Improvements in skeletal muscle fiber size with resistance training are age-dependent in older adults: a systematic review and meta-analysis
Open accessAbstract
As studies examining the hypertrophic effects of resistance training (RT) at the cellular level have produced inconsistent results, we performed a systematic review and meta-analysis to investigate muscle fiber size before and after a structured RT intervention in older adults. A random-effects model was used to calculate mean effect size (ES) and 95% confidence intervals (CI). Thirty-five studies were included (age range: 59.0–88.5 yr), and 44 and 30 effects were used to estimate RT impact on myosin heavy chain (MHC) I and II fiber size. RT produced moderate-to-large increases in MHC I (ES = +0.51, 95%CI +0.31 to +0.71; P < 0.001) and II (ES = +0.81, 95%CI +0.56 to +1.05; P < 0.001) fiber size, with men and women having a similar response. Age was negatively associated with change in muscle fiber size for both fiber types (MHC I: R 2 = 0.11, β = −0.33, P = 0.002; MHC II: R 2 = 0.10, β = −0.32, P = 0.04), indicating a less robust hypertrophic response as age increases in older adults. Unexpectedly, a higher training intensity (defined as percentage of one-repetition maximum) was associated with a smaller increase in MHC II fiber size ( R 2 = 15.09%, β = −0.39, P = 0.01). Notably, MHC II fiber subtypes (IIA, IIX, IIAX) were examined less frequently, but RT improved their size. Overall, our findings indicate that RT induces cellular hypertrophy in older adults, although the effect is attenuated with increasing age. In addition, hypertrophy of MHC II fibers was reduced with higher training intensity, which may suggest a failure of muscle fibers to hypertrophy in response to high loads in older adults.
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Light load training appears to be at least as effective as heavier load training, if not more so, for inducing hypertrophy in older individuals.
“From an age-related standpoint, light load training appears to be at least as effective as heavier load training, if not more so, for inducing hypertrophy in older individuals.”
From Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum. (2021) · cites this paper as [45]
Straight et al. meta-analytic data found that older individuals responded to both higher and lower loading protocols, but muscle hypertrophy was attenuated in type II muscle fibers when training with heavier loads; the difference between loading strategies explained ~15% of the variance in change in fiber size.
“Meta-analytic data from Straight et al. [45] found that while older individuals responded to both higher and lower loading protocols, muscle hypertrophy was attenuated in type II muscle fibers when training with heavier loads; the difference between loading strategies explained ~15% of the variance in change in fiber size.”
From Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum. (2021) · cites this paper as [45]
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- Authors
- Straight, C. R., Fedewa, M. V., Toth, M. J., & Miller, M. S.
- Affiliations
- University of Massachusetts Amherst (US)
- University of Alabama (US)
- University of Vermont (US)
- Corresponding author
- Miller, Mark S.
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 2020-08-01
- Volume
- 129
- Issue
- 2
- Pages
- 392-403
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- PMC
- PMC7473942
- OpenAlex
- W3045393412
- Cited by
- 46
- References
- 24
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 7 · 2023: 10 · 2022: 6 · 2021: 7
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Journal of Applied Physiology (publishedVersion, other-oa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | National Institutes of Health (AG047245, AG050305)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- resistance training, muscle fiber size, skeletal muscle hypertrophy, older adults, myosin heavy chain, exercise intensity, age-related decline, sex differences
- MeSH terms
- Aged, Aged, 80 and over, Female, Humans, Hypertrophy, Male, Middle Aged, Muscle, Skeletal, Muscle Fibers, Skeletal, Myosin Heavy Chains, Resistance Training
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