Physical function compared with conventional strength training
Evidence basis: randomised trials
Power training has modest advantages on some functional tests, with uncertain clinical importance.
Population: Adults mostly aged over 60 in randomized comparisons of fast-intended lifting and conventional resistance training.
Research details
Summary
A 2022 review included 20 trials and 566 community-living older adults. Physical function improved modestly versus conventional strength training in 13 trials (SMD 0.30, 95% CI 0.05 to 0.54), with low-certainty evidence. A 2023 review of 19 trials and 1,055 participants found small advantages on the Short Physical Performance Battery and Timed Up and Go, but substantial uncertainty for other outcomes and whether differences were clinically worthwhile.
Why this certainty
Limited because some test-specific effects are consistent but the advantage is small, heterogeneous and of uncertain clinical importance. Transfer to younger adults and unsupervised routines is less certain.
Limitations
The reviews overlap and are not independent replications. Small trials, risk of bias, imprecision and incomplete exercise reporting limit certainty; findings do not establish fall prevention or lifespan extension.
Effect estimate
Physical-function SMD 0.30 (95% CI 0.05 to 0.54), 13 trials in the 2022 review.

