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Effects of resistance training on body weight and body composition in older adults: An inter-individual response difference meta-analysis of randomized controlled trials

2023/04/01 by George A. Kelley, Kristi S. Kelley, Brian L. Stauffer
Medicine · #Body Composition Measurement Techniques #Nutrition and Health in Aging #Physical Activity and Health

paper · pdf · doi:10.1177/00368504231179062

crossref issued 2023/04/01 · crossref published 2023/04/01 · crossref published-print 2023/04/01 · openalex publication_date 2023/04/01 · crossref published-online 2023/06/11 · crossref created 2023/06/11 · openalex created_date 2025/10/10 · crossref deposited 2026/05/01 · crossref indexed 2026/07/25 · openalex updated_date 2026/07/25

Abstract

Whether true inter-individual response differences (IIRD) occur as a result of resistance training on body weight and body composition in older adults with overweight and obesity is not known. To address this gap, data from a previous meta-analysis representing 587 men and women (333 resistance training, 254 control) ≥ 60 years of age nested in 15 randomized controlled trials of resistance training ≥ 8 weeks were included. Resistance training and control group change outcome standard deviations treated as point estimates for body weight and body composition (percent body fat, fat mass, body mass index in kg . m 2 , and lean body mass) were used to calculate true IIRD from each study. True IIRD as well as traditional pairwise comparisons were pooled using the inverse-variance (IVhet) model. Both 95% confidence intervals (CI) and prediction intervals (PI) were calculated. While statistically significant improvements were found for body weight and all body composition outcomes (p < 0.05 for all), no statistically significant IIRD was observed for any of the outcomes (p > 0.05 for all) and all 95% PIs overlapped. Conclusions: While resistance training is associated with improvements in body weight and body composition in older adults, the lack of true IIRD suggests that factors other than training response variation (random variation, physiological responses associated with behavioral changes that are not the result of resistance training) are responsible for the observed variation in body weight and body composition.

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