Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 186

There is some evidence that aerobic training may be better than resistance training for reducing abdominal fat. However, at doses resulting in a sustained negative energy balance for several months, both resistance and aerobic exercise generally result in significant reductions in fat mass when sensitive measurement techniques (generally not anthropometrics) are used. Resistance exercise may be more suitable as a fat‐reduction strategy for older obese individuals who have cardiovascular disease, arthritis, osteoporosis, or mobility disorders, who may not tolerate moderate‐ to high‐intensity aerobic training or may need the added benefits of resistance training for maintenance of muscle and bone mass. Importantly, energy restriction results in significant losses of muscle and bone, and the addition of resistance training to hypocaloric dieting has been shown to prevent such adverse body composition changes,⁸¹ whereas aerobic exercise alone does not. Combined aerobic and resistance training has demonstrated a superior effect versus aerobic training alone on trunk fat in older men. More well‐designed studies are needed, particularly in overweight older adults, to explore the relative benefits of these modes of exercise for optimising body composition.