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1 Volume-Equated High and Low Repetition Daily Undulating Programming Strategies Produce Similar Hypertrophy and Strength Adaptations Alex Klemp, M.S. 1 Chad Dolan, M.S. 1 Justin M. Quiles, M.S. 1 Rocky Blanco, M.S. 1 Robert F. Zoeller, Ph.D. 1 B. Sue Graves, Ed.D. 1 Michael C. Zourdos, Ph.D. 1 1 Department of Exercise Science and Health Promotion, Muscle Physiology Laboratory Florida Atlantic University, Boca Raton, FL. Corresponding Author Michael C. Zourdos Assistant Professor Department of Exercise Science and Health Promotion Muscle Physiology Laboratory Florida Atlantic University Phone: 561-967-1317 Email: mzourdos@fau.edu Page 1 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 2 ABSTRACT The overarching aim of this study was to compare volume-equated high repetition daily undulating periodization (DUPHR) vs. a low repetition daily undulating periodization (DUPLR) program for muscle performance. Sixteen college-aged (23±3yrs) resistance-trained males were counterbalanced into one of two groups: 1) DUPHR (n=8), with a weekly training order of 12 repetitions (Day 1), 10 repetitions (Day 2), and 8 repetitions (Day 3) or 2) DUPLR (n=8), with a weekly training order of 6 repetitions (Day 1), 4 repetitions (Day 2), and 2 repetitions (Day 3). Both groups trained 3x/wk. for 8 weeks on non-consecutive days with pre- and post-training testing during weeks 1 and 8. Participants performed only the squat and bench press exercises each session. Changes in one-repetition maximum (1RM) strength, muscle thickness (MT), and muscle endurance (ME) were assessed. Both groups significantly increased 1RM strength for both squat and bench press (p<0.01), however, no group differences existed (p>0.05). Similarly, both groups experienced significant increases in chest, lateral quadriceps distal, and anterior quadriceps MT (p<0.05), but no change was present in either group for lateral quadriceps mid MT (p<0.05). No group differences were discovered for changes in MT (p>0.05). ME did not significantly change in the squat or bench press for either group (p>0.05), however, for squat ME, a moderate effect size was observed for DUPHR (0.57) vs. a trivial effect for DUPLR (0.17). Our findings suggest, in previously trained males, training volume is a significant contributor to strength and hypertrophy adaptations, which occur independent of specific repetition ranges. Key words: Resistance Training, Skeletal Muscle, Strength Training, Muscle Adaptation Page 2 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 3 Introduction The concept that resistance training produces robust skeletal muscle adaptations (i.e. hypertrophy, strength, and endurance) is well established (Campos et al. 2002; Goto et al. 2004; O’Bryant et al. 1988). When considering program design, a periodized training model is superior to a non-periodized model to elicit skeletal muscle adaptations (Fleck 1999; Monteiro et al. 2009; O’Bryant et al. 1988; Rhea and Alderman 2004; Willoughby 1993). A periodized training model involves the planned manipulation of training variables (primarily training volume and intensity) in an effort to maximize performance (Buford et al. 2007). The two primary periodization models utilized throughout the literature to investigate resistance training-specific adaptations are linear (LP) and non-linear periodization (NLP). Specifically, a LP model modifies training variables every mesocyle (i.e., 3-6 weeks), whereas, a NLP program can alter variables daily or weekly (Buford et al. 2007; Monteiro et al. 2009; Simão et al. 2012). Consistently, NLP programs have yielded superior muscle adaptations to LP (Monteiro et al. 2009; Peterson et al. 2008; Rhea et al. 2002b) with daily undulating periodization (DUP-a non- linear program which has session-to-session variations) showing the most efficacy in trained individuals (Miranda et al. 2011; Monteiro et al. 2009; Peterson et al. 2008; Rhea et al. 2002b). While periodized training is widely accepted as beneficial, traditionally specific repetition ranges have been assigned to elicit distinctive outcomes of hypertrophy or strength. Hypertrophy-specific training has been defined by moderate repetitions (i.e., 8-12) at a moderate intensity (i.e., 65-75% of one-repetition maximum-1RM) (Baechle and R.W. 2008; Chestnut and Docherty 1999; Goto et al. 2004), with strength-specific training typically characterized by low repetitions (i.e., ≤6) performed at a high intensity (i.e., ≥80% of 1RM) (Baechle and R.W. 2008; Chestnut and Docherty 1999; Goto et al. 2004). These recommendations are generally based on Page 3 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 4 the strength training continuum from Anderson and Kearney (1982), who demonstrated that lower repetitions produced superior strength compared to high repetitions (Anderson and Kearney 1982; Campos et al. 2002; Holm et al. 2008; Weiss et al. 1999). Conversely, this spectrum specifies higher repetitions to enhance muscular endurance (ME) to a greater degree than low repetitions (Anderson and Kearney 1982; Campos et al. 2002). However, despite the widespread belief that moderate and high repetitions enhance hypertrophy to a greater extent than low repetitions, little empirical data exists to support this claim. Indeed, recent data have found that training volume is a substantial contributor to muscle hypertrophy (Flann et al. 2011; Goto et al. 2004; Naclerio et al. 2013; Radaelli et al. 2015), and occurs independent of repetition range, when total volume (TV) is equated (Chestnut and Docherty 1999; Holm et al. 2008; Schoenfeld et al. 2014), suggesting no mechanistic benefit for hypertrophy of a specific repetition range. Previous studies examining muscle performance across various repetition ranges have equated for absoluteTV (Sets x Repetitions x Load Lifted) (Campos et al. 2002) or relative TV (sets x repetitions x percent of 1RM) (Chestnut and Docherty 1999), and found similar muscle growth (Campos et al. 2002; Chestnut and Docherty 1999; Schoenfeld et al. 2014), and strength (Chestnut and Docherty 1999) outcomes among different repetition ranges. However, the previous data, examining equated volume training, has not compared periodized groups (Chestnut and Docherty 1999; Holm et al. 2008; Schoenfeld et al. 2014), despite the clear superiority of periodized programs in the literature (Abe et al. 1998; Fleck 1999; Monteiro et al. 2009; O’Bryant et al. 1988; Rhea and Alderman 2004; Willoughby 1993). Thus, to our knowledge no study has compared the effects of two volume-equated DUP models (traditional hypertrophy range repetitions vs. traditional strength range repetitions) on muscle performance. Page 4 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 5 Therefore, the primary aim of this study was to compare the effects of a high-repetition DUP (DUPHR) vs. a low-repetition DUP (DUPLR) protocol, which were both relatively and absolutely equated for volume, on muscle hypertrophy and strength in trained males over 8 weeks. An additional aim was to compare the effects of the protocols on muscular endurance. We hypothesized that both groups would significantly increase all measures of performance, however, we predicted similar hypertrophy between groups, greater strength improvements in DUPLR, and greater muscular endurance enhancement in DUPHR. Materials and Methods Participants A total of 21 individuals began the study. Three individuals were dropped due to non- compliance (i.e., missing more than three training sessions) and two due to minor injuries (i.e., muscular discomfort). Therefore, data from 16 college-aged, resistance-trained males (Ae: 23±3yrs, Body Mass: 84.4±12.3kg, Body Fat Percentage: 11.7±4.7%) were included in this study. Inclusion criteria were: 1) At least two years of resistance training experience; 2) Performing the squat and bench press exercises with a minimum frequency of 1x/wk. for at least the six months prior to the study; 3) A minimum 1RM back squat of 1.25xbody mass (BM) and a 1RM bench press of at least equal to BM (Zourdos et al. 2015b); and 4) Consuming a whey protein supplement for at least six months prior to participation to reduce the likelihood that addition of whey protein to participants’ diet would contribute to any additional adaptations. These parameters were determined by completion of a resistance-training history questionnaire previously used in a similar population (Zourdos et al. 2015b). Prior to participation all participants reviewed and signed an informed consent form and The University’s Institutional Review Board approved the study. Page 5 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 6 Experimental Protocol The overarching aim of this study was to examine muscular adaptations to two volume- equated, high and low repetition DUP models in trained individuals. Participants were counterbalanced by both absolute and relative strength into one of two groups (i.e. two-group parallel design), and performed 8 weeks of either DUPHR (n=8) or DUPLR (n=8) training. A training duration of 8 weeks was selected as an 8-week DUP program has recently shown significant performance increases in resistance trained males (Zourdos et al. 2015b). Participants trained 3x/wk. on non-consecutive days (i.e., Mon., Wed., Fri.) and performed the specified repetitions in a fixed order each week. DUPHR had an undulation pattern (order of weekly repetitions) throughout the week of 12, 10, 8, while the undulation pattern in DUPLR was 6, 4, and 2. Participants performed this protocol for both the bench press and back squat exercises only. Groups were counterbalanced to ensure no difference in absolute (including both individual lifts and total strength-sum of the squat and bench press) or relative strength as measured by Wilks coefficient (USAPL and Administrators. 2001). Participants reported to the laboratory for a total of 25 days over 8 consecutive weeks. Each training session took place at the same time each day to account for any diurnal changes in strength. Pre- and post-training testing for anthropometrics, hypertrophy, 1RM strength, and muscular endurance took place 48-72 hours before week-1 and at the end of week-8, respectively. Following baseline assessments, participants were given 48-72 hours rest then began a lower volume introductory microcycle during week-1. A specific introductory microcycle was designed for both groups, and was volume-equated. Weeks 2-7 consisted of the main training program, and then during week-8, participants completed 2 group-specific taper sessions, followed by post-training testing measurements 48 hours after the 2 nd taper session. Page 6 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 7 Additionally, participants ingested branched chain amino acids-BCAAs (Xtend™, Scivation™, Burlington, NC), containing 3.5grams (g) of leucine 30 minutes prior to each training session and 30g of whey protein (Scivation Whey, Scivation™, Burlington, NC) immediately following each session. Both supplements were delivered in a powder form and mixed with water. Whey protein and BCAAs were provided due to their ability to enhance muscle protein synthesis (Moore et al. 2009; Tipton et al. 2001) and to control for nutrient timing between groups. Testing Protocol One Repetition Maximum (1RM) Testing Participants were tested for 1RM strength in the back squat and bench press prior to week-1 (pre-training) and at the end of week-8 (post-training). Prior to 1RM testing, participants completed a standardized dynamic warm-up consisting of various bodyweight movements lasting approximately five minutes. Following the dynamic warm-up, participants proceeded to perform1RM testing of the back squat and bench press in accordance with previously validated procedures (Zourdos et al. 2016). To aid in 1RM attempt selection both average velocity (m/s), via a Tendo Weightlifting Analyzer (TENDO Sports Machines, Trencin, Slovak Republic), and resistance training-specific rating of perceived exertion (RPE) based upon repetitions in reserve (RIR) was collected after each attempt (Zourdos et al. 2016). Both exercises were performed in accordance with United States of America Powerlifting (USAPL) standards (USAPL and Administrators. 2001). A USAPL referee oversaw appropriate standards and a National Strength and Condition Association (NSCA) certified strength and conditioning specialist (CSCS) monitored all training sessions. Additionally, all barbells and weight plates were calibrated (Eleiko Sport, Korsvägen, Halmstad, Sweden), and fractional plates (to the nearest 0.25kg) were used for measurement precision in all testing sessions. Page 7 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 8 Wilks Coefficient The Wilks coefficient is used by USAPL and International Powerlifting Federation (IPF) as a validated measure of relative strength (Vanderburgh and Batterham 1999). This value allows for comparison of strength levels of individuals with different body masses by multiplying the amount of weight lifted (1RM squat, 1RM bench press, or total strength) by a standardized bodyweight coefficient number. Therefore, this value was used to assess pre- to post-training changes in relative strength. Muscle Thickness (MT) Muscle thickness (MT), assessed via ultrasonography (Bodymetrix Pro System; Intelemetrix Inc., Livermore, CA. USA), was used as an index of muscular hypertrophy for the chest, and quadriceps. This technique has been previously used to assess the hypertrophic response to resistance exercise (Schoenfeld et al. 2014; Simão et al. 2012), and has compared favorably to magnetic resonance imaging (Reeves et al. 2004). All ultrasound scans were conducted on the right side of the body, prior to 1RM assessment on pre- and post-testing days. For each site, the muscle was scanned laterally to medially with the transducer positioned perpendicular to the skin. Each site was scanned twice, and the average of both values was taken to ensure accurate measurement. However, if the difference between the two values was greater than 2mm, a third scan was performed. In the event of a third scan the two values within 2mm, were averaged. While standing, the participant’s chest site was located at half the distance between the anterior axillary line and the nipple. Following the chest measures, participants laid supine on an examination table to begin measures of the lateral quadriceps mid (LQM) and lateral quadriceps distal (LQD) and anterior quadriceps (AQ). The LQM and LQD were measured at 50 and 70%, Page 8 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 9 respectively, of the distance from the greater trochanter to the lateral epicondyle of the femur (Abe et al. 1998; Abe et al. 1994). The AQ was measured at 70% of the distance from the greater trochanter to the medial epicondyle of the femur. To maintain consistency pre- to post-testing, the same investigator palpated and scanned each site for all participants. Muscular Endurance To assess muscular endurance (ME), participants performed as many reps as possible until volitional failure on both the squat and bench press at 60% of 1RM, similar to previous research (Campos et al. 2002). ME was measured at pre- and post-training, 10 minutes following 1RM testing for each exercise and was conducted with 60% of the 1RM load obtained on each specific testing day. Training Protocol Training volume was relatively (Sets x Reps x %1RM) equated between groups, therefore the repetitions ranges and intensities varied to coincide with either traditional hypertrophy recommendations (DUPHR) or traditional strength recommendations (DUPLR). Training sessions took place three times a week on non-consecutive; alternating days (Table 1), and participants performed only the barbell back squat and bench press throughout the study. A 5-7 minute rest interval was adhered to between all sets for each group in an attempt to maximize recovery and readiness (Zourdos et al. 2015b). For weeks 1, 2, and 8 a specified percentage of 1RM was given, thus the load was pre-determined; thereafter, training load progression was made on a weekly basis; contingent upon participants’ completion of the previous week’s prescribed sets and repetitions. Specifically, if all loads for the back squat during week-2 were successfully completed (i.e., no missed repetitions) then 5kg was added for week-3, 2.5kg was added for weeks 4 and 5, if all sets were completed during the previous week, week-6 added Page 9 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 10 1.25kg for success of the previous week, and week-7, added 1kg if no repetitions were missed during the previous week. Thus, a total of 12.25kg would be added from week-2 to week-7 if all sets were successful. For the bench press the following week-to-week progressions were made if all previous week’s sets were successfully as prescribed: week-2 to -3=+2.5kg, week-3 to - 4=+2.5kg, week-4 to -5=+2.5kg, week-5 to -6=+1.5kg, and week-6 to -7=+1kg. Thus, if all training was successfully completed as prescribed, +10kg was added to the bench press. However, if participants did not complete the prescribed sets and repetitions training load for that day was adjusted accordingly with each missed repetition yielding a 2.5kg reduction in the load for the subsequent sets. For example; during an 8-repetition set if a participant missed repetition 7, a 10kg reduction for the subsequent sets. Additionally, weekly progression was also altered in the event of missed repetitions, and was based on the percentage of completed repetitionsfor that training session. To clarify, if a participant completed 99-90% of their prescribed repetitions, then the weekly training load progression for that specific day was increased at 50% of the normal progression for the following week. Completion of 89-80% resulted in no load progression the following week, while 79-70% repetition completion reduced the training load by 50% of the normal progression. INSERT TABLE 1 ABOUT HERE Dietary Log and Body Fat Percentage To monitor dietary patterns, participants recorded nutritional intake (all food and beverages) 24 hours prior to each training session, and participants were asked to replicate their food consumption 24 hours prior to each session and continue their normal dietary habits Page 10 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 11 throughout the study. Participants were required to discontinue any other supplementation use prior to the study, and only consume the supplements provided to them for the duration of the study. Body fat percentage was estimated using the average of two skinfold measurements, which were obtained from three sites (chest, abdomen, and thigh) (Jackson and Pollock 1978). The Jackson and Pollock formula was used to estimate body fat percentage (Jackson and Pollock 1978). If measurements at any sited differed by more than 2mm, a 3 rd measurement was taken. When a third measurement was necessary, the two values within 2mm were averaged for analysis. The same investigator conducted all skinfold measurements. Training History Questionnaire Prior to engaging in the proposed study, each potential participant completed a physical activity questionnaire during the initial laboratory visit to obtain greater background on participants’ training history. The questions inquired about previous resistance training experience, frequency of squat and bench press performance, and current estimated 1RM of the squat and bench press. Participants were also required to refrain from any additional exercise throughout the study. Statistical Analyses A student’s t-test was used to test for baseline differences in relative or absolute strength and to examine absolute and relative training volume between groups. Assessment of pre- to post- measurements of 1RM strength, MT, and ME was performed with 2x2 repeated measures analysis of variance (ANOVA). Data were screened for normality and outliers. In the event of a significant F-ratio, a Tukey post hoc test was performed for pairwise comparisons. Data were reported as means ± standard deviations (SD) with significance set at p<0.05. Pre- to post- training percentage change (%∆) values were calculated by [(post-testing value – pre-testing Page 11 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 12 value) / pre-testing value] X 100. Finally, pre- to post- effect size (ES) for each strength and MT measure, in each group, was calculated using the following formula: ES = [(post-testing mean – pre-testing mean) / mean of the standard deviations]. The magnitude of effects was determined in accordance with Cohen (Cohen 1988). All statistical analyses were performed using Statistica 12.5 for Windows (StatSoft; Tulsa, OK, USA). Results Participant Descriptive Measures and Compliance The average 1RM strength of all participants for the squat was 1.70±0.26 x BM and 1.43±0.20 x BM for the bench press; further, there was no significance difference between groups at baseline for any absolute or relative measure of strength (p>0.05). Of the 16 participants whose data are included, 6 total sessions were missed for personal reasons (i.e. travel and family obligations), 3 from DUPHR and 3 from DUPLR. Thus, the overall compliance was 98% in both groups. Training Volume Relative and absolute volume loads can be seen in Table 2 and Figure 1 respectively. Relative volume was equated for between groups at baseline, and in addition, our results revealed no difference in absolute volume between groups for squat, bench press, and TV (sum of squat and bench press volume) (p>0.05). INSERT TABLE 2 ABOUT HERE INSERT FIGURE 1 ABOUT HERE Page 12 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 13 One-Repetition Maximum (1RM) Strength Both groups exhibited a time effect in 1RM back squat and bench press (p<0.01), however, no significant differences were seen between groups (p>0.05) (Figure 2). Percentage change (%∆) and ES for DUPHR were: squat=+10.17% (145.06±17.76 to 159.81±16.74kg), ES=0.86 and bench press=+8.98% (117.63±13.27 to 128.19±13.47kg), ES=0.79. For DUPLR %∆ and ES were: squat=+11.11% (139.00±27.45 to 154.44±33.45kg), ES=0.51 and bench press=+9.71% (123.00±31.43 to 134.94±30.39kg), ES=0.39. Similarly, for total strength (TS=sum of squat and bench press 1RM), there was a significant time effect (p<0.01) for each group with no group differences (p>0.05). The %∆ in TS for DUPHR was +9.38% (262.69±24.03 to 288.00±21.67kg), ES=1.11 and the %∆ in DUPLR was +10.45% (262.00±56.80 to 289.38±61.08kg), ES=0.46. INSERT FIGURE 2 ABOUT HERE Wilks Coefficient Wilks coefficient for TS increased significantly in both groups, DUPHR: +8.81% (172.91±16.81 to 188.14±16.61) and DUPLR: +9.12% (177.92±26.90 to 188.14±16.61), however, no group differences were observed (p>0.05). Wilks ES was 0.91 and 0.60 in DUPHR and DUPLR, respectively. Muscle Thickness (MT) Mean values, percentage change, and ES for all muscle thickness measurements in both groups can be seen in table 3. Both groups exhibited a significant time effect for chest (p=0.001), LQD (p=0.017), and AQ MT (p=0.001) but not for LQM (p>0.05); and no group differences Page 13 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D)on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 14 were detected (p>0.05). INSERT TABLE 3 ABOUT HERE Muscular Endurance (ME) There was no time effect (p>0.05) for number of repetitions at 60% of 1RM in the squat for DUPHR (pre: 19±3 to post: 21±4 repetitions; +10.53%; ES=0.57) or DUPLR (22±6 to 23±6 repetitions; +4.55%; ES=0.17. Similarly, no time effect (p>0.05) was observed for number of repetitions at 60% of 1RM in the bench press for DUPHR (19±2 to 19±2 repetitions; 0%∆) or DUPLR (21±3 to 20±3 repetitions; -4.76%; ES=0.33) (data not shown). Discussion This study is the first to investigate the muscle performance response to volume-equated high and low repetition DUP protocols in trained males. Our hypothesis was partly supported in that the results indicated no difference for skeletal muscle hypertrophy between the volume- equated repetition ranges of 12,10, and 8 (DUPHR) vs. 6,4, and 2 (DUPLR). However, in opposition to our hypothesis, squat and bench press 1RM were not different between groups. Finally, ME was not different between groups; however, the ES change for squat ME in DUPHR was 0.57 vs. a 0.17 ES for DUPLR. In summary, our results suggest that when training volume is equal in a DUP configuration muscular strength and hypertrophy occur independent of specific repetition ranges. These findings are in concert with existing empirical evidence that indicates training volume as a primary variable driving these adaptations (Goto et al. 2004; Kraemer et al. 2000; Rhea et al. 2002a; Robbins et al. 2012; Ronnestad et al. 2007; Sooneste et al. 2013). Page 14 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 15 Despite the widespread belief that moderate to high repetitions (≥8) yield greater muscle hypertrophy than lower repetitions (i.e. ≤6), in reality, little data support this claim. In fact, few studies have examined this concept and equated for training volume between high and low repetition training protocols (Campos et al. 2002; Chestnut and Docherty 1999; Holm et al. 2008; Schoenfeld et al. 2014), even though volume is the training variable most closely associated with muscle hypertrophy (Goto et al. 2004; Kraemer et al. 2000; Rhea et al. 2002a; Robbins et al. 2012; Ronnestad et al. 2007; Sooneste et al. 2013). In agreement with the previous data (Campos et al. 2002; Chestnut and Docherty 1999; Schoenfeld et al. 2014), our findings report a similar magnitude of hypertrophy with equated volume despite different repetition ranges. Most previous studies have shown this concept in untrained individuals (Campos et al. 2002; Chestnut and Docherty 1999), whereas, only one study to date, other than the present study, has examined muscular adaptations to different repetition ranges with equal volume in trained males (Schoenfeld et al. 2014). However the recent data purporting similar hypertrophy between equated volume 3RM and 10RM training (41) has several important limitations: 1) Hypertrophy was only measured in the biceps brachii, despite not being directly trained, 2) This study was not periodized despite the overwhelming evidence to support the concept of periodization in a trained population (Monteiro et al. 2009; Rhea and Alderman 2004; Willoughby 1993) 3) Training frequency of muscle groups was not equal between groups, and 4) Only absolute volume was controlled, and not relative volume. The present investigation rectifies all four limitations mentioned above and has achieved significant novelty in this regard. Regarding strength adaptations, our findings showing similar strength independent of repetition range with equated volume are in contrast with previous literature (Campos et al. 2002; Holm et al. 2008; Schoenfeld et al. 2014). However, differences in methodologies do exist Page 15 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 16 with previous research, such as unequal rest periods and training frequency, which may explain the variance of the present results. Two previous studies (Campos et al. 2002; Schoenfeld et al. 2014) implemented varying rest periods between high and low repetition groups, with the low repetition group receiving longer rest periods, while the present investigation used a 5-7-minute rest period for both groups. Originally, short rest intervals were theorized to contribute to the hypertrophic adaptation of resistance exercise due to the acute anabolic hormone response (Kraemer et al. 1990), however, there is mounting evidence demonstrating that the acute anabolic hormone release does not enhance strength adaptations (Buresh et al. 2009) or lead to positive changes in resting hormone concentrations (Ahtiainen et al. 2005; Buresh et al. 2009). Additionally, short inter-set rest intervals do not allow for complete recovery thus reduce number of repetitions completed in a multi-set training session compared to longer rest intervals (Willardson and Burkett 2005); possibly leading to reduced training volume. Therefore, rest intervals were similar between groups to allow for appropriate recovery and completion of training volume. Furthermore, recent data have reported 3RM training to be superior for upper body strength and a trend towards greater lower body strength than 10RM training in males (Schoenfeld et al. 2014). However, this investigation by Schoenfeld et al. (2014) did not equate for training session frequency of muscle groups; nor did it equate for exercises between groups despite purported equal volume. Specifically, the 10RM group trained each muscle group 1x/wk, while the 3RM group had a training frequency of 3/wk. per muscle group. This unequal frequency is a methodological concern as multiple studies have reported greater strength (McLester et al. 2000) and hypertrophy (Schoenfeld et al. 2015b) gains with a frequency of 3x/wk. versus 1x/wk. Therefore, in addition to being original by equating for volume in a Page 16 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 17 periodized design the present investigation is also novel by controlling for training session frequency, which may have been led to similar strength adaptations between groups presently. Moreover, even though all subjects were trained at the start of the study, frequency of 3X/wk. produced robust changes which indicate a higher quality programming than subjects were typically engaged in. Therefore, in an highly trained elite population it is still likely that lower repetitions would cause significant neuromuscular adaptations (Zourdos et al. 2015a), leading to greater strength increases than an equated volume high or moderate repetition group . The strength training continuum has established that high repetitions and low loads are recommended to enhance ME (Anderson and Kearney 1982). Specifically, improvements in ME often occur with substantially higher repetition ranges (i.e., 150RM-20RM) (Anderson and Kearney 1982; Campos et al. 2002; Schoenfeld et al. 2015a) compared to the current study (i.e., 12-2). Therefore, it is not surprising that neither group significantly improved ME, however, ES calculation suggests that DUPHR may have had greater meaningful change in ME than DUPHR. For the squat, DUPHR had an ES of 0.57 (+10.53%) showing a moderate increase in ME, while DUPLR has only a trivial effect (ES=0.17). In terms of bench press, DUPLR had a small effect of 0.33, which noted a decrease (-4.76%), while DUPHR had no change in bench press ME. Thus, our results are line with previous research suggesting that repetitions greater than 12 may be necessary to statistically improve ME, however, our findings also suggest that a repetition range of 8-12 may provide a meaningful difference in ME improvement compared to a repetition range of 2-6. When interpreting and implementing the above findings, practicality and feasibility must be considered. Specifically, DUPHR completed each training session in a range of ~ 93-129 minutes, while DUPLR completed training session in a range of ~ 185-257 minutes. Therefore, Page 17 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 18 even though our results indicate that hypertrophy occurs independent of repetition range, DUPHR completed the same volume in a more time efficient manner compared to DUPLR. Furthermore, DUPHR did not compromise strength adaptations, since no differences in maximum strength improvements were observed. Thus, from a practical standpoint, traditional hypertrophy range repetitions may still be recommended but due to time efficiency not mechanistic reasons. From an athlete perspective, if limited time is allocated to weight training, it seems practically efficient to achieve a volume block design through a DUPHR-type strategy in an effort to save time versus a DUPLR setup without sacrificing strength adaptations. The main limitation to the present study was the absence of a group that performed greater than 12 repetitions, which is traditionally suggested for ME adaptations. Thus, this study cannot conclude if lower load training (i.e. <60%) with relatively and absolutely equated volume would cause similar adaptations to the repetition ranges employed. However, previous literature has indicated that with equal or even greater volume, very low intensities (i.e., ~15-30% 1RM) do not promote a similar magnitude of strength (Schoenfeld et al. 2015a) and hypertrophy (Holm et al. 2008) compared to greater intensities (i.e., >70% 1RM). A second limitation is that this study only utilized resistance-trained males for a relatively short duration (8 weeks); thus a longer training period may be necessary to exhibit group differences in trained males. Additionally, the current training program was designed to limit failure during any particular set, therefore future research should examine equated volume between failure and non-failure training groups within a DUP-type programming design. However, this study adds significant novelty to the literature by demonstrating similar muscular strength and hypertrophy independent of repetition range with DUP-type programming. Page 18 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 19 In conclusion, eight weeks of volume-equated high- and low-repetition periodized training produced similar increases in maximal strength and muscle hypertrophy. Therefore, our data suggest that strength and hypertrophy may not occur due to a specific repetition range and volume is likely an important factor driving skeletal muscle adaptations. However, it must be noted that DUPHR completed training sessions in approximately half the time of DUPLR; thus high repetition training may be more efficient to achieve volume. Furthermore, this study adds to the mounting evidence that DUP-type training is an effective model to produce muscle performance adaptations in already trained males (Miranda et al. 2011; Monteiro et al. 2009; Rhea et al. 2002b; Zourdos et al. 2015b). However, a closer look at previous data using DUP reveals that some studies have altered between traditional hypertrophy, strength, and power training phases within a week or undulation pattern (Peterson et al. 2008; Zourdos et al. 2015b); while others, similar to the present study, have simply altered the repetitions within an undulation pattern without necessarily changing specific training phases within that pattern (Monteiro et al. 2009; Rhea et al. 2002b). Therefore, future studies investigating repetition ranges within a DUP design, but do not alter training phase each day, may be advised to utilize the term ‘daily undulating programming’ as a descriptive term. Thus, the programming model fits within a linear/block yearly macrocycle (Zourdos et al. 2015b; Zourdos et al. 2016). Ultimately, our results suggest training adaptations are primarily volume-dependent, however, we recommend when using a DUP (programming-type) design that a high repetition undulation pattern is used early in the macrocycle with a low repetition undulation pattern employed in the latter stages of the macrocycle for individuals seeking hypertrophy and strength adaptations. Conflict of intereststatement The authors declare there are no conflicts of interest relevant to this study. Page 19 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 20 Acknowledgements The authors would like to thank Anthony J. Krahwinkel for his assistance with data collection, as well as the participants for their time and effort to complete the training protocol. Additionally, the authors would like to thank Scivation™ for providing all supplementation for the study. Page 20 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 21 References Abe, T., Brechue, W.F., Fujita, S., and Brown, J.B. 1998. 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A comparison of 3 different rest intervals on the exercise volume completed during a workout. J. Strength. Cond. Res. 19(1): I23-26. Willoughby, D.S. 1993. The effects of mesocycle-length weight training programs involving periodization and partially equated volumes on upper and lower body strength. J. Strength. Cond. Res. 7(1): I2-8. Zourdos, M.C., Dolan, C., Quiles, J.M., Klemp, A., Jo, E., Loenneke, J.P., Blanco, R., and Whitehurst, M. 2015a. Efficacy of daily 1RM training in well-trained powerlifters and weightlifters: A case series. Nutricion Hospitalaria "In press". Page 26 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 27 Zourdos, M.C., Jo, E., Khamoui, A.V., Lee, S.-R., Park, B.-S., Ormsbee, M.J., Panton, L.B., Contreras, R.J., and Kim, J.-S. 2015b. Modified daily undulating periodization model produces greater performance than a traditional configuration in powerlifters. J. Strength. Cond. Res. "In press". Zourdos, M.C., Klemp, A., Dolan, C., Quiles, J.M., Schau, K.A., Jo, E., Helms, E., Esgro, B., Duncan, S., Merino, S.G., and Blanco, R. 2016. Novel resistance training-specific RPE scale measuring repetitions in reserve. J. Strength. Cond. Res. 30(1): I267-275.Page 27 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 28 Note: The sets and repetitions given were performed for the entire study for the squat and bench press. Percentages given were the starting percentages for training week 1. Table 1. High and Low Repetition Periodization Protocols. Daily undulating periodized low repetition (DUPLR) involved repetitions in traditional strength training range. Daily undulating periodized high repetition (DUPHR) involved repetitions in traditional hypertrophy training range. Protocol DAY 1 (i.e. Monday) DAY 2 (i.e. Wednesday) DAY 3 (i.e. Friday) Low Repetition Protocol (DUPLR) 8x6 @ 75% 9x4 @ 80% 10x2 @ 85% High Repetition Protocol (DUPHR) 4x12 @ 60% 4x10 @ 65% 5x8 @ 70% Page 28 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 29 Note: Training volume was relatively equated by multiplying sets, repetitions, and percent of 1RM together. Table 2. Relative Training Volume. Protocol Day 1 Relative Volume Day 2 Relative Volume Day 3 Relative Volume Weekly Total Relative Volume Low Repetition Protocol (DUPLR) 8x6x75%= 36 9x4x80%= 28.8 10x2x85%= 17 81.8 High Repetition Protocol (DUPHR) 4x12x60%= 28.8 4x10x65%= 26 5x8x70%= 28 82.8 Page 29 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 30 DUPLR= Daily undulating periodized low repetition group, DUPHR= Daily undulating periodized high repetition group. ∆= mean percent change from pre-to post-training, MT= Muscle Thickness, mm= millimeters, LDQ= Lateral distal quadriceps. LQM= Lateral medial quadriceps. AQ= Anterior Quadriceps. Note: Values reported as means ± SD. *Significantly different than pre-training (p<0.05). For DUPLR muscle thickness values could not be obtained for post-training on one participant, therefore only n=7 were included for this measurement in DUPLR. Table 3. Pre- to post-training muscle thickness results. DUPLR (n=7) DUPHR (n=8) Pre Post ∆ (%) Effect Size Pre Post ∆ (%) Effect Size Chest MT (mm) 37.89 (7.48) 43.56* (8.49) 15.24 0.71 36.72 (6.33) 40.73* (4.95) 12.72 0.71 LDQ MT (mm) 37.83 (8.62) 42.74* (3.69) 18.96 0.74 42.37 (4.47) 48.08* (6.01) 14.32 1.08 LQM MT (mm) 45.30 (4.87) 47.28 (3.96) 4.88 0.45 50.03 (3.97) 52.62 (5.38) 5.40 0.55 AQ MT (mm) 36.95 (10.34) 40.21* (10.01) 9.85 0.32 37.66 (11.20) 42.13* (9.24) 13.73 0.44 Page 30 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . 31 Figure Captions Figure 1. Absolute training volume. DUPLR= Daily undulating periodized low repetition DUPHR= Daily undulating periodized high repetition group. Total volume= Squat plus bench press volume. Values reported as means ± SD. Absolute training volume was not different between groups. Figure 2A and 2B. Pre- and post-training squat and bench press strength results. (2A.) Squat 1RM strength, (2B.) Bench press 1RM strength. DUPLR= Daily undulating periodized low repetition DUPHR= Daily undulating periodized high repetition group. 1RM= One- repetition maximum. Values reported as means ± SD. *significantly different than pre-training (p<0.05). Page 31 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . Page 32 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p er so na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd . Page 33 of 33 A pp l. Ph ys io l. N ut r. M et ab . D ow nl oa de d fro m w w w .n rc re se ar ch pr es s.c om b y Sa n D ie go (U CS D) on 02 /17 /16 Fo r p erso na l u se o nl y. T hi s J us t-I N m an us cr ip t i s t he a cc ep te d m an us cr ip t p rio r t o co py e di tin g an d pa ge c om po sit io n. It m ay d iff er fr om th e fin al o ffi ci al v er sio n of re co rd .
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