The most useful strength program may train several abilities at once

Movement and independence · Source date: November 2026 journal issue; indexed by November 2 · Evidence: Network meta-analysis of 47 randomized trials · Primary source

The ability to rise from a chair, carry something heavy, navigate stairs and recover balance requires more than muscle size. A network meta-analysis assembled 47 randomized trials in older adults and compared exercise programs using grip strength and the Timed Up and Go test. The most favorable rankings involved multicomponent programs paired with nutritional support.

Compared with controls, multicomponent training plus nutrition had the largest reported grip-strength effect estimate (6.39; 95% CI 0.48–12.30); the authors reported a favorable Timed Up and Go estimate of −1.88 (95% CI −2.73 to −1.02) for multicomponent-plus approaches. Network comparisons can depend heavily on intervention definitions, the amount of direct head-to-head evidence and assumptions about comparability. They also do not establish that one particular program prevents disability or increases lifespan.

Grip, mobility and meaningful daily tasks deserve to be measured alongside muscle mass. A high ranking in a network comparison is not proof that a particular program preserves independence.

require further appraisal.