Effects of resistance training on fitness parameters in older adults: a systematic review

Background and purpose Physical activity has been shown to produce numerous beneficial effects, including improved cardiovascular function, reduced body fat percentage, increased muscular strength, enhanced endurance, and greater flexibility. Accordingly, physical activity is considered a crucial factor in enhancing the quality of life in older adults. The aim of this study was to analyze literature that investigates the effects of resistance training on fitness parameters in older adults. Material and methods A systematic search was conducted using databases such as Google Scholar, PubMed, and Research Gate, focusing on studies published between 2015 and December 31, 2024. Keywords used included: elderly, physical fitness, strength training, health outcomes. The inclusion criteria comprised original scientific studies, tested at least one measure of fitness parameters and involving older adult participants and experimental interventions with resistance training. A total of 17 studies met the criteria and were analyzed in detail. Results The findings indicate that resistance training regardless of intensity level (low, moderate, or high) has a consistently positive effect on muscle strength, endurance, flexibility, cardiovascular function, body composition, balance, and overall functional mobility in older individuals. Training modalities included the use of weights, bodyweight exercises, resistance bands, and unstable surfaces. The frequency of interventions ranged from 8 weeks to 2.3 years, with training frequency mostly between two and three sessions per week. Studies combining resistance training with balance training or aerobic exercises demonstrated additional benefits. Conclusions The reviewed evidence suggests that resistance training is an effective and safe strategy for improving the physical fitness and health of older adults, potentially reducing the risk of falls and chronic diseases. It is recommended that resistance training be incorporated into regular physical activity routines, ideally alongside aerobic and flexibility exercises, to maximize overall health outcomes in the aging population.