{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:44:20Z","timestamp":1781052260247,"version":"3.54.1"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To systematically evaluate the effects of resistance training (RT) on muscle strength and muscle hypertrophy in elderly cancer patients, and to provide dose\u2013response relationships of RT variables that could improve muscle strength and morphology in elderly cancer patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The Review Manager 5.3 was applied to analyze the 12 literatures (616 participants) through random or fixed effects model and global effect size to examine upper limb strength, lower extremity strength, and muscle hypertrophy. Sub-group analysis was made on five variables: the total number of repeated training times\/week, load intensity, exercise frequency\/week, exercise duration and gender. This study also examines the heterogeneity and publication bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve literatures (616 participants, 60\u201380\u2009years) were included in meta-analysis. RT significantly increased the upper limb muscular strength (SMD\u2009=\u20090.51, 95% CI: 0.10\u20130.93; <jats:italic>Z<\/jats:italic> =\u20092.41; <jats:italic>p<\/jats:italic> =\u20090.02) and lower extremity strength (SMD\u2009=\u20090.48, 95% CI: 0.28\u20130.67; <jats:italic>Z<\/jats:italic> =\u20094.82; <jats:italic>p<\/jats:italic> &amp;lt;\u20090.00001), but had no significant effect on muscle morphology(SMD\u2009=\u20090.21, 95% CI: 0.01\u20130.42; <jats:italic>Z<\/jats:italic> =\u20091.88; <jats:italic>p<\/jats:italic> =\u20090.06). In subgroup analysis for lower extremity muscle strength in elderly male cancer patients, it was found that male intensity of 70\u201390%1RM, volume of 400\u2013500 times per week, frequencies of 3 times per week, and session of 12\u201324\u2009weeks, revealed the greatest effect. Funnel plot of the three studies shows that the results were reliable, and no publication bias was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RT had medium effects on improving muscle strength in elderly cancer patients, but it is not effective in improving muscle hypertrophy. In addition, when RT is performed, different training protocols can have an effect on the growth of muscle strength. Therefore, a lower extremity training protocol with a training intensity of 70\u201390% 1RM, a total of 400\u2013500 repetitions per week, 3 times per week, and an exercise session of 12\u201324\u2009weeks is most effective in improving lower extremity strength in elderly male cancer patients.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2023.1049248","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T04:39:48Z","timestamp":1680755988000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Dose-response relationship of resistance training for muscle morphology and strength in elderly cancer patients: A meta-analysis"],"prefix":"10.3389","volume":"10","author":[{"given":"Haiting","family":"Zhai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongwen","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jixiang","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/j.nut.2014.11.004","article-title":"Evidence-based nutritional support of the elderly cancer patient","volume":"31","author":"Bozzetti","year":"2015","journal-title":"Nutrition"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.nut.2015.01.001","article-title":"The elderly patient with cancer: a holistic view","volume":"31","author":"Vigan\u00f2","year":"2015","journal-title":"Nutrition"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1016\/j.clnu.2008.06.013","article-title":"A new definition","volume":"27","author":"Evans","year":"2008","journal-title":"Clin Nutr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"670","DOI":"10.16038\/j.1000-6710.2008.05.011","article-title":"Research progress of sarcopenia","volume":"11","author":"Wen","year":"2008","journal-title":"Chinese J Sports Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2080","DOI":"10.1249\/MSS.0b013e31829a3b63","article-title":"Impact of resistance training in cancer survivors: a meta-analysis","volume":"45","author":"Barbara","year":"2013","journal-title":"Med Sci Sports Exerc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1038\/bjc.2014.273","article-title":"Safety and efficacy of resistance training in germ cell cancer patients undergoing chemotherapy: a randomized controlled trial","volume":"111","author":"Christensen","year":"2014","journal-title":"Br J Cancer"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2967","DOI":"10.1210\/jc.2013-4495","article-title":"Resistance training does not protect against increases in plasma cytokine levels among germ cell cancer patients during and after chemotherapy","volume":"99","author":"Christensen","year":"2014","journal-title":"J Clin Endocrinol Metab"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/S1001-9294(14)60059-6","article-title":"Application of Cochrane risk of bias assessment tool in meta-analysis of randomized controlled studies","volume":"29","author":"Hongqiu","year":"2014","journal-title":"Chinese J Circ"},{"key":"ref9","volume-title":"Methodology of Practical Evidence-based Medicine","author":"Zhang","year":"2014"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1007\/s00520-011-1169-x","article-title":"Age and androgen-deprivation therapy on exercise outcomes in men with prostate cancer","volume":"20","author":"Alberga","year":"2012","journal-title":"Support Care Cancer"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1123\/japa.2012-0227","article-title":"Change in quality of life among breast cancer survivors after resistance training: is there an effect of age?","volume":"22","author":"Benton","year":"2014","journal-title":"Aging Phys Act"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1038\/pcan.2013.22","article-title":"Et, al. 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