Sei sulla pagina 1di 5

SHORT RESEARCH REPORT

INDIVIDUAL MUSCLE HYPERTROPHY AND STRENGTH


RESPONSES TO HIGH VS. LOW RESISTANCE TRAINING
FREQUENCIES
FELIPE DAMAS,1 CINTIA BARCELOS,1 SANMY R. NÓBREGA,1 CARLOS UGRINOWITSCH,2
MANOEL E. LIXANDRÃO,2 LUCAS M. E. D. SANTOS,1 MIGUEL S. CONCEIÇÃO,2 FELIPE C. VECHIN,2 AND
CLEITON A. LIBARDI1
1
MUSCULAB—Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education,
Federal University of Sa˜o Carlos—UFSCar, Sa˜o Carlos, Sa˜o Paulo, Brazil; and 2School of Physical Education and Sport,
University of Sa˜o Paulo—USP, Sa˜o Paulo, Sa˜o Paulo, Brazil

ABSTRACT
KEY WORDS individual responsiveness, total training volume,
Damas, F, Barcelos, C, Nóbrega, SR, Ugrinowitsch, C, Lixan- 1 repetition maximum, muscle cross-sectional area
drão, ME, Santos, LMEd, Conceição, MS, Vechin, FC, and
Libardi, CA. Individual muscle hypertrophy and strength re-
sponses to high vs. low resistance training frequencies. J INTRODUCTION

R
Strength Cond Res XX(X): 000–000, 2018—The aim of this esistance training (RT)-induced increases in mus-
short communication was to compare the individual muscle cle mass (i.e., hypertrophy) and strength have
mass and strength gains with high (HF) vs. low (LF) resistance significant impact in overall health, diseases pre-
training (RT) frequencies using data from our previous study. vention (29), and athletic performance (2). The
We used a within-subject design in which 20 subjects had one effect of RT weekly frequency on muscle hypertrophy and
leg randomly assigned to HF (53 per week) and the other to strength development has been given special attention lately
LF (2 or 33 per week). Muscle cross-sectional area and 1 (6,12,14,16,25,30). The rationale for examining the impact of
repetition maximum were assessed at baseline and after 8 different frequencies on RT outcomes relies on recent studies
weeks of RT. HF showed a higher 8-week accumulated total showing the time course of increases in muscle protein syn-
training volume (TTV) (p , 0.0001) compared with LF. Muscle thesis after RT session (lasting ;24–48 hours after an RT
cross-sectional area and 1 repetition maximum values session) (10,11,28). In addition, higher RT frequencies could
increased significantly and similarly for HF and LF protocols result in greater training volumes, which in turn would
(p . 0.05). This short communication highlights that some positively affect muscle hypertrophy and strength gains
individuals showed greater muscle mass and strength gains (16,26).
after HF (31.6 and 26.3% of individuals, respectively), other Notwithstanding, our group recently showed that
performing RT 2, 3, or 5 times per week resulted in
had greater gains with LF (36.8 and 15.8% of individuals,
similar gains in muscle hypertrophy and strength after 8
respectively), and even others showed similar responses
weeks in untrained individuals, even with a higher 8-week
between HF and LF, regardless of the consequent higher or
accumulated total training volume (TTV) for the higher
lower TTV resulted from HF and LF, respectively. Importantly, frequency (sets 3 reps 3 load) (3). Other reports also
individual manipulation of RT frequency can improve the intra- showed similar RT outcomes after distinct RT frequencies
subject responsiveness to training, but the effect is limited to both in untrained and trained individuals, irrespectively of
each individual’s capacity to respond to RT. Finally, individual matching TTV (4,6,8,14). However, these findings are not
response to different frequencies and resulted TTV does not universal, especially when higher training frequencies
necessarily agree between muscle hypertrophy and strength result in greater TTV (16,25,30). These discrepancies
gains. could be due, at least in part, to interindividual differences
in responsiveness to distinct RT frequencies. A large var-
iability has been reported for muscle strength and hyper-
Address correspondence to Dr. Cleiton A. Libardi, c.libardi@ufscar.br. trophy outcomes even when subjects perform
00(00)/1–5 standardized RT programs (1,9,20). However, no study
Journal of Strength and Conditioning Research has evaluated the effects of manipulation of RT frequency
 2018 National Strength and Conditioning Association within the same individual.

VOLUME 00 | NUMBER 00 | MONTH 2018 | 1

Copyright ª 2018 National Strength and Conditioning Association


Individual Responses to Training Frequencies

The present short communication compared individual between sets because it was showed to be sufficient to pro-
muscle hypertrophy and strength gains with high (HF, 53 mote increases in muscle hypertrophy (15) and strength in
per week) vs. low (LF, 2 or 33 per week) RT frequencies in untrained individuals (17). Total training volume was calcu-
the same subjects (unilateral design) over 8 weeks of RT lated as sets 3 repetitions 3 load (kg).
using data from our previous study (3). We hypothesized
that the intersubject variability would be high, but a per- Statistical Analyses
individual analysis would show that most of the subjects For the analyses, each leg (experimental unit) was grouped
would respond better to the high RT frequency, as it results into either an HF (legs previously allocated to the 53 per
in greater TTV over the training period. week RT) or LF (legs previously allocated to 2 or 33 per
week RT) (3). For group analyses, the accumulated TTV and
METHODS changes in muscle CSA and 1RM values were compared
between HF and LF using paired t-tests. For individual anal-
Experimental Approach to the Problem
yses, if an individual that showed a difference in the response
This is a follow-up short communication to analyze indi-
(for CSA or 1RM increases) from HF or LF (or vice versa)
vidual responses to HF (RT performed 53 per week) and LF
within 2 typical errors (CSA typical error = 1.38%, 1RM
(RT performed 2 or 33 per week) from our previous publi-
typical error = 3.64%; values extracted from Ref. 3), no dif-
cation (3). In short, a within-subject approach was used in
ference in the response between RT frequencies was consid-
which each subject performed RT after an HF with one leg
ered. Relationships between variables were assessed using
and an LF with the other leg. Subject’s legs were randomly
the Pearson’s correlation. In addition, we defined an individ-
allocated in 1 of the 2 experimental protocols in a counter-
ual as “responder” to RT as one with a response greater than
balanced way. Specifically, one leg of each subject was allo-
2 typical errors from zero for increases in muscle CSA and
cated in the HF (10 dominant and 10 nondominant legs),
1RM; if not, he was considered as “nonresponder” (19). A
and the contralateral legs were then randomized in LF (10
chi-square test was performed to compare the proportion of
dominant [5 in each low frequency, i.e., 2 or 33 per week]
individuals (responders) that had higher CSA and 1RM
and 10 nondominant legs [5 in each low frequency]). The
gains (greater than 2 typical errors) after training between
vastus lateralis muscle cross-sectional area (CSA) was as-
HF and LF. In case of significant p values, standard residuals
sessed using ultrasound and the maximum dynamic strength
were analyzed to determine which proportions were signif-
by a unilateral 1 repetition maximum (1RM) test, both
icantly different in the contingency table. Differences in the
before and after 8 weeks of RT.
estimated proportions were considered significantly different
Subjects if standard residuals were outside the interval [22, 2]. Sig-
The subjects included in this short communication were the nificance was established as p # 0.05.
same from our previous article (3) (young untrained men,
mean 6 SD: n = 20,23 6 4 years [18-30 years old]; 174 6 6 RESULTS
cm; 72 6 8 kg). However, one participant was excluded from Total Training Volume, Changes in Muscle Cross-Sectional
the analyses because he did not complete the experiment Area, and 1 Repetition Maximum
protocol because of personal reasons. The study was Group analyses showed that HF resulted in higher 8-week
approved by the Federal University of São Carlos Ethic accumulated TTV (p , 0.0001) compared with LF
Committee, and each participant signed informed consent (Figure 1A). However, similar changes were found in CSA
before participation. All procedures performed in the study and 1RM changes comparing legs that trained at HF vs. LF
were in accordance with the ethical standards of the institu- (p . 0.05; Figure 1B, C, respectively).
tional research committee and with the Helsinki declaration. The individual analyses showed that all subjects depicted
Procedures higher TTV for HF vs. LF (Figure 1A). For muscle hyper-
Muscle Cross-Sectional Area and Maximal Dynamic Strength (1 trophy, 6 individuals (31.6% of the sample) responded more
Repetition Maximum). Vastus lateralis muscle CSA was HF, 7 individuals (36.8% of the sample) responded more for
assessed using sequential images acquired by a B-mode LF, and the other 6 individuals (31.6% of the sample)
ultrasound with a 7.5-MHz linear probe (MySono U6; showed no difference in the hypertrophic responses
Samsung, São Paulo, SP, Brazil) and an image-fitting tech- between training frequencies (the difference was within 2
nique that our group has validated previously (23). Maximal typical errors) (Figure 1B). Regarding muscle strength, 5
dynamic strength was assessed using the 1RM test on the leg individuals (26.3% of the sample) increased more the 1RM
extension machine following previously described criteria (7). value for HF, 3 (15.8% of the sample) for LF, and the other
11 (57.9% of the sample) showed similar responses between
Resistance Training. All RT protocols were performed in a leg RT frequencies (Figure 1C). No significant correlations were
extension machine (Effort NKR; Nakagym, Diadema, SP, found between TTV and CSA (p = 0.59; r = 0.09) or 1RM
Brazil). Training protocol consisted of 3 sets of 9RM–12RM (p = 0.17; r = 0.22). Importantly, after manipulation of the
to muscular failure. A 2-minute rest interval was allowed RT frequency (i.e., HF-to-LF or LF-to-HF), only one
the TM

2 Journal of Strength and Conditioning Research

Copyright ª 2018 National Strength and Conditioning Association


the TM

Journal of Strength and Conditioning Research | www.nsca.com

Figure 1. A) Individual 8-week accumulated total training volume (TTV, sets 3 reps 3 load [kg]), % changes in (B) muscle cross-sectional area (CSA) and (C) 1
repetition maximum (1RM) at week 8 relative to baseline for high and low resistance training frequencies. Pointed lines in panels (B) and (C) indicate “zero”
value, and dashed lines indicate “cut-points” for responsiveness: 2.76% for CSA and 7.28% for 1RM (see Methods for details). *Significant difference from
lower resistance training frequencies (p , 0.0001).

individual (marked as “white upside-down triangle”) was greatly increased the muscle CSA and 1RM values in
still considered “nonresponder” for muscle hypertrophy. response to an HF, but, surprisingly, other responded better
For muscle strength, after RT frequency manipulation, no to LF, despite all subjects had greater TTV after HF (Fig-
individual was still considered a “nonresponder.” The chi- ure 1). Corroborating with the results above, when RT fre-
square test showed that there were no significant differences quency is manipulated, we report no correlation between
between the proportion of individuals who become res- TTV and CSA or 1RM increases. These results do not fully
ponders after HF or LF for both CSA and 1RM gains (p support the hypothesis that the magnitude and duration of
. 0.05). elevated muscle protein synthesis in response to RT bout and
the greater accumulated TTV would favor training muscles
DISCUSSION with a greater frequency. Specifically, for muscle hypertrophy,
This is the first study to analyze individual responses to ;31.6% of the sample responded more for HF, and for mus-
different RT frequencies. As hypothesized, our results cle strength, ;26.3% of the sample benefited more from HF.
showed a large intersubject variability to HF and LF, but We suggest that some individuals might be “less sensitive” to
contrarily to what we proposed, most subjects did not show RT stimulus, requiring a higher RT frequency (or TTV) to
greater responses (muscle hypertrophy and strength) to the maximize their RT-induced adaptations. Some studies with
RT frequency that resulted in a larger TTV. endurance training indicate that individuals considered as
Our unilateral RT protocol elaborated to minimize low responders (e.g., have small or no increase in maximal
between-subject variability, allowed to compare the leg that oxygen consumption [V _ O2max]) may better respond to high-
performed an HF (RT 53 per week) with the contralateral er training volumes (18,27). The same concept does not seem
leg, which performed an LF (RT 2 or 33 per week). In to hold for RT, as some subjects (36.8% for muscle hypertro-
accordance with our previous article (3), group analyses phy and 15.8% for muscle strength) in this study were more
showed higher TTV for HF (Figure 1A), but similar hyper- responsive to LF (and consequent smaller TTV). These re-
trophic (Figure 1B) and muscle strength (Figure 1C) out- sults could indicate that these subjects might require a longer
comes between HF and LF. An interesting hypothesis is that time to recover between sessions or even that they are more
there might exist a training volume threshold beyond which sensitive to inhibitory mechanisms of hypertrophy and
there is no further increase in muscle mass and strength, as strength gains performing larger weekly TTV. These sugges-
discussed in more detail recently (13). In fact, the individual tions require further investigation. In addition, we expand the
analyses demonstrate that a significant proportion of sub- TTV threshold hypothesis, indicating that should it really
jects showed no difference in their responses manipulating exists, it is to some extent individual-dependent, and further
RT frequency (31.6% of the subjects for muscle hypertrophy increases in TTV can even impair muscle mass and strength
and 57.9% for muscle strength). Even so, some individuals development with RT in some individuals.

VOLUME 00 | NUMBER 00 | MONTH 2018 | 3

Copyright ª 2018 National Strength and Conditioning Association


Individual Responses to Training Frequencies

Interestingly, 3 subjects (of 19) were considered as require further scrutinization. In addition, the use of uni-
“nonresponders” for muscle hypertrophy considering HF lateral exercise was specifically chosen to evaluate the
and LF separately, but only 1 subject was considered intraindividual variability to distinct RT frequencies per-
a “nonresponder” after the manipulation of RT frequency formed during the same time frame (i.e., 8 weeks), but
(HF-to-LF or LF-to-HF) (Figure 1B). For muscle strength, other research are commended to investigate this research
also 3 subjects were considered as “nonresponders” after question using, e.g., bilateral exercises and a wash-out
HF or LF separately, but all were considered as “respond- period. Also, upper-body and additional exercises could
ers” when RT was manipulated (Figure 1C). However, it be tested, as maybe a different pattern of response could
should be highlighted that despite the manipulation of RT emerge.
frequency can alter intraindividual responsiveness to RT, In conclusion, this short communication highlights that
the interindividual responses are dependent on each indi- interindividual variability to different RT frequency (and
vidual’s genetic predisposition to respond to RT. Other consequent TTV) is high, and, surprisingly, some individuals
factors as nutritional patterns, daily activities, etc., could showed greater muscle hypertrophy and strength gains after
also have an impact on intersubject responsivity to RT. lower RT frequencies, which resulted in lower TTV.
Our data show that some individuals presented greater Importantly, intrasubject responsiveness to training can be
responses in comparison with other subjects irrespectively modulated through the manipulation of RT frequency;
of RT frequency, i.e., even the smallest increase that some however, the effect is limited to each individual’s capacity
subjects achieved was still higher than the largest increase to respond to RT. Finally, the individual response to different
of other. Overall, the individual manipulation of RT fre- frequencies and resulted TTV does not necessarily agree
quency is relevant because it can improve the intrasubject between distinct RT-related outcomes (i.e., muscle hypertro-
responsiveness to training, but the effect is limited to each phy and strength gains).
individual capacity to respond to RT.
It should also be noted that the intrasubject muscle PRACTICAL APPLICATIONS
hypertrophy and strength responses were not aligned Considering individual responses, some subjects respond
between RT frequencies, i.e., a given individual can show better after a higher RT weekly frequency and consequent
a better hypertrophic response to HF, but increase more accumulated RT volume, others might benefit more from
muscle strength for LF (or vice versa, Figure 1). Our results lower RT weekly frequencies and accumulated RT volume,
showed that only 6 of 19 subjects (;32% of our sample size) and even others show similar responses irrespective of RT
showed an aligned response for muscle strength and hyper- frequency manipulation. Importantly, this occurred despite
trophy after the same RT frequency (whether HF or LF). the fact that previously untrained subjects were studied in
This suggests that the biological mechanisms regulating indi- the present investigation, challenging the notion (based on
vidual responsivity to different RT frequencies regarding average group values) that any training scheme maximally
muscle strength and mass gains are distinct. Future studies stimulates RT-related outcomes in this population. In
should investigate the individual’s biological mechanisms addition, manipulation of RT frequency has an impact on
behind the effect of manipulations of RT variables, as it is intrasubject responsiveness to training, but this effect is
plausible to consider that not only frequency and TTV, but limited to the each individual’s capacity to respond to RT.
also load, muscle actions, repetition duration, and rest, for Finally, care should be taken on which RT outcome (e.g.,
example, could modulate individual responsiveness to mus- muscle hypertrophy or strength) should be the training
cle hypertrophy and strength adaptations. focus, as individual responsiveness to different RT outcomes
Importantly, the results of this study can be specific to may differ among RT frequencies and volumes chosen.
previously untrained young men performing RT for 8
weeks. Both sex and age could alter the effect of training ACKNOWLEDGMENTS
frequency because of differences in fatigability, time to This work was supported by the São Paulo Research Foun-
recover from training, and required RT weekly dose dation (FAPESP) (#2016/24259-1 to F.D., #2016/22635-6
(5,21,22). It is also possible that longer RT periods and to M.E.L., and #2013/21218-4 and #2017/04299-1 to C.A.
the use of previously trained subjects could modulate L.) and the National Council for Scientific and Technological
the individual responses to distinct RT frequencies. Development (CNPq) (#406609/2015-2 to C.U.) grants.
Trained individuals depict a shorter increase in muscle
protein synthesis (10), and longer training periods (e.g., REFERENCES
6 months) was showed to result in a dosed response of 1. Ahtiainen, JP, Walker, S, Peltonen, H, Holviala, J, Sillanpaa, E,
weekly training volume in muscle hypertrophy (24). Thus, Karavirta, L, et al. Heterogeneity in resistance training-induced
it is possible that trained individuals, in general, would muscle strength and mass responses in men and women of different
ages. Age (Dordr) 38: 10, 2016.
require more frequent training stimulus (and maybe high-
2. American College of Sports Medicine. American College of Sports
er weekly volumes), decreasing interindividual variability Medicine position stand. Progression models in resistance training
as subjects become more trained. These speculations for healthy adults. Med Sci Sports Exerc 41: 687–708, 2009.
the TM

4 Journal of Strength and Conditioning Research

Copyright ª 2018 National Strength and Conditioning Association


the TM

Journal of Strength and Conditioning Research | www.nsca.com

3. Barcelos, C, Damas, F, Nobrega, SR, Ugrinowitsch, C, Lixandrao, muscular strength: A systematic review and meta-analysis. Sports
ME, Marcelino Eder Dos Santos, L, et al. High-frequency resistance Med 48: 1207–1220, 2018.
training does not promote greater muscular adaptations compared 17. Grgic, J, Schoenfeld, BJ, Skrepnik, M, Davies, TB, and Mikulic, P.
to low frequencies in young untrained men. Eur J Sport Sci 18: 1077– Effects of rest interval duration in resistance training on measures of
1082, 2018. muscular strength: A systematic review. Sports Med 48: 137–151,
4. Benton, MJ, Kasper, MJ, Raab, SA, Waggener, GT, and Swan, PD. 2017.
Short-term effects of resistance training frequency on body
18. Gurd, BJ, Giles, MD, Bonafiglia, JT, Raleigh, JP, Boyd, JC, Ma, JK,
composition and strength in middle-aged women. J Strength Cond
et al. Incidence of nonresponse and individual patterns of response
Res 25: 3142–3149, 2011.
following sprint interval training. Appl Physiol Nutr Metab 41: 229–
5. Bickel, CS, Cross, JM, and Bamman, MM. Exercise dosing to retain 234, 2016.
resistance training adaptations in young and older adults. Med Sci
19. Hopkins, WG. Measures of reliability in sports medicine and
Sports Exerc 43: 1177–1187, 2010.
science. Sports Med 30: 1–15, 2000.
6. Brigatto, FA, Braz, TV, Zanini, T, Germano, MD, Aoki, MS,
20. Hubal, MJ, Gordish-Dressman, H, Thompson, PD, Price, TB,
Schoenfeld, BJ, et al. Effect of resistance training frequency on
Hoffman, EP, Angelopoulos, TJ, et al. Variability in muscle size and
neuromuscular performance and muscle morphology after eight
weeks in trained men. J Strength Cond Res, 2018. Epub ahead of strength gain after unilateral resistance training. Med Sci Sports Exerc
print. 37: 964–972, 2005.

7. Brown, LE and Weir, JP. ASEP procedures recommendation I: 21. Hunter, SK. Sex differences in human fatigability: Mechanisms and
Accurate assessment of muscular strength and power. J Exerc Physiol insight to physiological responses. Acta Physiol (Oxf ) 210: 768–789,
Online 4: 1–21, 2001. 2014.

8. Candow, DG and Burke, DG. Effect of short-term equal-volume 22. Judge, LW and Burke, JR. The effect of recovery time on strength
resistance training with different workout frequency on muscle mass performance following a high-intensity bench press workout in
and strength in untrained men and women. J Strength Cond Res 21: males and females. Int J Sports Physiol Perform 5: 184–196, 2010.
204–207, 2007. 23. Lixandrao, ME, Ugrinowitsch, C, Bottaro, M, Chacon-Mikahil, MP,
9. Churchward-Venne, TA, Tieland, M, Verdijk, LB, Leenders, M, Cavaglieri, CR, Min, LL, et al. Vastus lateralis muscle cross-sectional
Dirks, ML, de Groot, LC, et al. There are no nonresponders to area ultrasonography validity for image fitting in humans. J Strength
resistance-type exercise training in older men and women. J Am Cond Res 28: 3293–3297, 2014.
Med Dir Assoc 16: 400–411, 2015. 24. Radaelli, R, Fleck, SJ, Leite, T, Leite, RD, Pinto, RS, Fernandes, L,
10. Damas, F, Phillips, S, Vechin, FC, and Ugrinowitsch, C. A review of et al. Dose-response of 1, 3, and 5 sets of resistance exercise on
resistance training-induced changes in skeletal muscle protein strength, local muscular endurance, and hypertrophy. J Strength
synthesis and their contribution to hypertrophy. Sports Med 45: 801– Cond Res 29: 1349–1358, 2015.
807, 2015. 25. Schoenfeld, BJ, Ogborn, D, and Krieger, JW. Effects of resistance
11. Damas, F, Phillips, SM, Libardi, CA, Vechin, FC, Lixandrao, ME, training frequency on measures of muscle hypertrophy: A
Jannig, PR, et al. Resistance training-induced changes in integrated systematic review and meta-analysis. Sports Med 46: 1689–1697,
myofibrillar protein synthesis are related to hypertrophy only after 2016.
attenuation of muscle damage. J Physiol 594: 5209–5222, 2016. 26. Schoenfeld, BJ, Ogborn, D, and Krieger, JW. Dose-response
12. Dankel, SJ, Mattocks, KT, Jessee, MB, Buckner, SL, Mouser, JG, relationship between weekly resistance training volume and
Counts, BR, et al. Frequency: The overlooked resistance training increases in muscle mass: A systematic review and meta-analysis.
variable for inducing muscle hypertrophy? Sports Med 47: 799–805, J Sports Sci 35: 1073–1082, 2017.
2017. 27. Sisson, SB, Katzmarzyk, PT, Earnest, CP, Bouchard, C, Blair, SN,
13. Figueiredo, VC, de Salles, BF, and Trajano, GS. Volume for muscle and Church, TS. Volume of exercise and fitness nonresponse in
hypertrophy and health outcomes: The most effective variable in sedentary, postmenopausal women. Med Sci Sports Exerc 41: 539–
resistance training. Sports Med 48: 499–505, 2018. 545, 2009.
14. Gomes, GK, Franco, CM, Nunes, PRP, and Orsatti, FL. High- 28. Tang, JE, Perco, JG, Moore, DR, Wilkinson, SB, and Phillips, SM.
frequency resistance training is not more effective than low- Resistance training alters the response of fed state mixed muscle
frequency resistance training in increasing muscle mass and strength protein synthesis in young men. Am J Physiol Regul Integr Comp
in well-trained men. J Strength Cond Res, 2018. Epub ahead of print. Physiol 294: R172–R178, 2008.
15. Grgic, J, Lazinica, B, Mikulic, P, Krieger, JW, and Schoenfeld, BJ. 29. Wolfe, RR. The underappreciated role of muscle in health and
The effects of short versus long inter-set rest intervals in resistance disease. Am J Clin Nutr 84: 475–482, 2006.
training on measures of muscle hypertrophy: A systematic review. 30. Zaroni, RS, Brigatto, FA, Schoenfeld, B, Braz, TV, Benvenutti, JC,
Eur J Sport Sci 17: 983–993, 2017. Germano, MD, et al. High resistance-training frequency enhances
16. Grgic, J, Schoenfeld, BJ, Davies, TB, Lazinica, B, Krieger, JW, and muscle thickness in resistance-trained men. J Strength Cond Res,
Pedisic, Z. Effect of resistance training frequency on gains in 2018. Epub ahead of print.

VOLUME 00 | NUMBER 00 | MONTH 2018 | 5

Copyright ª 2018 National Strength and Conditioning Association

Potrebbero piacerti anche