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Effects of Microdosed Resistance Training During Physical Education on Health-Related Fitness in Adolescents

21. září 2026 aktualizováno: Dawid Koźlenia, Wroclaw University of Health and Sport Sciences

Effects of Microdosed Resistance Training During Physical Education Lessons on Health-Related Fitness in School Adolescents

This study will examine whether short bouts of resistance training incorporated into physical education lessons can improve health-related physical fitness in secondary school students aged 15-16 years.

A total of 264 students will participate in two successive cohorts. School classes, rather than individual students, will be randomly assigned to study groups. In the first cohort, three resistance-training programs using low, moderate, or high training loads will be compared with usual physical education. The program producing the most consistent beneficial changes will then be tested in a new group of students in the second cohort and compared with usual physical education.

Each training program will last eight weeks. Participants will be assessed before the intervention, halfway through it, immediately after it, and eight weeks after it ends. Assessments will include body composition, blood pressure, cardiorespiratory fitness, muscular fitness, jumping performance, trunk muscular endurance, and sprint performance.

The study will evaluate both average changes in each group and the proportion of students showing improvements greater than the expected measurement error of the tests.

Přehled studie

Detailní popis

This school-based study is designed as a two-stage, cluster-randomized controlled trial consisting of an exploratory cohort followed by a confirmatory cohort. The school class is the unit of randomization. Planned enrollment is 132 students in each cohort, for a total of 264 participants.

In Cohort I, participating classes will be randomized in a 1:1:1:1 ratio to one of four study conditions: low-load resistance training, moderate-load resistance training, high-load resistance training, or usual physical education. The three resistance-training conditions will differ primarily in training load, repetition range, number of sets, rest intervals, and repetitions in reserve.

The resistance-training program showing the highest frequency of beneficial individual responses in Cohort I will be selected for further evaluation. A beneficial individual response will be defined as an improvement exceeding the minimal detectable change (MDC) for the respective outcome. Cohort II will include a new set of school classes randomized in a 1:1 ratio to either the resistance-training program selected from Cohort I or usual physical education.

Randomization will be performed at the class level using permuted blocks. Block size will be four classes in Cohort I and two classes in Cohort II. The sex composition of classes will be considered to support balanced allocation across study conditions. The randomization sequence will be generated using R with a fixed random seed. Participants and physical education teachers cannot be blinded to group assignment. Outcome assessors will remain unaware of class allocation where feasible.

The resistance-training interventions will be incorporated into regular physical education lessons and supervised by physical education teachers. Exercises will use body weight, dumbbells, medicine balls, and resistance bands. Training load will progress every two weeks by modifying repetitions, rest intervals, external resistance, or the number of sets according to the assigned training condition.

Measurements will be performed at four time points: before the intervention, at the intervention midpoint, immediately after the eight-week intervention, and eight weeks after completion of the intervention. Assessments will include anthropometric measures, body composition assessed by bioelectrical impedance analysis, resting blood pressure, cardiorespiratory fitness assessed using the 20-m shuttle run test, handgrip strength, countermovement jump performance, standing long jump performance, 30-second sit-up performance, and 10-m sprint performance. Somatic maturation, injury history, dietary habits, rating of perceived exertion, and repetitions in reserve will also be recorded.

Statistical analyses will account for repeated measurements and the clustering of students within school classes. Mixed-effects approaches, including linear mixed models and generalized linear mixed models where appropriate, will be used to evaluate changes over time and differences between study groups. Individual responsiveness will additionally be evaluated using outcome-specific MDC thresholds.

Typ studie

Intervenční

Zápis (Odhadovaný)

264

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní kontakt

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

15 let až 18 let (Dítě, Dospělý)

Přijímá zdravé dobrovolníky

Ano

Pohlaví způsobilá ke studiu

Všechno

Popis

Inclusion Criteria:

  • Enrollment in the second year of a participating secondary school.
  • Participation in regular physical education lessons at the participating school.
  • No health contraindications to physical exercise.
  • Written informed consent from the participant and, for participants who are minors, written informed consent from a parent or legal guardian.

Exclusion Criteria:

  • Acute or chronic musculoskeletal injury preventing safe participation in the exercise intervention or physical fitness assessments.
  • Chronic disease or other medical condition constituting a contraindication to physical exercise.
  • Medical recommendation limiting participation in physical activity.
  • Acute infection or other temporary health condition preventing safe participation in a scheduled assessment.
  • Lack of the required informed consent.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Jiný
  • Přidělení: Randomizované
  • Intervenční model: Sekvenční přiřazení
  • Maskování: Singl

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Cohort I: Low-Load Resistance Training

Teacher-supervised resistance training incorporated into physical education lessons for eight weeks. Exercises use body weight, dumbbells, medicine balls, and resistance bands. The initial prescription consists of 2-3 sets of 12-15 repetitions, 30-40 seconds of rest between sets, and 3-4 repetitions in reserve. Training progresses every two weeks through planned changes in repetitions, rest intervals, external resistance, or number of sets.

Teacher-supervised resistance training incorporated into physical education over eight weeks using body weight, dumbbells, medicine balls, and resistance bands. Cohort I compares three prescriptions: low-load (2-3 sets, 12-15 repetitions, 30-40 s rest, 3-4 repetitions in reserve), medium-load (3-4 sets, 8-12 repetitions, about 60 s rest, 2-3 repetitions in reserve), and high-load (4-5 sets, 6-8 repetitions, about 90 s rest, 1-2 repetitions in reserve). Progression occurs every two weeks through changes in repetitions, rest, external resistance, or sets. Cohort II receives the program selected from Cohort I based on the frequency of improvements exceeding minimal detectable change.

Experimentální: Cohort I: Moderate-Load Resistance Training

Teacher-supervised resistance training incorporated into physical education lessons for eight weeks. Exercises use body weight, dumbbells, medicine balls, and resistance bands. The initial prescription consists of 3-4 sets of 8-12 repetitions, approximately 60 seconds of rest between sets, and 2-3 repetitions in reserve. Training progresses every two weeks through planned changes in repetitions, rest intervals, external resistance, or number of sets.

Teacher-supervised resistance training incorporated into physical education over eight weeks using body weight, dumbbells, medicine balls, and resistance bands. Cohort I compares three prescriptions: low-load (2-3 sets, 12-15 repetitions, 30-40 s rest, 3-4 repetitions in reserve), medium-load (3-4 sets, 8-12 repetitions, about 60 s rest, 2-3 repetitions in reserve), and high-load (4-5 sets, 6-8 repetitions, about 90 s rest, 1-2 repetitions in reserve). Progression occurs every two weeks through changes in repetitions, rest, external resistance, or sets. Cohort II receives the program selected from Cohort I based on the frequency of improvements exceeding minimal detectable change.

Experimentální: Cohort I: High-Load Resistance Training

Teacher-supervised resistance training incorporated into physical education lessons for eight weeks. Exercises use body weight, dumbbells, medicine balls, and resistance bands. The initial prescription consists of 4-5 sets of 6-8 repetitions, approximately 90 seconds of rest between sets, and 1-2 repetitions in reserve. Training progresses every two weeks through planned changes in repetitions, rest intervals, external resistance, or number of sets.

Teacher-supervised resistance training incorporated into physical education over eight weeks using body weight, dumbbells, medicine balls, and resistance bands. Cohort I compares three prescriptions: low-load (2-3 sets, 12-15 repetitions, 30-40 s rest, 3-4 repetitions in reserve), medium-load (3-4 sets, 8-12 repetitions, about 60 s rest, 2-3 repetitions in reserve), and high-load (4-5 sets, 6-8 repetitions, about 90 s rest, 1-2 repetitions in reserve). Progression occurs every two weeks through changes in repetitions, rest, external resistance, or sets. Cohort II receives the program selected from Cohort I based on the frequency of improvements exceeding minimal detectable change.

Žádný zásah: Cohort I: Usual Physical Education

Students assigned to the control arm will continue their usual school physical education lessons for eight weeks and will not receive the study-specific resistance training microdosing intervention.

Experimentální: Cohort II: Selected Resistance Training Program

Teacher-supervised resistance training incorporated into physical education lessons for eight weeks. The program will be the low-, moderate-, or high-load resistance training protocol selected after completion of Cohort I according to the prespecified criterion of the highest frequency of beneficial individual responses exceeding the minimal detectable change in the assessed health-related fitness outcomes. The selected protocol will be implemented in a new set of school classes in Cohort II

Teacher-supervised resistance training incorporated into physical education over eight weeks using body weight, dumbbells, medicine balls, and resistance bands. Cohort I compares three prescriptions: low-load (2-3 sets, 12-15 repetitions, 30-40 s rest, 3-4 repetitions in reserve), medium-load (3-4 sets, 8-12 repetitions, about 60 s rest, 2-3 repetitions in reserve), and high-load (4-5 sets, 6-8 repetitions, about 90 s rest, 1-2 repetitions in reserve). Progression occurs every two weeks through changes in repetitions, rest, external resistance, or sets. Cohort II receives the program selected from Cohort I based on the frequency of improvements exceeding minimal detectable change.

Žádný zásah: Cohort II: Usual Physical Education

New classes assigned to the control arm will continue their usual school physical education lessons for eight weeks and will not receive the study-specific resistance training microdosing intervention.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Change in Body Fat Percentage
Časové okno: Baseline, week 4, week 8, and week 16

Body fat percentage will be assessed using bioelectrical impedance analysis. Measurements will be obtained at baseline, week 4, week 8, and week 16. Change from baseline at each post-baseline assessment will be analyzed and expressed in percentage points.

Baseline, week 4, week 8, and week 16
Change in Muscle Mass
Časové okno: Baseline, week 4, week 8, and week 16

Muscle mass will be assessed using bioelectrical impedance analysis. Measurements will be obtained at baseline, week 4, week 8, and week 16. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in Systolic Blood Pressure
Časové okno: Baseline, week 4, week 8, and week 16

Systolic blood pressure will be measured after five minutes of seated rest. Three measurements will be obtained at each assessment, and the mean of the three measurements will be used for analysis. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in Diastolic Blood Pressure
Časové okno: Baseline, week 4, week 8, and week 16

Diastolic blood pressure will be measured after five minutes of seated rest. Three measurements will be obtained at each assessment, and the mean of the three measurements will be used for analysis. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in Estimated Maximal Oxygen Uptake
Časové okno: Baseline, week 8

Cardiorespiratory fitness will be assessed using the 20-m shuttle run test. Maximal oxygen uptake (VO2max) will be estimated from test performance. Measurements will be obtained at baseline, week 4, week 8, and week 16, and change from baseline will be analyzed.

Baseline, week 8
Change in Handgrip Strength
Časové okno: Baseline, week 4, week 8, and week 16

Isometric handgrip strength will be assessed using a handgrip dynamometer. Measurements will be obtained at baseline, week 4, week 8, and week 16. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in Countermovement Jump Performance
Časové okno: Baseline, week 4, week 8, and week 16

Vertical lower-limb power will be assessed using the countermovement jump. Jump height will be recorded at baseline, week 4, week 8, and week 16. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in Standing Long Jump Performance
Časové okno: Baseline, week 4, week 8, and week 16

Horizontal lower-limb power will be assessed using the standing long jump. Jump distance will be recorded at baseline, week 4, week 8, and week 16. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in 30-Second Sit-Up Performance
Časové okno: Baseline, week 4, week 8, and week 16

Trunk muscular endurance will be assessed using a 30-second sit-up test. The number of correctly completed repetitions will be recorded at baseline, week 4, week 8, and week 16. Change from baseline at each post-baseline assessment will be analyzed.

Baseline, week 4, week 8, and week 16
Change in 10-m Sprint Performance
Časové okno: Baseline, week 4, week 8, and week 16

Locomotor speed and acceleration will be assessed using a 10-m sprint measured with photocells. Two trials will be performed, and the best performance will be used for analysis. Measurements will be obtained at baseline, week 4, week 8, and week 16, and change from baseline will be analyzed.

Baseline, week 4, week 8, and week 16

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Vyšetřovatelé

  • Vrchní vyšetřovatel: Dawid Koźlenia, PhD, Wroclaw University of Health and Sport Sciences

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Odhadovaný)

1. listopadu 2026

Primární dokončení (Odhadovaný)

1. dubna 2028

Dokončení studie (Odhadovaný)

1. dubna 2028

Termíny zápisu do studia

První předloženo

21. září 2026

První předloženo, které splnilo kritéria kontroly kvality

21. září 2026

První zveřejněno (Aktuální)

29. září 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

29. září 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

21. září 2026

Naposledy ověřeno

1. září 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • NdRS/SP/0160/2025/01
  • NdRS/SP/0160/2025/01 (Jiné číslo grantu/financování: inistry of Science and Higher Education, Poland)

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

ANO

Popis plánu IPD

De-identified individual participant data underlying the results reported in study publications may be shared with qualified researchers upon reasonable request to the Principal Investigator, subject to applicable data protection regulations, institutional requirements, and the conditions of informed consent. No directly identifiable participant information will be shared.

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