HypertrophyNCT04845295
Resistance Training Effects on Muscle Morphological, Mechanical and Contractile Properties
A study testing resistance training in people with Hypertrophy and Contraction, run by University of Belgrade at 1 site in Serbia.
Trial summary
The aim of the research project is to investigate the influence of resistance-training prescription (repetition duration, time under tension and training volume) and sex have on morpho-functional adaptations of upper and lower-body skeletal muscles. Read more about this study
- Who is it for?
- Ages 20 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Hypertrophy, Contraction
- What is being tested?
- resistance training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 siteSerbia
- Study dates
- 1 Mar 2019to 7 May 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- without resistance training participation in past 8 months
Who cannot join
- history of upper or lower body musculoskeletal injuries
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effects of Resistance Training on Skeletal Muscle Morphological, Mechanical and Contractile Properties
The aim of the research project is to investigate the influence of resistance-training prescription (repetition duration, time under tension and training volume) and sex have on morpho-functional adaptations of upper and lower-body skeletal muscles. Twenty-four male and female university students were randomly assigned to one of two experimental groups, based on the repetition duration : "fast" group (with 1 second for eccentric and concentric phase) and "slow" group with prolonged duration of eccentric contraction (4 seconds for eccentric and 1 second concentric phase). At baseline and final measurement, cross-section area, one-repetition maximum and tensiomyography parameters (contraction time - Tc and radial displacement - Dm) of elbow flexors (biceps brachii) and knee extensors (4 quadriceps muscles) were evaluated.
Read the detailed description
Isotonic resistance training has been widely applied in sport and exercise. Design of resistance training programs depends on numerous training variables, such as intensity, volume, time under tension (TUT), repetition duration (tempo), etc. It has been shown that manipulation of repetition duration affects TUT and training volume, which in turn could results in distinct morphological and contractile adaptative response of skeletal muscle. The aim of the research was three-fold: i) to compare two different tempos of resistance exercise, which differ in the duration of eccentric phase on hypertrophy, strength and contractile properties of the elbow flexors and knee extensors muscles, ii) to compare sex-specific adaptations in hypertrophy, strength and contractile properties of the elbow flexors and knee extensors muscles produced by training intervention, iii) to investigate potential cause-and-effect association between changes in size, strength and contractile properties of the tested muscles.
The subjects were assigned to two experimental groups, based on the duration of the eccentric muscle contraction in resistance training. All participants were fully informed about experimental procedures and potential risks and they signed written informed consent prior to participation in the study. The training intervention was performed twice per week for a 7-week period. Before training intervention, a 2-week familiarization period was conducted. Elbow flexor and knee extensors muscle dimensions and strength were assessed 2 days before and after training intervention, while contractile properties were evaluated 5 days before and after experiment. The number of repetitions, training volume (number of repetitions x number of series), and TUT were recorded after first session of training intervention for both groups.
Muscle strength was assessed by one-repetition maximum test (1RM) for two exercises: elbow flexion on Scott's bench and parallel barbell squat. Each participant had 5 attempts to lift the maximum weight with pauses between trials of 3 minutes.
Muscles cross-section area (CSA) were evaluated by ultrasonic device (Siemens Antares, Erlangen, Germany), using the 2D ellipse diagnostic method with variable high frequency transducer (from 7 MHz to 13 MHz), for 5 muscles: elbow flexor (biceps brachii) and 4 knee extensors (rectus femoris , vastus intermedius, vastus medialis, vastus lateralis). The measurements were performed while the subjects seated with their elbows and knees extended and relaxed. The biceps brachii CSA was measured at two-thirds of the distance from the acromion to the antecubital crease. CSA of rectus femoris was measured at the height of proximal section of its distal third, above musculoskeletal joint. CSA of vastus intermedius and vastus medialis were measured at the height of distal part right above the patella. The visible part of vastus lateralis was measured at the distal third directly above the patella, under rectus femoris level.
The contractile properties of biceps brachii, rectus femoris and vastus lateralis muscles were evaluated by tensiomyography according to the manufacturer's instructions (TMG-Science for Body Evaluation, Ljubljana, Slovenia). The values of contraction time (Tc) and radial deformation (Dm) were taken for analysis. The biceps brachii testing was performed while subjects were in a sitting position with the dominant arm bent at 90°. During the assessment of the knee extensors subjects were lying on the back, where dominant leg was placed on the support, forming a knee angle of 120°. Subjects were asked to perform a voluntary contraction, in order to mark the point of placement of the TMG sensor by the palpation method. Two self-adhesive electrodes (Pals Platinum, model 895220 with multi-stick gel, AxelGaard Manufacturing Co. Ltd) were placed proximal and distal at 3 cm from the marked point, emitting an electrical impulse. A sensor (GK40, Panoptik d.o.o., Ljubljana, Slovenia) was placed between the electrodes to detect muscle changes initiated by electrical stimulation. The initial impulse was 25 milliamperes (mA) and it increased proportionally by 10 mA, until the maximum (muscle no longer responds to electrical stimulus).
Both experimental groups performed two exercises to target elbow flexor and knee extensor muscles: biceps curl on a Scott bench and parallel barbell squat, respectively. All sessions were performed at the same time (13-15 h), with a minimum 48 h rest between sessions on the same days during the week. For both groups, the intensity of load (1RM%) and number of sets were as follows: in the first three weeks the subjects exercises with ̴ 60% of 1RM in 3 sets, while during the next four weeks the load was set at ̴ 70% of 1RM in 4 sets. The difference in training protocols was in the duration of the eccentric phase, where one group performed training with a tempo of 1 seconds for eccentric and concentric phase, while for other group tempo was 4 seconds for eccentric and 1 seconds for concentric phase. All repetitions were performed until muscular failure. The pause between sets was 2 minutes.
Prior to analysis data were checked for normality and that the relevant assumptions for each test were met. Differences in the training volume and the TUT between the groups were determined by an independent t-test. One-way ANCOVA (using baseline values as covariates) was used to examine differences in changes of CSA, 1RM and TMG parameters between the groups. If ANCOVA showed statistical significance, the bonferroni post-hoc test was used for further estimation of differences between groups. Additionally, using sex as between-group factor and baseline values as covariates, ANCOVA was used to determine possible differences between males and females in changes of morphological, mechanical and contractile variables. Relative changes for each variable was derived from Pre to Post change in percentage, and for each participant. Pearson's correlation coefficient was used to examine the association between relative pre-to-post changes of CSA, 1RM and TMG for tested muscles. Data were reported as mean ± standard deviation. The level of significance was set at p < 0.05. The program used for statistical analysis was Statistical Package for Social Sciences (IBM SPSS Statistics), version 20.0.
- Conditions
- Hypertrophy, Contraction
- Being tested
- resistance training
- Medical subject headings
- Hypertrophy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
resistance trainingOther
Both experimental groups performed two exercises to target elbow flexor and knee extensor muscles: biceps curl on a Scott bench and parallel barbell squat, respectively. All sessions were performed at the same time (13-15 h), with a minimum 48 h rest between sessions on the same days during the week. For both groups, the intensity of load (1RM%) and number of sets were as follows: in the first three weeks the subjects exercises with ̴ 60% of 1RM in 3 sets, while during the next four weeks the load was set at ̴ 70% of 1RM in 4 sets. All repetitions were performed until muscular failure. The pause between sets was 2 minutes.
| Study group | Role | What they receive |
|---|---|---|
| Fast Tempo | Experimental | Performed training intervention with a tempo of 1 second for eccentric and 1 second for concentric phase Receives: Other: resistance training |
| Slow Tempo | Experimental | Performed training intervention with a tempo of 4 seconds for eccentric and 1 second for concentric phase Receives: Other: resistance training |
What is being measured
The primary outcome is the main question the study is designed to answer.
muscle hypertrophy
cross-section area assessment
Measured: 7 weeks
muscle strength changes
one-repetition maximum assessment
Measured: 7 weeks
contractile properties changes
TMG assessment
Measured: 7 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2021
- Study start1 Mar 2019
- Primary completion7 May 2019
- Study completion7 May 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for HypertrophyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Belgrade
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Vladimir Ilic, University of Belgrade
- Investigators
- Vladimir Ilic, Principal investigator, Faculty of Sport and Physical Education, University of Belgrade
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04845295
- Sponsor's protocol ID
- 2316/19-2
- Status last verified
- Apr 2021
- First submitted
- 10 Apr 2021
- Last updated
- 19 Apr 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Hackett DA, Davies TB, Orr R, Kuang K, Halaki M. Effect of movement velocity during resistance training on muscle-specific hypertrophy: A systematic review. Eur J Sport Sci. 2018 May;18(4):473-482. doi: 10.1080/17461391.2018.1434563. Epub 2018 Feb 12.
PubMed 29431597Schoenfeld BJ. The mechanisms of muscle hypertrophy and their application to resistance training. J Strength Cond Res. 2010 Oct;24(10):2857-72. doi: 10.1519/JSC.0b013e3181e840f3.
PubMed 20847704Davies TB, Kuang K, Orr R, Halaki M, Hackett D. Effect of Movement Velocity During Resistance Training on Dynamic Muscular Strength: A Systematic Review and Meta-Analysis. Sports Med. 2017 Aug;47(8):1603-1617. doi: 10.1007/s40279-017-0676-4.
PubMed 28105573Pisot R, Narici MV, Simunic B, De Boer M, Seynnes O, Jurdana M, Biolo G, Mekjavic IB. Whole muscle contractile parameters and thickness loss during 35-day bed rest. Eur J Appl Physiol. 2008 Sep;104(2):409-14. doi: 10.1007/s00421-008-0698-6. Epub 2008 Feb 23.
PubMed 18297302Pryor RR, Sforzo GA, King DL. Optimizing power output by varying repetition tempo. J Strength Cond Res. 2011 Nov;25(11):3029-34. doi: 10.1519/JSC.0b013e31820f50cb.
PubMed 21881531Kojic F, Mandic D, Ilic V. Resistance training induces similar adaptations of upper and lower-body muscles between sexes. Sci Rep. 2021 Dec 6;11(1):23449. doi: 10.1038/s41598-021-02867-y.
PubMed 34873221
Study at a glance
From the registry record, last updated by the sponsor on 19 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effects of Resistance Training on Skeletal Muscle Morphological, Mechanical and Contractile Properties
- ClinicalTrials.gov ID
- NCT04845295
- Acronym / sponsor ID
- 2316/19-2
- Conditions
- Hypertrophy, Contraction
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- University of BelgradeUniversity, hospital or other
- Study start
- 1 Mar 2019 (actual)
- Primary completion
- 7 May 2019 (actual)
- Study completion
- 7 May 2019 (actual)
- First posted
- 14 Apr 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the research project is to investigate the influence of resistance-training prescription (repetition duration, time under tension and training volume) and sex have on morpho-functional adaptations of upper and lower-body skeletal muscles. Twenty-four male and female university students were randomly assigned to one of two experimental groups, based on the repetition duration : "fast" group (with 1 second for eccentric and concentric phase) and "slow" group with prolonged duration of eccentric contraction (4 seconds for eccentric and 1 second concentric phase). At baseline and final measurement, cross-section area, one-repetition maximum and tensiomyography parameters (contraction time - Tc and radial displacement - Dm) of elbow flexors (biceps brachii) and knee extensors (4 quadriceps muscles) were evaluated.
Detailed description
Isotonic resistance training has been widely applied in sport and exercise. Design of resistance training programs depends on numerous training variables, such as intensity, volume, time under tension (TUT), repetition duration (tempo), etc. It has been shown that manipulation of repetition duration affects TUT and training volume, which in turn could results in distinct morphological and contractile adaptative response of skeletal muscle. The aim of the research was three-fold: i) to compare two different tempos of resistance exercise, which differ in the duration of eccentric phase on hypertrophy, strength and contractile properties of the elbow flexors and knee extensors muscles, ii) to compare sex-specific adaptations in hypertrophy, strength and contractile properties of the elbow flexors and knee extensors muscles produced by training intervention, iii) to investigate potential cause-and-effect association between changes in size, strength and contractile properties of the tested muscles.
The subjects were assigned to two experimental groups, based on the duration of the eccentric muscle contraction in resistance training. All participants were fully informed about experimental procedures and potential risks and they signed written informed consent prior to participation in the study. The training intervention was performed twice per week for a 7-week period. Before training intervention, a 2-week familiarization period was conducted. Elbow flexor and knee extensors muscle dimensions and strength were assessed 2 days before and after training intervention, while contractile properties were evaluated 5 days before and after experiment. The number of repetitions, training volume (number of repetitions x number of series), and TUT were recorded after first session of training intervention for both groups.
Muscle strength was assessed by one-repetition maximum test (1RM) for two exercises: elbow flexion on Scott's bench and parallel barbell squat. Each participant had 5 attempts to lift the maximum weight with pauses between trials of 3 minutes.
Muscles cross-section area (CSA) were evaluated by ultrasonic device (Siemens Antares, Erlangen, Germany), using the 2D ellipse diagnostic method with variable high frequency transducer (from 7 MHz to 13 MHz), for 5 muscles: elbow flexor (biceps brachii) and 4 knee extensors (rectus femoris , vastus intermedius, vastus medialis, vastus lateralis). The measurements were performed while the subjects seated with their elbows and knees extended and relaxed. The biceps brachii CSA was measured at two-thirds of the distance from the acromion to the antecubital crease. CSA of rectus femoris was measured at the height of proximal section of its distal third, above musculoskeletal joint. CSA of vastus intermedius and vastus medialis were measured at the height of distal part right above the patella. The visible part of vastus lateralis was measured at the distal third directly above the patella, under rectus femoris level.
The contractile properties of biceps brachii, rectus femoris and vastus lateralis muscles were evaluated by tensiomyography according to the manufacturer's instructions (TMG-Science for Body Evaluation, Ljubljana, Slovenia). The values of contraction time (Tc) and radial deformation (Dm) were taken for analysis. The biceps brachii testing was performed while subjects were in a sitting position with the dominant arm bent at 90°. During the assessment of the knee extensors subjects were lying on the back, where dominant leg was placed on the support, forming a knee angle of 120°. Subjects were asked to perform a voluntary contraction, in order to mark the point of placement of the TMG sensor by the palpation method. Two self-adhesive electrodes (Pals Platinum, model 895220 with multi-stick gel, AxelGaard Manufacturing Co. Ltd) were placed proximal and distal at 3 cm from the marked point, emitting an electrical impulse. A sensor (GK40, Panoptik d.o.o., Ljubljana, Slovenia) was placed between the electrodes to detect muscle changes initiated by electrical stimulation. The initial impulse was 25 milliamperes (mA) and it increased proportionally by 10 mA, until the maximum (muscle no longer responds to electrical stimulus).
Both experimental groups performed two exercises to target elbow flexor and knee extensor muscles: biceps curl on a Scott bench and parallel barbell squat, respectively. All sessions were performed at the same time (13-15 h), with a minimum 48 h rest between sessions on the same days during the week. For both groups, the intensity of load (1RM%) and number of sets were as follows: in the first three weeks the subjects exercises with ̴ 60% of 1RM in 3 sets, while during the next four weeks the load was set at ̴ 70% of 1RM in 4 sets. The difference in training protocols was in the duration of the eccentric phase, where one group performed training with a tempo of 1 seconds for eccentric and concentric phase, while for other group tempo was 4 seconds for eccentric and 1 seconds for concentric phase. All repetitions were performed until muscular failure. The pause between sets was 2 minutes.
Prior to analysis data were checked for normality and that the relevant assumptions for each test were met. Differences in the training volume and the TUT between the groups were determined by an independent t-test. One-way ANCOVA (using baseline values as covariates) was used to examine differences in changes of CSA, 1RM and TMG parameters between the groups. If ANCOVA showed statistical significance, the bonferroni post-hoc test was used for further estimation of differences between groups. Additionally, using sex as between-group factor and baseline values as covariates, ANCOVA was used to determine possible differences between males and females in changes of morphological, mechanical and contractile variables. Relative changes for each variable was derived from Pre to Post change in percentage, and for each participant. Pearson's correlation coefficient was used to examine the association between relative pre-to-post changes of CSA, 1RM and TMG for tested muscles. Data were reported as mean ± standard deviation. The level of significance was set at p < 0.05. The program used for statistical analysis was Statistical Package for Social Sciences (IBM SPSS Statistics), version 20.0.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fast Tempo | Experimental | Other: resistance trainingPerformed training intervention with a tempo of 1 second for eccentric and 1 second for concentric phase |
| Slow Tempo | Experimental | Other: resistance trainingPerformed training intervention with a tempo of 4 seconds for eccentric and 1 second for concentric phase |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- without resistance training participation in past 8 months
Key exclusion criteria (1 listed)
- history of upper or lower body musculoskeletal injuries
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| resistance trainingBoth experimental groups performed two exercises to target elbow flexor and knee extensor muscles: biceps curl on a Scott bench and parallel barbell squat, respectively. All sessions were performed at the same time (13-15 h), with a minimum 48 h rest between sessions on the same days during the week. For both groups, the intensity of load (1RM%) and number of sets were as follows: in the first three weeks the subjects exercises with ̴ 60% of 1RM in 3 sets, while during the next four weeks the load was set at ̴ 70% of 1RM in 4 sets. All repetitions were performed until muscular failure. The pause between sets was 2 minutes. | Other | Fast Tempo, Slow Tempo |
Primary outcome
muscle hypertrophy
Time frame: 7 weeks
cross-section area assessment
muscle strength changes
Time frame: 7 weeks
one-repetition maximum assessment
contractile properties changes
Time frame: 7 weeks
TMG assessment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Apr 2021.
- Background: PubMed 29431597Hackett DA, Davies TB, Orr R, Kuang K, Halaki M. Effect of movement velocity during resistance training on muscle-specific hypertrophy: A systematic review. Eur J Sport Sci. 2018 May;18(4):473-482. doi: 10.1080/17461391.2018.1434563. Epub 2018 Feb 12.
- Background: PubMed 20847704Schoenfeld BJ. The mechanisms of muscle hypertrophy and their application to resistance training. J Strength Cond Res. 2010 Oct;24(10):2857-72. doi: 10.1519/JSC.0b013e3181e840f3.
- Background: PubMed 28105573Davies TB, Kuang K, Orr R, Halaki M, Hackett D. Effect of Movement Velocity During Resistance Training on Dynamic Muscular Strength: A Systematic Review and Meta-Analysis. Sports Med. 2017 Aug;47(8):1603-1617. doi: 10.1007/s40279-017-0676-4.
- Background: PubMed 18297302Pisot R, Narici MV, Simunic B, De Boer M, Seynnes O, Jurdana M, Biolo G, Mekjavic IB. Whole muscle contractile parameters and thickness loss during 35-day bed rest. Eur J Appl Physiol. 2008 Sep;104(2):409-14. doi: 10.1007/s00421-008-0698-6. Epub 2008 Feb 23.
- Background: PubMed 21881531Pryor RR, Sforzo GA, King DL. Optimizing power output by varying repetition tempo. J Strength Cond Res. 2011 Nov;25(11):3029-34. doi: 10.1519/JSC.0b013e31820f50cb.
- Derived from this study: PubMed 34873221Kojic F, Mandic D, Ilic V. Resistance training induces similar adaptations of upper and lower-body muscles between sexes. Sci Rep. 2021 Dec 6;11(1):23449. doi: 10.1038/s41598-021-02867-y.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Vladimir Ilic principal investigator
Faculty of Sport and Physical Education, University of Belgrade
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing resistance training in people with Hypertrophy and Contraction, run by University of Belgrade at 1 site in Serbia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Serbia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
muscle hypertrophy (time frame: 7 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04845295, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Apr 2021.