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Exercise intensity influences body composition in healthy older adults

https://www.maturitas.org/article/S0378-5122(25)00571-7/fulltext
29•bookofjoe•1h ago

Comments

myst•53m ago
I’m genuinely confused. Was there any doubt before this study that sport makes people healthier?
nayroclade•44m ago
That wasn't what this study was investigating.
atwrk•43m ago
Well I guess reading the article could ease your confusion. Unsurprisingly it is a bit less generalized than your take.
dgacmu•42m ago
No, but past recommendations for older adults (note that the average age in the study was 72 years old) were towards "gentle" or moderate exercise. We're seeing a shift now towards recommending real weight lifting and higher intensity as we age. ("Real" -> closer to powerlifting in terms of goals and methods)
faangguyindia•39m ago
why is it powerlifting?

general prescription these days for Hypertrophy is 10 sets per muscle group per week 0-3 RIR.

rokob•33m ago
Because hypertrophy is generally pointless compared to strength. The hyperthrophy that naturally accompanies strength work is sufficient but the strength that accompanies hypertrophy work is far less beneficial.
faangguyindia•6m ago
one of the best proxy we've for Hypertrophy is getting progressively stronger in medium rep range. (8-12)

The title says they are focused on improving body composition which is boosting lean mass, lowering of fat mass which kinda seems achieved best by focusing on Hypertrophy and fat loss?

ehnto•18m ago
Hypertrophy and strength aren't as strongly linked as we thought. Generally for wellness, injury prevention, you want strength and flexibility.
mDyJzDPmBdG•29m ago
There was plenty of obvious, common sense assumptions that didn't hold at all when methodically tested, like sugar rush in children. And this specific type of studies tries to find a sweet spot between benefits and effort taken. Some results were unexpected, If I recall correctly on found that having to take three flights of stairs daily outperformed many exercise regimes designed for elderly.
ehnto•19m ago
I have met people who figured, because they don't excercise they don't wear their body out, so their joints etc. will last longer. Same for injury, no sport no injury, that must be good!
lukan•10m ago
In a way this is right with high intense/extreme sport. (I did Thai Boxing in my youth, but stopped at some point)

But it is very wrong otherwise, joints for example will suffer if not moved. Blood will only flow into all the areas of the joints if they are moved. And if you don't move, your muscles will be gone and without muscles to hold your joints, loss of stability, great risk of injury, etc.

busymom0•3m ago
And don't forget benefits of weight training in improving bone density and preventing osteoporosis as we age.
arnejenssen•6m ago
Charlie Munger thought of exercise as adding mileage to the car.
ButlerianJihad•13m ago
Sports and exercise are definitely beneficial, but any sort of activity presents a risk of injury.

If people work out, or play sports, without knowing proper form, without using protection or precautions, they'll get injured and then worse off than before. Realistically, manual laborers should be in real good shape, but often their jobs are so low-wage, and they're so interchangeable, that safety precautions are ignored and must be regulated/enforced.

I took up roller skating and was rewarded with a broken leg. I took up gym exercise and was repaid with a hernia. Both required surgery. No regrets! Only wished I could've better understood how to exercise safely!

I once encountered a FB group that was for people to discuss "sports injuries sustained while we were in bed" and I could totally relate, having done weird stuff to my shoulder overnight, rather than pitching a baseball game...

xtiansimon•34m ago
> “High-intensity training reduced fat and maintained lean mass […] though changes were small and not clinically meaningful compared with exercise of lower intensity…”

High intensity does border on leading to injury — just making the wrong move — and you’re back to zero intensity?

baxtr•31m ago
Really depends on how you define high-intensity.

To build muscle, you need to push yourself to a limit. You can reduce the weight and increase the repetitions. This approach is just as effective and lowers the risk of injury.

kakacik•11m ago
This is what I do. When I was beginning with weight training, I followed other's recommendations back then and pushed hard. Had quite often minor issues or injuries in the joints which set me back for weeks or even months, my tendons seem to be my weak spot and it does get worse with age, both limits and recovery.

Lowered the load, increased repetitions and basically nothing for a decade. I can still go almost to the failure, I don't even want to reach it since I don't care about that extra bit. Squats or deadlifts are hard even when not at limits, one feels used body parts for a day or two.

I still add cardio on top of that, its just basic logic of moving around a lot is very good for the body, even if effects are not immediately obvious.

lowdude•8m ago
So, how many reps did you start with and how many do you do nowadays?
ryandvm•28m ago
No joke. I go to the gym a couple times a week so that I'll maintain mobility and won't injure myself as I age - unfortunately 80% of my injuries come from the gym.
pjsmith404•25m ago
If most of your injuries come from the gym, I recommend you get a trainer.
mlinhares•10m ago
hahah, so true. Also, there are multiple ways to do high intensity exercising that are very unlikely to injure you, like stationary bikes. High intensity only means going to a very high heart rate, you can do this in any way you like it.
mrweasel•20m ago
80% of my injuries occurred while sleeping, which seems very weird.
busymom0•7m ago
I knew someone who dislocated her shoulder often while sleeping. If I remember right, she's dislocated it 17 times or some ridiculous number.
nathan_compton•12m ago
There are plenty of high intensity activities with low risk of injury. Rowing and swimming come to mind.

I think the bigger problem is that, as far as I can tell, very few people have the appropriate personality type for high intensity exercise. Most people seem to experience it just as pointless discomfort.

mzhaase•7m ago
This is specifically cardio. High intensity interval training can be safe, for example, air bike, battle ropes, etc. High intensity running does have higher injury risk.
netbioserror•5m ago
Calisthenics is a really easy way to push intensity at basically 0 risk of injury. They're all compound and depending on the variation could require high reps, but between push ups, pull-ups, squats, their numerous variations, and accessory work, I would challenge anyone to actually injure themselves while also being able to push to true technical failure.
busymom0•5m ago
In my experience, there's a middle ground. Don't go for 1 to 3 rep maxes. Go for 4-6 rep maxes for a set and then follow it by set to failure in the 8-12 rep range. That gives a good mix of both intensity and volume while still reducing risks of injury as the weights are heavy but not crazy heavy to compromise form.

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