The Study
Influence of Resistance Training Proximity-to-Failure on Skeletal Muscle Hypertrophy: A Systematic Review with Meta-analysis
This study looked at lots of other studies and found that lifting weights close to failure might help muscles grow a little, but it’s not clear if it’s better than stopping before failure. It doesn’t prove one way is stronger — just that they might be about the same.
Analysis score
Maximum 100 for a systematic review with meta-analysis.
Where the score came from
This study looked at whether pushing your muscles until they can't move anymore helps you grow bigger muscles compared to stopping before you're totally exhausted.
Where does this study sit?
Reviews of RCTs (Meta-analyses)
Max 100Randomized Trials
Max 90Reviews of Cohort Studies
Max 85Cohort Studies
Max 72Reviews of Case-Control Studies
Max 63Case-Control Studies
Max 58Cross-Sectional & Case Series
Max 50Expert Opinion
Max 539 / 100
Quality score
The highest quality evidence. Systematic reviews and meta-analyses that pool randomized controlled trials, giving the most reliable summary of experimental evidence.
Key takeaways
Summary
Based on the study abstract and findings.
- 1The differences are so small they likely don't matter in real life — you don't need to push to absolute failure every set to build muscle.
- 2Going to complete failure: +0.12 effect size (not significant).
- 3Higher velocity loss (>25%): +0.08 effect size (not significant).
- 4Total sets done mattered more than how close to failure you got.
Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data
Publication
Journal
Sports Medicine (Auckland, N.z.)
Year
2022
Authors
Martin C. Refalo, E. Helms, Eric T Trexler, D. Hamilton, J. Fyfe
Related Content
Claims (6)
When people who’ve never lifted weights before start training, some gain just a little muscle—like half a kilo—while others gain a lot, up to three kilos, in about two to three months.
You don’t need to push your muscles to absolute exhaustion to grow them—working them pretty hard (but not all the way to failure) might give you just as much muscle growth as going all out.
Doing more sets of weightlifting seems to build muscle more reliably than how close you get to failing on each set—whether you stop short or push to exhaustion doesn’t change the muscle growth much if you’re doing the same number of sets.
Lifting weights until you can't do another rep doesn't help you build more muscle than stopping before you hit total exhaustion—so you don't need to push yourself to the absolute limit to get the best results.
Pushing yourself harder during weightlifting by stopping later (more than 25% slower than your fastest rep) doesn’t help you build more muscle than stopping a bit earlier (20–25% slower)—the difference is so tiny it doesn’t really matter.
Lifting lighter weights really close to failure might build muscle just as well as lifting heavy weights, but the evidence isn’t strong enough to say for sure — it might depend on how you combine weight and effort.
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.