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| ID | Type | Description | Link |
|---|---|---|---|
| TE-KEB/No11/2024 | Other Identifier | Hungarian University of sports science |
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| Name | Class |
|---|---|
| Semmelweis University | OTHER |
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Normal aging leads to a decline in neuromuscular and mobility functions, including a 60% reduction in maximal voluntary force production, a 25% decrease in muscle volume and quality (sarcopenia), and reduced tendon stiffness by age 70. These changes impair walking speed, balance, and increase the metabolic cost of walking by ~20% in older adults compared to younger individuals. While walking training can reduce metabolic costs, no interventions have successfully addressed the 20% age-related difference. Resistance training, particularly eccentric (muscle-lengthening) training, shows promise for improving muscle strength and mass, but its effects on functional, cognitive abilities, and walking economy in older adults remain unexplored.
Normal aging is characterized by a decline in neuromuscular and mobility functions. By the age of 70, maximal voluntary force production decreases by approximately 60%, accompanied by a ~25% reduction in muscle volume and quality, leading to sarcopenia. Alongside changes in muscle protein content, composition, and mitochondrial biochemistry, aging also affects tendon properties. While healthy aging does not significantly alter tendon size, it reduces tendon stiffness, which can delay force transmission. These changes in muscle-tendon function contribute to slower walking speeds and impaired static and dynamic balance.
One of the most significant functional changes with aging is the increased metabolic cost of walking. Older individuals require ~20% more metabolic energy to walk the same distance as younger adults, yet the underlying reasons remain unclear. While walking training has been shown to reduce metabolic costs in older adults, no studies have attempted to reduce this 20% age-related difference using alternative interventions.
Resistance training induces adaptations in muscle-tendon function by requiring participants to overcome external loads. Traditional resistance training combines concentric (muscle shortening) and eccentric (muscle lengthening) contractions, but eccentric training has received increasing attention due to its superior benefits in muscle strength and mass improvement. However, no studies have examined how resistance training, particularly with an eccentric focus, impacts functional and cognitive abilities or walking economy in older adults.
Objectives:
This study aims to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Concentric overload resistance training | Active Comparator | Receive Concentric overload resistance training |
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| Eccentric overload resistance training | Experimental | Receive Eccentric overload resistance training |
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| Active control group | Placebo Comparator | walking intervention |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Concentric overload resistance training | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| Walking metabolic cost | Assessed using spirometry at different speeds (J/kg/m) | Through study completion, an average of 1.5 year |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum isometric voluntary contraction | Maximum isometric voluntary force using a dynamometer. (Nm) | Through study completion, an average of 1.5 year |
| Patella and Achilles tendon stiffness | Stiffness is the slope of the force elongation curve using dynamometer combining with Ultrasound (N/mm) |
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Inclusion Criteria:
• Healthy men and women aged 60+ (intervention study).
Exclusion Criteria:
• Acute injuries or history of severe tendon injuries (Achilles or patellar tendon rupture).
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| Name | Affiliation | Role |
|---|---|---|
| Prof. DR. Tibor Hortobágyi Hortobágyi | Hungarian University of Sports Science, Department of Kinesioogy, Budapest, Hungary | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hungarian University of Sports Science, Budapest, Hungary | Budapest XII. | Budapest | 1037 | Hungary |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28687953 | Background | Malatesta D, Canepa M, Menendez Fernandez A. The effect of treadmill and overground walking on preferred walking speed and gait kinematics in healthy, physically active older adults. Eur J Appl Physiol. 2017 Sep;117(9):1833-1843. doi: 10.1007/s00421-017-3672-3. Epub 2017 Jul 7. | |
| 17823302 | Background | Thomas EE, De Vito G, Macaluso A. Speed training with body weight unloading improves walking energy cost and maximal speed in 75- to 85-year-old healthy women. J Appl Physiol (1985). 2007 Nov;103(5):1598-603. doi: 10.1152/japplphysiol.00399.2007. Epub 2007 Sep 6. |
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15 May 2026
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Cross-Sectional Component:
Purpose: To assess baseline muscle-tendon function, metabolic function, and other relevant measures in older adults.
Design: Observational, providing a snapshot of the participants' characteristics before the intervention.
Longitudinal Intervention Component:
Purpose: To examine the effects of different training interventions over time and assess retention effects.
Design: A three-arm parallel-group randomized controlled trial (RCT) with pre- and post-intervention assessments.
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| Eccentric overload resistance training | Other |
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| Active Control | Other | Walking |
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| Through study completion, an average of 1.5 year |
| Vastus lateralis and Gastrocnemius muscle thickness & tendon thickness | VL, GC, and Achilles tendon & patellar tendon will be assessed using Ultrasound images (mm) | Through study completion, an average of 1.5 year |
| Whole leg muscle mass | Whole leg muscle mass via DEXA scan.(Kg) | Through study completion, an average of 1.5 year |
| Jump efficiency | squat jump and Countermovement jump height (cm) jump efficiency (%) | Through study completion, an average of 1.5 year |
| Cognitive Assessments | Cognitive tests: Executive function, working memory, and processing speed using some questionnaires with score values. Reaction Time (milliseconds, ms) Score (points or errors) - Based on correct/incorrect responses in tasks Number of correct responses per second (responses/sec) | Through study completion, an average of 1.5 year |
| 26848888 | Background | Valenti G, Bonomi AG, Westerterp KR. Multicomponent Fitness Training Improves Walking Economy in Older Adults. Med Sci Sports Exerc. 2016 Jul;48(7):1365-70. doi: 10.1249/MSS.0000000000000893. |
| 25606816 | Background | Hunter GR, Fisher G, Neumeier WH, Carter SJ, Plaisance EP. Exercise Training and Energy Expenditure following Weight Loss. Med Sci Sports Exerc. 2015 Sep;47(9):1950-7. doi: 10.1249/MSS.0000000000000622. |
| 18758805 | Background | Hunter GR, McCarthy JP, Bryan DR, Zuckerman PA, Bamman MM, Byrne NM. Increased strength and decreased flexibility are related to reduced oxygen cost of walking. Eur J Appl Physiol. 2008 Nov;104(5):895-901. doi: 10.1007/s00421-008-0846-z. Epub 2008 Aug 29. |
| 8316580 | Background | Godges JJ, MacRae PG, Engelke KA. Effects of exercise on hip range of motion, trunk muscle performance, and gait economy. Phys Ther. 1993 Jul;73(7):468-77. doi: 10.1093/ptj/73.7.468. |