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Sarcopenia can be transiently but markedly accelerated through periods of muscle disuse\u2010induced (i.e., unloading) atrophy due to reduced physical activity, sickness, immobilisation or hospitalisation. Periods of disuse are detrimental to older adults' overall quality of life and substantially increase their risk of falls, physical and social dependence, and early mortality. Disuse events induce skeletal muscle atrophy through various mechanisms, including anabolic resistance, inflammation, disturbed proteostasis and mitochondrial dysfunction, all of which tip the scales in favour of a negative net protein balance and subsequent muscle loss. Concerningly, recovery from disuse atrophy is more difficult for older adults than their younger counterparts. Resistance training (RT) is a potent anabolic stimulus that can robustly stimulate muscle protein synthesis and mitigate muscle losses in older adults when implemented before, during and following unloading. RT may take the form of traditional weightlifting\u2010focused RT, bodyweight training and lower\u2010 and higher\u2010load RT. When combined with sufficient dietary protein, RT can accelerate older adults' recovery from a disuse event, mitigate frailty and improve mobility; however, few older adults regularly participate in RT. A feasible and practical approach to improving the accessibility and acceptability of RT is through the use of resistance bands. Moving forward, RT must be prescribed to older adults to mitigate the negative consequences of disuse atrophy.<\/jats:p>","DOI":"10.1113\/ep091937","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T12:33:22Z","timestamp":1722947602000},"page":"1650-1662","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Mitigating disuse\u2010induced skeletal muscle atrophy in ageing: Resistance exercise as a critical countermeasure"],"prefix":"10.1113","volume":"109","author":[{"given":"James","family":"McKendry","sequence":"first","affiliation":[{"name":"Exercise Metabolism Research Group, Department of Kinesiology McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Coletta","sequence":"additional","affiliation":[{"name":"Exercise Metabolism Research Group, Department of Kinesiology McMaster University  Hamilton Ontario 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