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Eccentric overload training may improve lower-limb strength and explosive power in older adultsEccentric Overload Training May Improve Strength in Older Adults

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Key Takeaway
Consider eccentric overload training to improve lower-limb strength and explosive power in older adults.

This meta-analysis evaluated the effects of eccentric overload training (EOT) on physical performance in older adults. The analysis pooled data from 438 participants to compare EOT against inactive controls and conventional resistance training. The primary finding indicates that EOT may enhance lower-limb strength (SMD = 0.50; 95% CI [0.12, 0.87]) and may enhance explosive power (SMD = 0.39; 95% CI [0.07, 0.71]).

Subgroup analyses identified specific modalities and durations that influenced outcomes. Flywheel devices demonstrated superior efficacy for both lower-limb strength (SMD = 0.54; P = 0.04) and explosive power (SMD = 0.44; P = 0.03). Additionally, training for 8 weeks or more yielded greater improvements in both strength and power. While high-frequency training (>2 sessions per week) was more effective for strength, low-frequency training (≤2 sessions per week) appeared more beneficial for explosive power.

Clinical evidence for improved explosive power is of high certainty, while the evidence for lower-limb strength is of moderate certainty. No adverse events or specific limitations were reported in the data. Clinicians may consider EOT as a promising intervention for older adults, noting that training duration and frequency can be tailored to specific goals such as strength or power.

Researchers analyzed data from 438 older adults to see how eccentric overload training (EOT) affects physical ability. This type of exercise focuses on the lengthening phase of a muscle movement. The study compared EOT to both inactive groups and traditional resistance training.

The results suggest that EOT may improve lower-limb strength and explosive power. Specifically, using flywheel devices during these exercises showed stronger results for both strength and power. The study also found that training for at least 8 weeks led to better improvements than shorter programs.

While the evidence for improving explosive power is considered high certainty, the evidence for strength gains is of moderate certainty. The study did not report any specific safety concerns or adverse events. Because this is a meta-analysis of existing data, it shows a link between the training and these improvements but does not provide a specific medical recommendation.

What this means for you:
Eccentric overload training may improve lower-limb strength and power in older adults, especially with long-term plans.

Common questions

What is eccentric overload training?

Eccentric overload training (EOT) is a type of exercise that focuses on the lengthening phase of a muscle contraction. In this study, it was compared to traditional resistance training. The results suggest it may improve lower-limb strength and explosive power in older adults, especially when performed over a period of 8 weeks or more.

Are there any safety risks with this type of training?

The study did not report any specific adverse events, serious injuries, or issues with how well the participants tolerated the exercise. However, because this is a meta-analysis of existing data, you should always speak with a healthcare provider or a certified trainer before starting a new exercise routine to ensure it is safe for your specific needs.

How long should someone train to see results?

The data indicates that long-term training programs of 8 weeks or more yielded greater improvements in both lower-limb strength and explosive power. While the study found that high-frequency training (more than 2 sessions per week) was more effective for strength, the specific frequency should be tailored to your personal goals and clinical needs.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
OBJECTIVE: To evaluate the efficacy of eccentric overload training (EOT) in enhancing lower-limb muscle strength, gait performance, balance, and explosive power among older adults. METHODS: We systematically searched seven databases (PubMed, Web of Science, Embase, Ovid, Cochrane Library, EBSCO, CINAHL) through March 2026 for randomised controlled trials (RCTs). The primary outcome was lower-limb strength; secondary outcomes included gait, balance, explosive power, and adverse events. Methodological quality and evidence certainty were evaluated using RoB 2.0 and GRADEpro, respectively. RESULTS: Fifteen RCTs (n = 438) were included. EOT may enhance lower-limb strength (SMD = 0.50, 95% CI [0.12, 0.87]) and explosive power (SMD = 0.39, 95% CI [0.07, 0.71]) in the elderly population. A post-hoc subgroup analysis by comparator type indicated that EOT significantly improved lower-limb strength relative to inactive controls, while showing at least a non-inferiority trend compared with conventional resistance training in improving both lower-limb strength and explosive power. Exploratory subgroup analyses revealed that flywheel devices demonstrated superior efficacy in improving lower-limb strength (SMD = 0.54, P = 0.04) and explosive power (SMD = 0.44, P = 0.03), while physical health status did not significantly influence effect sizes. Regarding intervention frequency, high-frequency training (>2 sessions per week) was more effective for enhancing lower-limb strength, whereas low-frequency training (≤2 sessions per week) appeared more beneficial for improving explosive power. Furthermore, long-term training (≥8 weeks) yielded greater improvements in both lower-limb strength and explosive power. CONCLUSION(S): EOT shows promising potential for improving lower-limb strength (moderate certainty) and explosive power (high certainty) in older adults. Long-term training protocols result in greater efficacy, while the choice between high-frequency and low-frequency training should be tailored to specific clinical objectives. Future exercise prescriptions for the elderly population should prioritize both standardization and personalization.
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