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. 2019 Nov 11;7(1):7–15. doi: 10.1002/mdc3.12849

Table 2.

ACSM endurance and resistance training guidelines for healthy and older adults (or persons with certain chronic diseases, including PD patients) and for promoting bone health

Healthy Adults (1) Older Adults (2) Bone Health
Endurance exercise training

Moderate‐intensity:

≥30 min × d–1, ≥5 d × wk–1 ➔ ≥150 min × wk–1

Energy expenditure: 3.0 to 5.9 METs

Vigorous‐intensity:

≥20 min × d–1, ≥3 d × wk–1

≥75 min × wk–1

Energy expenditure: ≥6 METs

Combination of moderate‐ and vigorous‐intensity:

10 MET × h × wk–1

Weekly recommendation:

1,000 kcal×wk–1

≥60% of pretraining VO2max

≥3 d × wk–1

Exercise type: a combination of weight‐bearing activities (tennis; stair climbing; jogging, at least intermittently during walking), activities that involve jumping (volleyball, basketball), and resistance exercise that targets all major muscle groups

Intensity: moderate to high, in terms of bone‐loading forces

Frequency: 3 to 5 times per week

Duration: 30 to 60 min × d–1

Resistance exercise training

Frequency: ≥2 to 3 d × wk–1

Repetitions: 2 to 4 sets per muscle group

Rest period between sessions: 48 to 72 hours

Muscle strength:

Resistance: 60% to 80% of 1 RM

(novice and intermediate trainers: 60%–70% of 1 RM)

Repetitions: 8 to 12 per set

(the needed to induce muscle fatigue, but not exhaustion)

Rest intervals: 2 to 3 minutes

Muscle endurance:

Resistance: 50% of 1 RM

Repetitions: 15 to 25 per set

Duration: not more than 2 sets

Start from:

Resistance: 40% to 50% of 1 RM

Repetitions: 10 to 20 per set

Progress: adopting healthy adults’ regimen

Power development:

Resistance: 20% to 50% of 1 RM

Repetitions: 8 to 12 repetitions

Duration: 3 sets

Exercise type: weight lifting

Frequency: 2 to 3 times per week

Information updated according to the 2018 physical activity guidelines for Americans.13, 24, 26, 27