The effects of high velocity resistance training on bone mineral density in older adults: A systematic review.

To determine the effects of high velocity resistance training (HVRT) on bone mineral density (BMD) in older adults. A systematic review was conducted using five databases. Records were screened by two independent reviewers. Inclusion criteria: adults ≥50 years old, HVRT defined as rapid concentric and slow eccentric phase against an external load, control group and/or other intervention group, BMD measured using dual X-ray absorptiometry, and ≥6 months. 25 studies met the inclusion criteria. 12 were original intervention studies (8 RCTs) with n = 1203 people. 13 papers were follow up studies of these original interventions. Heterogeneity of studies meant no meta-analysis was performed. Moderate evidence suggests a small statistically significant effect of HVRT on BMD in older adults at the lumbar spine, total hip, and femoral neck ranging from 0.9 % to 5.4 %. BMD measurements significantly decreased post-intervention in follow-up studies where the interventions had ceased. Dose-response of HVRT was shown to positively impact BMD when ≥2 sessions per week are completed. HVRT plays a role in increasing BMD of the lumbar spine, femoral neck, and total hip. Doses of higher intensity exercise performed ≥2 sessions per week will yield the most skeletal benefits, and if exercise is stopped for >6 months, benefits achieved may be lost. • High velocity resistance training (HVRT) is defined as rapid concentric and slow eccentric phase against an external load. • HVRT increases bone mineral density at the spine and hip in older adults. • Bone mineral density increased with ≥2 intervention sessions completed per week. • If exercise ceased for ≥6 months, skeletal benefits are lost. [ABSTRACT FROM AUTHOR]