ReviewSports medicine (Auckland, N.Z.)2013
Potential mechanisms for a role of metabolic stress in hypertrophic adaptations to resistance training.
Review in Sports medicine (Auckland, N.Z.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 171 papers, 13 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Quantification of Peripheral Hematopoietic Progenitor Cell Circulation Following Repeated Acute, Vascular Restriction Resistance Exercise Using the Delfi Tourniquet System
Effects of Low-Intensity Blood Flow Restriction Training on Lower-Limb Strength and Kicking Performance in Taekwondo Athletes: A Randomized Controlled Trial
Who cites it
171 citing papers in PubMed, 13 syntheses or guidelines pooled it, 481 citations in OpenAlex.
- Effects of Resistance Training on Muscle Hypertrophy in Children and Adolescents: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Effects of resistance training performed to repetition non-failure on exercise performance in healthy adults: a systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2026Pooled it
- The Impact of Inspiratory Muscle Training on Diaphragm Thickness in Healthy Adults: A Systematic Review and Meta-Regression.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Pooled it
- A meta-analysis of the effects of strength training on physical fitness in dancers.Frontiers in physiology · 2025Pooled it
- Pooled it
- Potential Moderators of the Effects of Blood Flow Restriction Training on Muscle Strength and Hypertrophy: A Meta-analysis Based on a Comparison with High-Load Resistance Training.Sports medicine - open · 2024Pooled it
- Effects of Drop Sets on Skeletal Muscle Hypertrophy: A Systematic Review and Meta-analysis.Sports medicine - open · 2023Pooled it
- Effect of resistance training on bioelectrical phase angle in older adults: a systematic review with Meta-analysis of randomized controlled trials.Reviews in endocrine & metabolic disorders · 2023Pooled it
- Efficacy of resistance training in hypoxia on muscle hypertrophy and strength development: a systematic review with meta-analysis.Scientific reports · 2023Pooled it
- Effects and Moderators of Exercise on Sarcopenic Components in Sarcopenic Elderly: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2021Pooled it
- Maximizing Muscle Hypertrophy: A Systematic Review of Advanced Resistance Training Techniques and Methods.International journal of environmental research and public health · 2019Pooled it
- Application of 'live low-train high' for enhancing normoxic exercise performance in team sport athletes.Sports medicine (Auckland, N.Z.) · 2014Pooled it
- Acute neuromuscular and metabolic responses to a novel low-load combined isometric and isotonic resistance training protocol.European journal of applied physiology · 2026Trial
- Acute Responses and Chronic Adaptations to Cluster Versus Traditional Set Resistance Training in Males and Females.European journal of sport science · 2026Trial
- Blood flow restriction exacerbates muscle deoxygenation and fatigue during sport climbing specific finger flexors resistance training.European journal of applied physiology · 2026Trial
- Effect of High-Intensity Interval Training With Varying Work-to-Rest Ratios on Specific Physical Fitness in Adolescent Taekwondo Athletes.European journal of sport science · 2025Trial
- Three sets of low-intensity resistance exercises with slow movement and tonic force generation cause more muscular fatigue.Journal of physiological anthropology · 2025Trial
- Early Time-Restricted Eating Improves Weight Loss While Preserving Muscle: An 8-Week Trial in Young Women.Nutrients · 2025Trial
- Anabolic myokine responses and muscular performance following 8 weeks of autoregulated compared to linear resistance exercise in recreationally active males.Hormones (Athens, Greece) · 2024Trial
111 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
It is well established that regimented resistance training can promote increases in muscle hypertrophy. The prevailing body of research indicates that mechanical stress is the primary impetus for this adaptive response and studies show that mechanical stress alone can initiate anabolic signalling. Given the dominant role of mechanical stress in muscle growth, the question arises as to whether other factors may enhance the post-exercise hypertrophic response. Several researchers have proposed that exercise-induced metabolic stress may in fact confer such an anabolic effect and some have even suggested that metabolite accumulation may be more important than high force development in optimizing muscle growth. Metabolic stress pursuant to traditional resistance training manifests as a result of exercise that relies on anaerobic glycolysis for adenosine triphosphate production. This, in turn, causes the subsequent accumulation of metabolites, particularly lactate and H(+). Acute muscle hypoxia associated with such training methods may further heighten metabolic buildup. Therefore, the purpose of this paper will be to review the emerging body of research suggesting a role for exercise-induced metabolic stress in maximizing muscle development and present insights as to the potential mechanisms by which these hypertrophic adaptations may occur. These mechanisms include increased fibre recruitment, elevated systemic hormonal production, alterations in local myokines, heightened production of reactive oxygen species and cell swelling. Recommendations are provided for potential areas of future research on the subject.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.