrett-Connor, E. (2003). Sarcopenia in elderly men and women: The Rancho Bernardo study. American Journal of Preventive Medicine, 25(3), 226-231.
Chien, M. Y., Huang, T. Y., & Wu, Y. T. (2008). Prevalence of sarcopenia estimated using a bioelectrical impedance analysis prediction equation in community-dwelling elderly people in Taiwan. Journal of The American Geriatrics Society, 56(9), 1710-1715.
Clark, D. J., Patten, C., Reid, K. F., Carabello, R. J., Phillips, E. M., & Fielding, R. A. (2011). Muscle performance and physical function are associated with voluntary rate of neuromuscular activation in older adults. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 66(1), 115-121.
Cruz-Jentoft, A. J., Baeyens, J. P., Bauer, J. M., Boirie, Y., Cederholm, T., Landi, F., . . . Schneider, S. M. (2010). Sarcopenia: European consensus on definition and diagnosis. Age and Ageing, 39(4), 412-423.
De Ruiter, C., Kooistra, R., Paalman, M., & De Haan, A. (2004). Initial phase of maximal voluntary and electrically stimulated knee extension torque development at different knee angles. Journal of Applied Physiology, 97(5), 1693-1701.
Delaney, S., Worsley, P., Warner, M., Taylor, M., & Stokes, M. (2010). Assessing contractile ability of the quadriceps muscle using ultrasound imaging. Muscle & Nerve, 42(4), 530-538.
DeLorme, T. L., & Watkins, A. L. (1948). Technics of progressive resistance exercise. Archives of Physical Medicine and Rehabilitation, 29(5), 263-273.
Dong, K. I. M. J., Shinya, K., Rika, S., Kazumi, M., Kazutaka, A., Takahiko, N., . . . Morihiro, O. (2000). Relationship between reduction of hip goint and thigh muscle and walking ability in elederly people. Japanese Journal of Physical Fitness and Sports Medicine, 49(5), 589-596.
Dousset, E., & Jammes, Y. (2003). Reliability of burst superimposed technique to assess central activation failure during fatiguing contraction. Journal of Electromyography and Kinesiology, 13(2), 103-111.
Foldvari, M., Clark, M., Laviolette, L. C., Bernstein, M. A., Kaliton, D., Castaneda, C., . . . Singh, M. A. F. (2000). Association of muscle power with functional status in community-dwelling elderly women. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(4), 192-199.
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), 146-157.
Fukunaga, T., Ichinose, Y., Ito, M., Kawakami, Y., & Fukashiro, S. (1997). Determination of fascicle length and pennation in a contracting human muscle in vivo. Journal of Applied Physiology, 82(1), 354-358.
Genaro, P. S. (2010). Dietary intake and bonemineral metabolism in elderly women with sarcopenia (Unpublished doctoral dissertation).University of Sao Paulo, Brazil.
Gettman, L. R., & Pollock, M. L. (1981). Circuit weight training: A critical review of its physiological benefits. Journal of Sports Medicine and Physical Fitness, 9, 44-60.
Gillette-Guyonnet, S., Nourhasshemi, F., Andrieu, S., Cantet, C., Albarede, J. L., Vellas, B., & Grandjean, H. (2003). Body composition in French women 75+ years of age: The EPIDOS study. Mechanism of Aging and Development, 124, 311-16.
Gordon, N. F., Kohl, H. W., Villegas, J. A., Pickett, K. P., Vaandrager, H., & Duncan, J. J. (1989). Effect of rest interval duration on cardiorespiratory responses to hydraulic resistance circuit training. Journal of Cardiopulmonary Rehabilitation and Prevention, 9(8), 325-330.
Guralnik, J. M., Ferrucci, L., Pieper, C. F., Leveille, S. G., Markides, K. S., Ostir, G. V., . . . Wallace, R. B. (2000). Lower extremity function and subsequent disability. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(4), M221-M231. doi: 10.1093/gerona/55.4.M22
Haennel, R., Teo, K. K., Quinney, A., & Kappagoda, T. (1989). Effects of hydraulic circuit training on cardiovascular function. Medicine & Science in Sports & Exercise, 21(5), 605-612.
HÄKkukinen, K., Komi, P. V., & AlÉN, M. (1985). Effect of explosive type strength training on isometric force- and relaxation-time, electromyographic and muscle fibre characteristics of leg extensor muscles. Acta Physiologica Scandinavica, 125(4), 587-600.
Iannuzzi, S. M., Prestwood, K. M., & Kenny, A. M. (2002). Prevalence of sarcopenia and predictors of skeletal muscle mass in healthy, older men and women. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56, 1710-1715.
Ivanović, J., Dopsaj, M., Ćopić, N., & Nešić, G. (2011). Is there a relation between maximal and explosive leg extensors isometric force? Facta universitatis-series. Physical Education and Sport, 9(3), 239-254.
Jacobs, I., Bell, D., Pope, J., & Lee, W. (1987). Effects of hydraulic resistance circuit training on physical fitness components of potential relevance to+ Gz tolerance. Aviation, Space, and Environmental Medicine, 58(8), 754-760.
Janssen, I., Baumgartner, R. N., Ross, R., Rosenberg, I. H., & Roubenoff, R. (2004). Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. American Journal of Epidemiology, 159(4), 413-421.
Janssen, I., Heymsfield, S. B., & Ross, R. (2002). Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. Journal of The American Geriatrics Society, 50(5), 889-896.
Katch, F. I., Freedson, P. S., & Jones, C. A. (1985). Evaluation of acute cardiorespiratory responses to hydraulic resistance exercise. Medicine & Science in Sports & Exercise, 17(1), 168-173.
Kawakami, Y., Abe, T., & Fukunaga, T. (1993). Muscle-fiber pennation angles are greater in hypertrophied than in normal muscles. Journal of Applied Physiology, 74(6), 2740-2744.
Kawakami, Y., Abe, T., Kuno, S. Y., & Fukunaga, T. (1995). Training-induced changes in muscle architecture and specific tension. European Journal of Applied Physiology and Occupational Physiology, 72(1), 37-43.
Kim, T., Yang, S., Yoo, H., Lim, K., Kang, H., Song, W., . . . Baik, S. (2009). Prevalence of sarcopenia and sarcopenic obesity in Korean adults: The Korean Sarcopenic Obesity Study. International Journal of Obesity, 33(8), 885-892.
Larsson, L., Yu, F., Höök, P., Ramamurthy, B., Marx, J. O., & Pircher, P. (2001). Effects of aging on regulation of muscle contraction at the motor unit, muscle cell, and molecular levels. International Journal of Sport Nutrition and Exercise Metabolism, 11, 28-43.
Lau, E., Lynn, H. S. H., Woo, J. W., Kwok, T. C. Y., & Melton, L. J. (2005). Prevalence of and risk factors for sarcopenia in elderly Chinese men and women. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(2), 213-216.
Lauretani, F., Russo, C. R., Bandinelli, S., Bartali, B., Cavazzini, C., Di Iorio, A., . . . Ferrucci, L. (2003). Age-associated changes in skeletal muscles and their effect on mobility: An operational diagnosis of sarcopenia. Journal of Applied Physiology, 95(5), 1851-1860.
Lee, S. C., Islam, M. M., Rogers, M. E., Kusunoki, M., Okada, A., & Takeshima, N. (2011). Effects of hydraulic-resistance exercise on strength and power in untrained healthy older adults. Journal of Strength & Conditioning Research, 25(4), 1089-1097.
Lexell, J., Taylor, C. C., & Sjostrom, M. (1988). 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. Journal of The Neurological Sciences, 84(2-3), 275-294.
Lieber, R. L., & Fridén, J. (2001). Clinical significance of skeletal muscle architecture. Clinical Orthopaedics and Related Research, 383, 140-151.
Lord, S. R., Ward, J. A., & Williams, P. (1996). Exercise effect on dynamic stability in older women: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 77(3), 232-236.
Lynn, R., & Morgan, D. L. (1994). Decline running produces more sarcomeres in rat vastus intermedius muscle fibers than does incline running. Journal of Applied Physiology, 77(3), 1439-1444.
Maffiuletti, N. A., Bizzini, M., Widler, K., & Munzinger, U. (2010). Asymmetry in quadriceps rate of force development as a functional outcome measure in TKA. Clinical Orthopaedics and Related Research, 468(1), 191-198.
Mcardle, W. D., & Foglia, G. F. (1969). Energy cost and cardiorespiratory stress of isometric and weight training exercise. Journal of Sports Medicine and Physical Fitness, 9(1), 23-30.
Mcdmott, A. Y., & Mernitz, H. (2006). Exercise and older patients: Prescribing guidelines. American Family Physician, 74, 437-444.
Melton 3rd, L., Khosla, S., Crowson, C. S., O'Connor, M. K., O'Fallon, W. M., & Riggs, B. L. (2000). Epidemiology of sarcopenia. Journal of The American Geriatrics Society, 48(6), 625-630.
Metter, E. J., Conwit, R., Tobin, J., & Fozard, J. L. (1997). Age-associated loss of power and strength in the upper extremities in women and men. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 52(5), 267-276.
Muhl, Z. F. (1982). Active length‐tension relation and the effect of muscle pinnation on fiber lengthening. Journal of Morphology, 173(3), 285-292.
Narici, M. V., & Maffulli, N. (2010). Sarcopenia: Characteristics, mechanisms and functional significance. British Medical Bulletin, 95(1), 139-159.
Nyland, J., Frost, K., Quesada, P., Angeli, C., Swank, A., Topp, R., & Malkani, A. L. (2007). Self-reported chair-rise ability relates to stair-climbing readiness of total knee arthroplasty patients: A pilot study. Journal of Rehabilitation Research and Development, 44(5), 751-760.
Overend, T. J., Cunningham, D. A., Paterson, D. H., & Lefcoe, M. S. (1992). Thigh composition in young and elderly men determined by computed tomography. Clinical Physiology, 12(6), 629-640.
Petersen, S., Miller, G., Wenger, H., & Quinney, H. (1984). The acquisition of muscular strength: The influence of training velocity and initial VO2 max. Canadian Journal of Applied Sport Sciences, 9(4), 176-180.
Reimers, C. D., Harder, T., & Saxe, H. (1998). Age-related muscle atrophy does not affect all muscles and can partly be compensated by physical activity: An ultrasound study. Journal of The Neurological Sciences, 159(1), 60-66.
Rietdyk, S., Patla, A., Winter, D., Ishac, M., & Little, C. (1999). Balance recovery from medio-lateral perturbations of the upper body during standing. Journal of Biomechanics, 32(11), 1149-1158.
Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129-161.
Rosenberg, I. H. (1997). Sarcopenia: Origins and clinical relevance. Journal of Nutrition, 127(5), 990-991.
Rutherford, O., & Jones, D. (1992). Measurement of fibre pennation using ultrasound in the human quadriceps in vivo. European Journal of Applied Physiology and Occupational Physiology, 65(5), 433-437.
Sayer, A., Syddall, H., Martin, H., Dennison, E., Anderson, F., & Cooper, C. (2006). Falls, sarcopenia, and growth in early life: Findings from the Hertfordshire cohort study. American Journal of Epidemiology, 164(7), 665-671.
Schenkman, M., Riley, P., & Pieper, C. (1996). Sit to stand from progressively lower seat heights-alterations in angular velocity. Clinical Biomechanics, 11(3), 153-158.
Seynnes, O. R., de Boer, M., & Narici, M. V. (2007). Early skeletal muscle hypertrophy and architectural changes in response to high-intensity resistance training. Journal of Applied Physiology, 102(1), 368-373.
Singh, M. A. F. (2002). Exercise comes of age. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57(5), 262-282.
Sipilä, S., & Suominen, H. (1996). Quantitative ultrasonography of muscle: Detection of adaptations to training in elderly women. Archives of Physical Medicine and Rehabilitation, 77(11), 1173-1178.
Skelton, D. A., Greig, C. A., Davies, J. M., & Young, A. (1994). Strength, power and related functional ability of healthy people aged 65–89 years. Age and Ageing, 23(5), 371-377.
Skelton, D. A., Kennedy, J., & Rutherford, O. M. (2002). Explosive power and asymmetry in leg muscle function in frequent fallers and non‐fallers aged over 65. Age and Ageing, 31(2), 119.
Suetta, C., Aagaard, P., Magnusson, S., Andersen, L., Sipila, S., Rosted, A., . . . Kjaer, M. (2007). Muscle size, neuromuscular activation, and rapid force characteristics in elderly men and women: Effects of unilateral long-term disuse due to hip-osteoarthritis. Journal of Applied Physiology, 102(3), 942-948.
Suetta, C., Aagaard, P., Rosted, A., Jakobsen, A. K., Duus, B., Kjaer, M., & Magnusson, S. P. (2004). Training-induced changes in muscle CSA, muscle strength, EMG, and rate of force development in elderly subjects after long-term unilateral disuse. Journal of Applied Physiology, 97(5), 1954-1961.
Suomi, R. (1998). Self-directed strength training: Its effect on leg strength in men with mental retardation. Archives of Physical Medicine and Rehabilitation, 79(3), 323-328.
Takeshima, N., Rogers, M. E., Islam, M. M., Yamauchi, T., Watanabe, E., & Okada, A. (2004). Effect of concurrent aerobic and resistance circuit exercise training on fitness in older adults. European Journal of Applied Physiology, 93(1), 173-182.
Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319(26), 1701-1707.
Tzankoff, S., & Norris, A. (1977). Effect of muscle mass decrease on age-related BMR changes. Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology, 43(6), 1001-1006.
Vandervoort, A. A., & Mccomas, A. J. (1986). Contractile changes in opposing muscles of the human ankle joint with aging. Journal of Applied Physiology, 61(1), 361-367.
Weltman, A., Janney, C., Rians, C. B., Strand, K., & Katch, F. I. (1987). The effects of hydraulic-resistance strength training on serum lipid levels in prepubertal boys. American Journal of Diseases of Children, 141(7), 777-780.
Yoshitsugu, O., Hiroshi, Y., Hitoshi, Y., Utako, A., Michiyo, K., & Kouji, H. (1999). The relations between the isometric leg press force and walking capability in the elderly inpatients. Journal of Physical Therapy, 16(11), 913-917.

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