Abstract
Purpose: This systematic review aimed to: 1) explore muscular fitness adaptations (e.g., muscle mass, muscle strength, functional performance) in older adults (≥ 60 years) following exercise with resistance training compared to control; and 2) investigate the moderating effects of load intensity, training frequency, and movement velocity on muscular fitness adaptations.Methods: Four databases were searched (April 2024, updated 2025). Pooled effects for each outcome were summarized using Standardized Mean Difference (Hedges’ g) through a three-level meta-analysis model, and subgroup was used to explore moderators. The certainty of evidence was assessed using the GRADE approach.Results: Sixteen studies were eligible (n = 801), with data available from fifteen moderate quality randomized controlled trials. Compared to control, resistance training was effective in improving muscle mass (g = 0.16, I2 = 67%), muscle strength (g = 0.55, I2 = 11%), and functional performance (g = 0.76, I2 = 62%). Muscular fitness was significantly moderated by load intensity, frequency, and movement velocity. SubmaxV (g = 0.47) resistance training with low intensity (g = 0.79) and high frequency (g = 0.79) was superior for improving muscle mass. SubmaxV (g = 0.56) resistance training with moderate intensity (g = 0.63) and moderate frequency (g = 0.55) was superior for improving muscle strength. MaxV (g = 0.93) resistance training with moderate intensity (g = 0.71) and low frequency (g = 0.64) was superior for improving functional performance. Conclusions: Resistance training effectively enhances muscular fitness in older adults. Load intensity, frequency, and movement velocity (SubmaxV was better for muscle mass and muscle strength compared to MaxV, and MaxV for functional performance) may significantly modulate improvements in muscular fitness adaptations. Prospero registration: CRD42023489470.
Keywords
Functional performance, movement velocity, muscle mass, muscle strength, older adults
Document Type
Journal Article
Date of Publication
1-1-2026
Publication Title
Sports Medicine and Health Science
Publisher
Elsevier
School
Centre for Human Performance / School of Medical and Health Sciences
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Comments
Tao, M., Liao, K., Yin, M., Chen, Z., Zhong, Y., Zhu, C., Song, Y., Thompson, S., Bishop, C., & Li, Y. (2026). Effects of maximal versus submaximal intended velocity resistance training on muscular fitness adaptations in older adults: A systematic review and meta-analysis. Sports Medicine and Health Science. Advance online publication. https://doi.org/10.1016/j.smhs.2026.03.001