Table 1—

Recommendations for use of PRT in clinical populations

Clinical groupOrganizationRecommendation
ElderlyACSM (28)“Because sarcopenia and muscle weakness may be an almost universal characteristic of advancing age, strategies for preserving or increasing muscle mass in the older adult should be implemented…. Strength training, in addition to its positive effects on insulin action, bone density, energy metabolism, and functional status, is also an important way to increase levels of physical activity in the elderly.”
ADA (7)“High-resistance exercise using weights may be acceptable for young individuals with diabetes, but not for older individuals or those with long-standing diabetes.”
Overweight and obeseACSM (10)“It is recommended that resistance exercise supplement the endurance exercise program in overweight and obese adults [who] are undertaking modest reductions in energy intake to lose weight. Resistance exercise should focus on improving muscular strength and endurance in this population.”
Type 2 diabetesACSM (5)“It is recommended that resistance training at least 2 days per week should be included as part of a well-rounded exercise program for persons with type 2 diabetes whenever possible. A minimum of 8–10 exercises involving the major muscle groups should be performed with a minimum of one set of 10–15 repetitions to near fatigue. Increased intensity of exercise, additional sets, or combinations of volume and intensity may produce greater benefits and may be appropriate for certain individuals.”
ADA (7)“Moderate weight training programs that utilize light weights and high repetitions can be used for maintaining or enhancing upper-body strength in nearly all patients with diabetes.”