High- and Low-Load Resistance Training

February 14, 2026 updated by: Abdullah Kayhan, Akdeniz University

High- and Low-Load Resistance Training to Failure Result in Similar Muscular Adaptations in Untrained Young Males

The goal of this clinical trial is to learn whether low-load resistance training performed to muscle failure can produce similar increases in muscle size and strength as high-load resistance training in healthy untrained young adult males.

The main questions it aims to answer are:

Does low-load resistance training (30% of one-repetition maximum) performed to failure increase muscle strength and muscle size to a similar extent as high-load resistance training (75% of one-repetition maximum)?

Are there differences in total training volume between low-load and high-load resistance training programs performed to failure?

Researchers will compare a low-load resistance training group to a high-load resistance training group to determine whether the magnitude of changes in muscle strength and hypertrophy differs between the two approaches.

Participants will:

Be randomly assigned to either a low-load (30% 1RM) or high-load (75% 1RM) resistance training group

Perform supervised leg extension exercises to the point of voluntary muscle fatigue three times per week for 6 weeks

Complete muscle strength testing (one-repetition maximum) before and after the training period

Undergo ultrasound measurements to assess muscle thickness and cross-sectional area of thigh muscles before and after the intervention

Study Overview

Study Type

Interventional

Enrollment (Actual)

22

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Male sex
  • Age between 18 and 28 years
  • Healthy status as determined by self-report health screening
  • No participation in structured resistance training or lower-limb power training within the previous 12 months
  • Engaging only in recreational physical activity (no systematic lower-body resistance training)
  • Willingness to maintain usual daily routines throughout the study period
  • Agreement to refrain from any structured lower-body resistance training during the 6-week intervention
  • Provision of written informed consent

Exclusion Criteria:

  • Any current or recent musculoskeletal injury affecting lower-limb function
  • History or presence of cardiovascular disease
  • History or presence of metabolic disorders
  • Resting hypertension (≥140/90 mmHg)
  • Regular tobacco use
  • Use of medications known to affect neuromuscular performance
  • Inability or unwillingness to comply with the training protocol

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: LLRT
Participants perform unilateral or bilateral leg extension exercise at 30% of their individually determined one-repetition maximum (1RM). Each training session consists of sets performed to volitional muscular failure. Training is conducted three times per week for 6 weeks under direct supervision. Load is adjusted if necessary to maintain the target relative intensity. All repetitions are performed using a controlled movement tempo.
Experimental: HLRT
Participants perform the same leg extension exercise at 75% of their individually determined one-repetition maximum (1RM). As in the LLRT group, sets are performed to volitional muscular failure. Training frequency (three sessions per week), duration (6 weeks), supervision, exercise selection, and movement tempo are identical to the LLRT group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Maximal Dynamic Strength - Estimated One-Repetition Maximum (1RM) Using Submaximal Prediction and Epley Equation
Time Frame: Baseline (Week 0) and immediately after completion of the 6-week intervention (Week 6)
Maximal strength will be estimated using a submaximal 1RM prediction protocol (8-10 repetitions) following a standardized warm-up. The highest load completed within the target repetition range will be used to calculate 1RM using the Epley equation (1RM = Load × [1 + 0.033 × repetitions]). Results will be expressed in kilograms (kg), with higher values indicating greater strength. Assessed at baseline and Week 4.
Baseline (Week 0) and immediately after completion of the 6-week intervention (Week 6)
Muscle Thickness (MT) and Cross-Sectional Area (CSA) - Assessed by B-Mode Ultrasonography (LOGIQ S8, GE Healthcare)
Time Frame: Baseline (Week 0) and immediately after completion of the 6-week intervention (Week 6)
Muscle thickness (cm) and cross-sectional area (cm²) of the rectus femoris and vastus intermedius will be assessed using B-mode ultrasonography (LOGIQ S8, GE Healthcare, 2-8 MHz linear probe). Three images per site will be averaged for analysis. Higher values indicate greater muscle hypertrophy. Measurements performed at baseline and post-intervention by a blinded assessor.
Baseline (Week 0) and immediately after completion of the 6-week intervention (Week 6)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Muscular Endurance - Repetitions to Volitional Failure at 50% of Estimated 1RM
Time Frame: Baseline (Week 0) and immediately after completion of the 6-week intervention (Week 6)
Muscular endurance will be assessed by performing repetitions to volitional failure at 50% of baseline 1RM. The total number of completed repetitions will be recorded. Results expressed as repetition count, with higher values indicating greater endurance. Assessed at baseline and post-intervention.
Baseline (Week 0) and immediately after completion of the 6-week intervention (Week 6)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 18, 2021

Primary Completion (Actual)

June 20, 2022

Study Completion (Actual)

July 2, 2022

Study Registration Dates

First Submitted

February 9, 2026

First Submitted That Met QC Criteria

February 9, 2026

First Posted (Actual)

February 17, 2026

Study Record Updates

Last Update Posted (Actual)

February 18, 2026

Last Update Submitted That Met QC Criteria

February 14, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 21202139

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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