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Peer-reviewedCC BYFrontiers in physiology

Heavy or light: is muscle fiber growth load-specific? A systematic review and meta-regression.

4 affiliations
  1. 1Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia.
  2. 2Department of Sports Science and Physical Education, Nord University, Levanger, Norway.
  3. 3Academy for Personal Training, Fredrikstad, Norway.
  4. 4Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.

Abstract

Introduction

Training load, expressed as a percentage of one-repetition maximum (%1RM), is an important variable in resistance training. Prior studies comparing low- and high-load training on muscle fiber hypertrophy reported conflicting findings, and the load-specific relationship has not been analyzed in a continuous manner. This systematic review and meta-regression explored the relationship between training load and muscle fiber hypertrophy.Methods

A systematic search was conducted in PubMed/MEDLINE, Scopus, and SPORTDiscus databases. Standardized mean changes (SMC) were calculated and analyzed using multilevel meta-regressions with cluster-robust variance estimation, with exploratory sensitivity and interacting moderator analyses. Eight studies involving 195 participants were included.Results

In the fiber-type specific model, pairwise contrast estimates were negative at low loads (20-30% 1RM: -0.147 to -0.088 SMC) and positive at higher loads (60-90% 1RM: 0.089-0.265 SMC). However, the 95% confidence intervals included zero for all pairwise contrasts.Conclusion

The observed model estimates suggested a potential fiber-type specific pattern across loading ranges. However, these findings should be considered preliminary and interpreted with caution given the small number of included studies and wide 95% confidence and prediction intervals, indicating a degree of uncertainty and imprecision.

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BibTeX
@article{varovic2026heavy,
  title = {{Heavy or light: is muscle fiber growth load-specific? A systematic review and meta-regression.}},
  author = {Dorian Varovic and Stian Larsen and Jozo Grgic},
  journal = {Frontiers in physiology},
  year = {2026},
  month = oct,
  doi = {10.3389/fphys.2026.1953601},
  url = {https://europepmc.org/article/MED/42903128},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Heavy or light: is muscle fiber growth load-specific? A systematic review and meta-regression.
AU  - Dorian Varovic
AU  - Stian Larsen
AU  - Jozo Grgic
PY  - 2026
DA  - 2026/10/06
JO  - Frontiers in physiology
DO  - 10.3389/fphys.2026.1953601
UR  - https://europepmc.org/article/MED/42903128
AB  - Introduction  Training load, expressed as a percentage of one-repetition maximum (%1RM), is an important variable in resistance training. Prior studies comparing low- and high-load training on muscle fiber hypertrophy reported conflicting findings, and the load-specific relationship has not been analyzed in a continuous manner. This systematic review and meta-regression explored the relationship between training load and muscle fiber hypertrophy.Methods  A systematic search was conducted in PubMed/MEDLINE, Scopus, and SPORTDiscus databases. Standardized mean changes (SMC) were calculated and analyzed using multilevel meta-regressions with cluster-robust variance estimation, with exploratory sensitivity and interacting moderator analyses. Eight studies involving 195 participants were included.Results  In the fiber-type specific model, pairwise contrast estimates were negative at low loads (20-30% 1RM: -0.147 to -0.088 SMC) and positive at higher loads (60-90% 1RM: 0.089-0.265 SMC). However, the 95% confidence intervals included zero for all pairwise contrasts.Conclusion  The observed model estimates suggested a potential fiber-type specific pattern across loading ranges. However, these findings should be considered preliminary and interpreted with caution given the small number of included studies and wide 95% confidence and prediction intervals, indicating a degree of uncertainty and imprecision.
SN  - 1664-042X
ER  -