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Updated: Oct 16, 2025

Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
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Introducing Progressive Strength Training Program in Singapore's Elder Care Settings.

Magnus Björkgren1, Frank Borg1, Ken Tan2

  • 1Health Science Unit, Kokkola University Consortium Chydenius, Kokkola, Finland.

Frontiers in Medicine
|October 18, 2021
PubMed
Summary

Progressive strength training programs successfully improved lower body muscle strength in elderly individuals across various care settings in Singapore. This study demonstrates the feasibility of implementing strength training in real-world elder care environments.

Keywords:
elder careexercise as medicineimplementationinterRAIstrength training

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Area of Science:

  • Gerontology
  • Exercise Science
  • Public Health

Background:

  • Progressive strength training is crucial for preventive and rehabilitative care in the elderly.
  • Despite proven benefits, engaging older adults in exercise remains a significant challenge.
  • Implementing strength training in new elder care settings requires evaluation.

Purpose of the Study:

  • To evaluate the implementation of a progressive strength training program in diverse elder care facilities in Singapore.
  • To assess the impact of strength training on muscle strength in older adults.
  • To gather feedback from frontline therapists on program feasibility and success.

Main Methods:

  • A Finnish-Singaporean cross-national project implemented progressive strength training in 24 elder care locations over 2 years.
  • Sites received training, equipment, and technology support.
  • Data collected included assessment results and therapist surveys.

Main Results:

  • Significant improvements in lower body muscle strength were observed, including Leg Curl (11.1-48.8%), Leg Extension (10.2-24.0%), and Hip Abduction/Adduction (7.0-15.8%).
  • 95% of trained therapists reported successful implementation.
  • Consistent improvement rates comparable to clinical trials were achieved.

Conclusions:

  • Progressive strength training is feasible and effective in real-life elder care settings, including residential homes, day rehab centers, and senior activity centers.
  • Technology-assisted implementation can yield significant muscle strength gains.
  • A 3-month training intervention is effective for introducing strength training and promoting healthy aging in elder care.