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Department of Sport, Laboratory of Neuromuscular Adaptations to Strength Training, School of Physical Education and Sport,
University of Sao Paulo, Sao Paulo, Brazil; 2Department of Health Science and Human Performance, University of Tampa, Tampa,
Florida; and 3Department of Sport, Delboni Auriemo Diagnostic Imaging Sector: A Division of DASA, Sao Paulo, Brazil
ABSTRACT
Fonseca, RM, Roschel, H, Tricoli, V, de Souza, EO, Wilson,
JM, Laurentino, GC, Aihara, AY, de Souza Leao, AR, and
Ugrinowitsch, C. Changes in exercises are more effective
than in loading schemes to improve muscle strength.
J Strength Cond Res 28(11): 30853092, 2014This study
investigated the effects of varying strength exercises and
loading scheme on muscle cross-sectional area (CSA) and
maximum strength after 4 strength training loading schemes:
constant intensity and constant exercise (CICE), constant
intensity and varied exercise (CIVE), varied intensity and constant exercise (VICE), varied intensity and varied exercise
(VIVE). Forty-nine individuals were allocated into 5 groups:
CICE, CIVE, VICE, VIVE, and control group (C). Experimental
groups underwent twice a week training for 12 weeks. Squat
1 repetition maximum was assessed at baseline and after the
training period. Whole quadriceps muscle and its heads CSA
were also obtained pretraining and posttraining. The whole
quadriceps CSA increased significantly (p # 0.05) in all of
the experimental groups from pretest to posttest in both the
right and left legs: CICE: 11.6 and 12.0%; CIVE: 11.6 and
12.2%; VICE: 9.5 e 9.3%; and VIVE: 9.9 and 11.6%, respectively. The CIVE and VIVE groups presented hypertrophy in all
of the quadriceps muscle heads (p # 0.05), whereas the
CICE and VICE groups did not present hypertrophy in the
vastus medialis and rectus femoris (RF), and in the RF
muscles, respectively (p . 0.05). The CIVE group had greater
strength increments than the other training groups (effect size
confidence limit of the difference [ESCLdiff] CICE: 1.4121.56;
VICE: 2.132.28; VIVE: 0.590.75). Our findings suggest:
(a) CIVE is more efficient to produce strength gains for physically active individuals; (b) as long as the training intensity
Address correspondence to Carlos Ugrinowitsch, ugrinowi@usp.br.
28(11)/30853092
Journal of Strength and Conditioning Research
2014 National Strength and Conditioning Association
trength training (ST) has been widely recommended as an effective method to increase muscle
strength and mass (12). Regarding the structure
of an ST program, a positive relationship between
training volume and gains in muscle strength and hypertrophy has been suggested (13,19,23), supporting the concept
that training volume should be increased throughout an ST
program to maximize its functional and phenotypical adaptations.
Although the relevance of volume increments to maximize ST adaptations is well established, the importance of
the loading scheme (i.e., the combination of exercise
intensity and volume within a training program) in optimizing the adaptations is still equivocal. Periodized loading
schemes are claimed to produce superior gains in strength
when compared with nonperiodized (NP) ones
(13,15,18,27). However, results are far from uniform. For
instance, previous studies demonstrated similar effects
between NP, linear periodized, and nonlinear/undulating
periodized loading schemes, with no significant differences
between groups (2,6).
In addition to the effects on strength gains, skeletal
muscle hypertrophy responses to different loading
schemes are also controversial. Indeed, previous studies
have demonstrated greater increases in fat-free mass and
muscle thickness after periodized when compared with
NP loading schemes (8,17,21). Although these changes
are suggestive of positive alterations in muscle mass, very
few studies have directly assessed muscle cross-sectional
area (CSA) using a gold-standard method (i.e., magnetic
resonance imaging [MRI]), after different ST loading
schemes (7,9).
Another important issue is that the American College of
Sports Medicine (12) and the National Strength and
VOLUME 28 | NUMBER 11 | NOVEMBER 2014 |
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METHODS
Experimental Approach to the Problem
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the
Subjects
Before the commencement of the study, all of the participants completed 3 familiarization sessions interspersed by at
least 72 hours. During the familiarization sessions, participants performed a general warm-up consisting of 5 minutes
of running at 9 km$h21 on a treadmill (Movement Technology, Brudden, Sao Paulo, Brazil) followed by 3 minutes of
whole body light stretching exercises. After warming-up, the
subjects were familiarized with the squat 1RM testing protocol in a regular Smith Machine (Cybex, Medway, MA,
USA). The within-subject variance of the 1RM values was
,5% between familiarization sessions 2 and 3. Each participant had his body position and foot placement in the squat
exercise determined with measuring tapes fixed on the bar
and on the ground, respectively. In addition, a wooden seat
with adjustable heights was placed behind the participant to
keep the bar displacement and knee angle (;908) constant
on each squat repetition. Participants positioning were recorded during the familiarization sessions and reproduced
throughout the testing and training sessions.
Muscle Cross-Sectional Area
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C (n = 10)
CICE (n = 10)
CIVE (n = 8)
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
Age (y)
26.1
Height (cm)
174
Body mass (kg)
75.0
1RM (kg)
111.0
CSA (mm2)
7,709.3
4.3
24.2
4.6
177
4.8
76.0
30.4
142.8
1,376.8 8,463.9
4.1
27.1
5.9
175
8.9
76.0
24.6
120.0
1,162.3 7,643.5
VICE (n = 9)
4.1
22.5
2.2
178
4.7
75.0
41.3
136.4
1,556.3 8,145.5
6
6
6
6
6
VIVE (n = 12)
3.8
25.4
4.3
176
7.3
78
24.4
113.3
880.2 8,329.9
6
6
6
6
6
3.3
4.2
7.1
32.8
1,435.8
*CSA = whole quadriceps cross-sectional area; 1RM = 1 repetition maximum test; CICE = constant intensity and constant
exercise; CIVE = constant intensity and varying exercise; VICE = varying intensity and constant exercise; VIVE = varying intensity
and varying exercise; C = control groups.
Figure 1. Right and left quadriceps femoris cross-sectional area (A), and vastus lateralis, vastus medialis, vastus intermedius e rectus femoris cross-sectiona
area (B).
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CIVE
VICE
VIVE
Weeks 14
Exercise/volume/intensity
Squat: 4 3 8RM
Squat: 2 3 8RM
Leg press: 2 3 8RM
Squat: 2 3 6RM
Squat: 2 3 10RM
Squat: 1 3 6RM
Squat: 1 3 10RM
Squat: 1 3 6RM
Leg press: 1 3 10RM
Weeks 58
Exercise/volume/intensity
Squat: 6 3 8RM
Squat: 3 3 8RM
Deadlift: 3 3 8RM
Squat: 2 3 6RM
Squat: 2 3 8RM
Squat: 2 3 10RM
Squat: 1 3 6RM
Squat: 1 3 8RM
Squat: 1 3 10RM
Deadlift: 1 3 6RM
Deadlift: 1 3 8RM
Deadlift: 1 3 10RM
Weeks 912
Exercise/volume/intensity
Squat: 9 3 8RM
Squat: 3 3 8RM
Deadlift: 3 3 8RM
Lunge: 3 3 8RM
Squat: 3 3 6RM
Squat: 3 3 8RM
Squat: 3 3 10RM
Squat: 1 3 6RM
Squat: 1 3 8RM
Squat: 1 3 10RM
Deadlift: 1 3 6RM
Deadlift: 1 3 8RM
Deadlift: 1 3 10RM
Lunge: 1 3 6RM
Lunge: 1 3 8RM
Lunge: 1 3 10RM
*CICE = constant intensity and constant exercise; CIVE = constant intensity and varying exercise; VICE = varying intensity and
constant exercise; VIVE = varying intensity and varying exercise; C = control groups.
quadriceps muscle and each of its heads (i.e., VL, VM, VI,
and RF) CSA, assuming group (CICE, CIVE, VICE, VIVE,
and C), and time (pre and post) as fixed factors, and
participants as a random factor (SAS 9.2; SAS Institute
Inc., Cary, NC, USA). Whenever a significant F-value was
Statistical Analyses
obtained, a post hoc test with Tukeys adjustment was perAfter normality (i.e., Shapiro-Wilk) and variance assurance
formed for multiple comparison purposes (24). The signifi(i.e., Levene), a mixed model was performed for the whole
cance level was set at p # 0.05. A high variability in the
between-groups pretest maximum dynamic strength values
was identified because of the
high number of dropouts.
These dropouts unbalanced
the initial equalization of maximum strength values, producing significant differences in
the squat 1RM values between
groups (i.e., 1-way analysis of
variance; p # 0.05). Thus,
a mixed model assuming
groups as a fixed factor, subFigure 2. Left and right quadriceps femoris cross-sectional area, pretrianing and posttraining. CICE = constant
intensity and constant exercise; CIVE = constant intensity and varied exercise; VICE = varied intensity and
jects as a random factor, pretest
constant exercise; VIVE = varied intensity and varied exercise; and C = control groups. *Posttraining CSA values
initial 1RM values as a covarigreater than pretraining values (p # 0.05); #Training groups CSA values greater than the control group at the
posttraining assessment (p # 0.05).
ate, and individuals delta
change (%) as dependent
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TABLE 3. Vastus lateralis, VM, VI, and RF cross-sectional area (in square
millimeter) for the C, CICE, CIVE, VICE, and VIVE groups, pretraining and
posttraining.*
VL
C
CICE
Pre
Post
Pre
Post
Pre
Post
Pre
Post
Pre
Post
2,855
2,857
3,212
3,514
2,964
3,312
3,040
3,245
3,156
3,428
6
6
6
6
6
6
6
6
6
6
VM
474
465
648
636
452
473
393
405
536
517
1,070
1,064
1,221
1,318
1,090
1,269
1,217
1,371
1,166
1,345
6
6
6
6
6
6
6
6
6
6
VI
159
200
201
154
198
282
299
278
162
206
2,988
3,016
3,472
37,738
3,059
3,353
3,358
3,632
3,410
3,639
6
6
6
6
6
6
6
6
6
6
RESULTS
RF
501
456
413
468
588
456
612
534
486
504
886
855
1,020
1,090
1,012
1,096
959
1,026
1,018
1,085
6
6
6
6
6
6
6
6
6
6
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268
222
174
180
249
263
120
112
288
318
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DISCUSSION
The purpose of this study was to investigate the effects of
different combinations of training intensities and exercises
selection, as well as the combination of both, on muscle
strength and CSA, while matching groups for training
volume, on muscle hypertrophy and strength. The novel
finding of this study is that varying exercises along the
experimental period produces greater strength gains than
variations in training intensity. Furthermore, it seems that
varying training intensity and exercises, simultaneously,
cannot be an appropriate strategy to increase maximum
strength for physically active individuals. Finally, groups that
varied exercises in the training program presented a more
homogeneous hypertrophy among the quadriceps muscles
(i.e., VL, VM, VI, and RF).
Our study demonstrated that regardless of the variation in
intensity and exercise selection, the quadriceps CSA increased
significantly and similarly in all of the experimental groups
from pretest to posttest (increments ranged from 9.3 to
12.2%). In this regard, it seems that when training volume is
equated between groups (i.e., sets 3 repetitions), and the
intensity varies between 6 and 10RM, similar CSA gains are
achieved regardless of the exercise variations. With respect to
the ST intensity, recent findings have suggested that intensity
variation might not be critical to induce muscle hypertrophy
(7,14). For instance, Mitchell et al. (14) demonstrated that ST
regimens in which participants had their legs assigned to
either a 30 or an 80% 1RM exercise until failure produced
similar CSA gains (e.g., 6.8 and 7.2%, respectively), after 10
weeks of training. In addition, other studies have demonstrated that varying the intensity between 3 and 15RM over
12 weeks of ST produced similar protein accretion between
groups (21). Accordingly, training loads between 3 and 11RM
over 8 weeks of training also resulted in similar muscle fiber
CSA increments (3). Collectively, these findings suggest that
variations in the training intensity do not seem to be critical to
magnify muscle hypertrophic responses. Our data also do not
support the hypothesis that exercise variations are determinant to muscle mass accretion, as the groups that varied exercises had similar gains in muscle CSA than the ones that just
used a single exercise (i.e., squat). Thus, the findings of this
study indicate that as long as the training load is sufficient to
activate the protein synthesis machinery, muscle hypertrophy
should occur independently of the changes in exercise
throughout the training period.
Interestingly, the groups that varied exercises throughout
the training program had hypertrophy among all of the
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PRACTICAL APPLICATIONS
Strength coaches usually vary the training intensity and
exercises in an ST program. Our findings suggest that
variations in training intensity are not critical to produce
strength and muscle hypertrophy gains in the initial phase of
an ST program. Varying exercises during this phase seem to
be more important to maximize the neural drive and,
therefore, the functional adaptations. In addition, exercise
variation seems to produce a more complete muscle
activation hypertrophying all of the heads of multipennate
muscles.
ACKNOWLEDGMENTS
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26. Wallerstein, LF, Tricoli, V, Barroso, R, Rodacki, AL, Russo, L, Aihara, AY,
da Rocha Correa Fernandes, A, de Mello, MT, and Ugrinowitsch, C.
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