In frail older persons , moderate-to-large beneficial exercise effects were noted on inflammation , muscle strength and physical functioning .
In healthy older persons , effects of resistance training ( most frequently investigated ) on inflammation or muscle strength can be influenced by the exercise modalities ( intensity and rest interval between sets ) .
Muscle strength seemed the most frequently used outcome measure , with moderate-to-large effects obtained regardless the exercise intervention studied .
Similar effects were found in patients with specific diseases .
Summary Exercise has moderate-to-large effects on muscle strength , body composition , physical functioning and inflammation in older adults .
Purpose of review This systematic review reports the most recent literature regarding the effects of physical exercise on  muscle strength , body composition , physical functioning and inflammation in older adults .
Comparative effects of light or heavy resistance power training for improving lower extremity power and physical performance in mobility-limited older adults.
BACKGROUND We compared the effects of two uniquely different lower extremity power training interventions on changes in muscle power , physical performance , neuromuscular activation , and muscle cross sectional area in mobility-limited older adults . METHODS Fifty-two subjects ( 78±5 years , short physical performance battery score : 8.1±1 ) were r and omized to either 16 weeks of progressive high velocity resistance training performed at low external resistance ( 40 % of the 1-repetition maximum [ 1-RM ] [ LO ] ) or high external resistance ( 70 % of 1RM [ HI ] ) . Both groups completed three sets of leg and knee extension exercises at maximum voluntary velocity , two times per  week . Neuromuscular activation was assessed  using surface electromyography and muscle cross sectional area ( CSA ) was measured using computed tomography . RESULTS At 16 weeks , LO and HI exhibited significant and similar within-group increases of leg extensor peak power ( ~34 % vs ~42 % ) , strength ( ~13 % vs ~19 % ) , and SPPB score ( 1.4±0.3 vs 1.8±0.3 units ) , respectively ( all P < .03 ) . Improvements in neuromuscular activation occurred in LO ( P = .03 ) while small gains in mid-thigh muscle CSA were detected in LO ( 1.6 % , P = .35 ) and HI ( 2.1 % , P = .17 ) . No significant between-group differences were evident for any measured parameters ( all P > .25 ) . CONCLUSIONS High velocity resistance training with low external resistance yields similar improvements in muscle power and physical performance compared to training with high external resistance in mobility-limited elders . These findings may have important implication s for optimizing exercise interventions for older adults with mobility limitations
In frail older persons , moderate-to-large beneficial exercise effects were noted on inflammation , muscle strength and physical functioning .
In healthy older persons , effects of resistance training ( most frequently investigated ) on inflammation or muscle strength can be influenced by the exercise modalities ( intensity and rest interval between sets ) .
Muscle strength seemed the most frequently used outcome measure , with moderate-to-large effects obtained regardless the exercise intervention studied .
Similar effects were found in patients with specific diseases .
Summary Exercise has moderate-to-large effects on muscle strength , body composition , physical functioning and inflammation in older adults .
Purpose of review This systematic review reports the most recent literature regarding the effects of physical exercise on  muscle strength , body composition , physical functioning and inflammation in older adults .