Strength Training

Introduction[edit | edit source]

Strength training (also known as resistance exercise) increases muscle strength by making muscles work against a weight or force. Resistance exercise is considered a form of anaerobic exercise.[1]

  • Different forms of strength training include using your own body weight, free weights, weight machines, resistance bands and plyometrics.
  • A beginner needs to train two or three times per week to gain the maximum benefit.
  • Individuals should complete a pre-participation health screening and consult with professionals e.g. doctor, exercise physiologist, physiotherapist or registered exercise professional, before starting a new fitness program.
  • Optimal programs with specific goals, starting points, and progressions will give maximal results.

Principles of Strength Training[edit | edit source]

The basic principles of a strength training programme are[2]:

  1. Overload Principle: It is important to overload the musculoskeletal system over time to create and sustain physiological adaptations from strength training and to overcome accommodation of muscles.
  2. Specificity Principle: Adaptations are specific to the muscles trained.
  3. Progression/Periodization: Overloading should occur at an optimal level and time frame to maximize performance.
  4. Individuality: Each individual will have a different response to the training stimulus and thus programmes need to be individually tailored.
  5. Reversibility: The effects of training will be lost if training stimulus is removed for an extended period of time.

Equipment of Strength Training[edit | edit source]

Different types of strength training include[3]:

  • Body weight – can be used for squats, push-ups and chin-ups (convenient, especially when travelling or at work).
  • Resistance bands – these provide resistance when stretched. They are portable and can be adapted to most workouts. The bands provide continuous resistance throughout a movement.
  • Free weights – classic strength training tools such as dumbbells, barbells and kettlebells.
  • Medicine balls or sand bags – weighted balls or bags.
  • Weight machines – devices that have adjustable seats with handles attached either to weights or hydraulics.
  • Suspension equipment – a training tool that uses gravity and the user's body weight to complete various exercises.

Designing a Strength Program[edit | edit source]

Squatting with resistance band for upper extremity

It is important to pay attention to safety and form in order to reduce the risk of injury. When planning a protocol, the main things to consider are[4]:

  1. Choice,
  2. Order,
  3. Frequency,
  4. Intensity,
  5. Volume,
  6. Rest interval,
  7. Progression.

The workout should focus on :

  1. Strength,
  2. Hypertrophy
  3. Power
  4. Muscular Endurance.

Effects of Strength Training[edit | edit source]


Strength training stimulates a variety of positive neuromuscular adaptations that enhance both physical and mental health. Physical and mental health benefits that can be achieved through resistance training include:

  • Improved muscle strength and tone.
  • Maintaining flexibility, mobility and balance, which can help maintain independence in ageing.
  • Weight management and increased muscle-to-fat ratio – might be even more beneficial than aerobic exercise for fat loss.[1]
  • May help reduce or prevent cognitive decline in older people.
  • Greater stamina – as you grow stronger, you won’t get tired as easily.
  • Prevention or control of chronic diseases such as diabetescoronary artery diseasearthritisback paindepression and obesity.
  • Pain management
  • Improved posture.
  • Decreased risk of injury.
  • Increased bone density and strength and reduced risk of osteoporosis.
  • Improved sense of wellbeing – resistance training may boost self-confidence, improve body image and mood.
  • Improved sleep and avoidance of insomnia.
  • Increased blood glucose utilization.
  • Reduced resting blood pressure.
  • Improved blood lipid profiles.
  • Increased gastrointestinal transit speed


Strength Exercises and Chronic Diseases[edit | edit source]

Obese man.jpg

People with Chronic disease can all benefit from exercise eg diabetes, asthma, metabolic syndrome, cardiovascular disease, low back pain, arthritis , joint pain, depression, (COPD).

  • Strength training can improve muscle strength and endurance, make it easier to do daily activities, slow disease-related declines in muscle strength, and provide stability to joints.


  • Sedentary living leads to muscle loss, metabolic slowdown, and fat gain.
  • Presently, almost 70% of American adults are overfat and at increased risk for chronic diseases and other health problems. Regular endurance exercise is performed by less than 5% of the adult population (USA).
  • Strength training provides a practical way for combating obesity and for eliciting physiological and psychological improvements that positively impact quality of life.
  • Basic and brief strength training sessions have proved to be effective for rebuilding muscle, recharging metabolism, reducing fat, and enhancing a variety of health and fitness factors[6]
Coronary Artery Disease.png

Cardiovascular Disease (CVD)

  • The magnitude of resistance exercise-induced reductions in SBP (5–6 mmHg) and DBP (3–4 mmHg) are associated with an 18% reduction of major cardiovascular events (Blood Pressure Lowering Treatment Trialists Collaboration, 2014)
  • Mcleod et al, 2019 recommended low-to moderate intensity resistance exercise training(RET) (30–69% of 1RM) is safe and effective even in individuals with CVD or at risk for developing CVD.[7]
  • A comprehensive resistance-training program of 8 to 10 exercises for 20 to 30 minutes with an intensity of ≈50±10% of 1 RM with a minimum of 2 days per week and, if time permits, progress to 3 days per week is recommended. Exercise need to be done at a comfortably hard level (13 to 15 on the RPE [rating of perceived exertion]) and without Valsalva maneuver. Progression of exercise can be done by increasing 5 % of weight if the participant can comfortably lift the weight for up to 12 to 15 repetitions. If the participant cannot complete the minimum number of repetitions (8 or 10) using good technique, the weight should be reduced.[8]

Type 2 Diabetes

  • American Diabetes Association, 2014 has reported lifestyle modifications (i.e. diet and exercise) were associated with a greater reduction on glycemic control than medication with more emphasis on aerobic exercise training. However, there are other studies showing benefits of resistance exercise on glycemic control.
  • There is a contradictory result showing the level of intensity of resistance exercises in glycemic control. But the study done by Mcleod et al. 2019, recommends the inclusion of general whole-body resistance exercises twice in week in routine without worrying about exercise intensity.[7]


  • There is a role for resistance exercise in reducing cancer risk, cancer recurrence, cancer mortality, and improving prognosis during adjuvant therapies. In breast[9] and prostate cancer, resistance exercise has been apparent. Further work needs to be done to address the optimal dose, intensity, and mechanisms specific to resistance exercise-induced benefits to cancer.[7]

Strength and the Older Population[edit | edit source]

Gym ladies.jpeg

With an increase in age, there comes various co-morbidities and frailty.

  • Resistance exercises can play a vital role in the improvement of functional mobility. Resistance exercise is a potent stimulus for muscle hypertrophy and increasing bone density which is affected by sarcopenia and osteoporosis.
  • Resistance exercise incorporated with combined exercise training ( balance exercise, aerobic exercises) has shown to be the best strategy for improvement in functional mobility in older adults. [10]

Repetition Maximum for Weight Training[edit | edit source]


A repetition maximum (RM) is the most weight a person can lift for a defined number of exercise movements.

  • E.g. a 10RM would be the heaviest weight a person could lift for 10 consecutive exercise repetitions. RM is a good measure of a persons current strength level.

One Repetition Maximum (1RM) is defined as the maximal weight an individual can lift for only one repetition with correct technique.

  • The 1RM test is most commonly used by strength and conditioning coaches to assess strength capacities, strength imbalances, and to evaluate the effectiveness of training programmes.[1]
  • By establishing 1RM and tracking it, you are able to observe a persons progress. It is a precise measure, so it can help judge how effective the program is.

It can be either calculated directly using maximal testing or indirectly using submaximal estimation methods.

  • There are many different formulas to estimate your 1RM, all with slightly different calculations. The most popular (and proven accurate1) one is the Brzycki formula from Matt Brzycki[12]:
weight / ( 1.0278 – 0.0278 × reps ) 

If you just managed to lift 100 kg for five reps, you’d calculate your 1RM like this:

100 / ( 1.0278 - 0.0278 × 5 ) = 112.5 kg

How to Safely Test 1RM

While 1RM is a very useful tool, it does have limitations. Measuring your 1RM is not simply a matter of grabbing the biggest weight and getting a person to perform a rep. By definition, you will be stressing this muscle to its maximum and placing person at risk of an injury if you don't do it correctly. You need to prepare to do it properly. For e.g.

  1. Choose which move you are going to test (squat, bench press, etc.).
  2. Person warms up with light cardio activity and dynamic stretching for at least 15 to 30 minutes.
  3. Person performs 6 to 10 reps of chosen move using a weight that's about half of what you think their max will be. Then allow a rest for at least one to two minutes.
  4. Increase the weight up to 80% of what you think max might be. person performs three reps, then rests for at least one minute.
  5. Add weight in approximately 10% increments and person attempts a single rep each time, resting for at least one to two minutes in between each attempt.
  6. The maximum weight successfully lifted, with good form and technique, is 1RM.

Resources[edit | edit source]

Related Pages[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Sundell J. Resistance training is an effective tool against metabolic and frailty syndromes. Advances in preventive medicine. 2011;2011.
  2. Cissik JM.  Basic principles of strength training and conditioning. NSCA’s Performance Training Journal.2002:1(4), 7-11.
  3. Schoenfeld, B, Snarr, R.L. NSCA's Essentials of Personal Training. 3rd Edition. Human Kinetics. 2021.
  4. Brown L. Strength Training (2nd Edition). NSCA, Human Kinetics, 2007.
  5. John Spencer Ellis. Physiological Adaptation to Resistance Training - FITNESS EDUCATION REVIEW.Available from: [last accessed 26/5/2020]
  6. Westcott W. ACSM strength training guidelines: Role in body composition and health enhancement. ACSM's Health & Fitness Journal. 2009 Jul 1;13(4):14-22.
  7. 7.0 7.1 7.2 Mcleod JC, Stokes T, Phillips SM. Resistance exercise training as a primary countermeasure to age-related chronic disease. Frontiers in physiology. 2019 Jun 6;10:645.
  8. American Heart Association Journal. Resistance Exercise in Individuals With and Without Cardiovascular Disease. Available from: [Last accessed: 26-05-2020]
  9. Wanchai A, Armer JM. Effects of weight-lifting or resistance exercise on breast cancer-related lymphedema: a systematic review. International journal of nursing sciences. 2019 Jan 10;6(1):92-8.
  10. Mcleod JC, Stokes T, Phillips SM. Resistance exercise training as a primary countermeasure to age-related chronic disease. Frontiers in physiology. 2019 Jun 6;10:645.
  11. Morton RW, Traylor DA, Weijs PJ, Phillips SM. Defining anabolic resistance: implications for delivery of clinical care nutrition. Current opinion in critical care. 2018 Apr 1;24(2):124-30.Available
  12. M. Brzycki. Strength Testing-Predicting One-Repetition Max from Reps-to-Fatigue. Journal of Physical Education, Recreation & Dance, 1993, Vol. 64, No. 1, pp. 8890.