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Energy deficiency impairs resistance training gains in lean mass but not strength: a meta-analysis and meta-regression
Abstract
Short‐term energy deficits impair anabolic hormones and muscle protein synthesis. However, the effects of prolonged energy deficits on resistance training (RT) outcomes remain unexplored. Thus, we conducted a systematic review of PubMed and SportDiscus for randomized controlled trials performing RT in an energy deficit (RT+ED) for ≥3 weeks. We first divided the literature into studies with a parallel control group without an energy deficit (RT+CON; Analysis A) and studies without RT+CON (Analysis B). Analysis A consisted of a meta‐analysis comparing gains in lean mass (LM) and strength between RT+ED and RT+CON. Studies in Analysis B were matched with separate RT+CON studies for participant and intervention characteristics, and we qualitatively compared the gains in LM and strength between RT+ED and RT+CON. Finally, Analyses A and B were pooled into a meta‐regression examining the relationship between the magnitude of the energy deficit and LM. Analysis A showed LM gains were impaired in RT+ED vs RT+CON (effect size (ES) = −0.57, p = 0.02), but strength gains were comparable between conditions (ES = −0.31, p = 0.28). Analysis B supports the impairment of LM in RT+ED (ES: −0.11, p = 0.03) vs RT+CON (ES: 0.20, p < 0.001) but not strength (RT+ED ES: 0.84; RT+CON ES: 0.81). Finally, our meta‐regression demonstrated that an energy deficit of ~500 kcal · day−1 prevented gains in LM. Individuals performing RT to build LM should avoid prolonged energy deficiency, and individuals performing RT to preserve LM during weight loss should avoid energy deficits >500 kcal day−1.
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A systematic review and meta-analysis by Murphy and Koehler found that energy deficits at or beyond 500 kcal/day can impair lean mass gains in subjects undergoing resistance training.
“Corroborating this point, a systematic review and meta-analysis by Murphy and Koehler [87] examined RCTs with a minimum 3-week duration; and found that energy deficits at or beyond 500 kcal/day can impair lean mass gains in subjects undergoing resistance training.”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [87]
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Mountjoy, M., Ackerman, K. E., Bailey, D. M., Burke, L. M., Constantini, N., Hackney, A. C., Heikura, I. A., Melin, A., Pensgaard, A. M., Stellingwerff, T., et al. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2023-106994 · Cited by 724
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International Society of Sports Nutrition position stand: diets for body weight reduction
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Metadata
- Authors
- Murphy, C., & Koehler, K.
- Affiliations
- Department of Sport and Health Sciences Technical University of Munich Munich Germany
- Venue
- Scandinavian Journal of Medicine & Science in Sports
- Publisher
- Wiley
- Published
- 2021-10-13
- Volume
- 32
- Issue
- 1
- Pages
- 125-137
- ISSN
- 0905-7188
- 1600-0838
- Cited by
- 63
- References
- 15
- Language
- en
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