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The Study

Isotonic Resistance Exercise Outperforms Eccentric Quasi-Isometric Resistance Exercise for Increasing Elbow Flexor Muscle Thickness and Estimated One-Repetition Maximum in Untrained Individuals: Exploring the Influence of Sex and Volume.

In simple terms

This study watched two groups of people do different kinds of arm exercises and saw that one group got a little stronger and their muscles grew a bit more. But we don’t know if the groups were picked fairly or if the people doing the measurements knew who did what, so we can’t say for sure that one exercise made the difference.

45%

Analysis score

45/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting0
Methodology34
Publication100
Statistical54
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

People who did regular weightlifting got stronger and their arms got thicker faster than those who did slow, held contractions — even though the slow ones took longer.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
45

45 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — for beginners, regular lifting gives noticeably better arm growth and strength gains than slow holds, even if the slow method feels harder.
  2. 2Regular lifting: arms grew 6.7% thicker, strength up 19.6%.
  3. 3Slow holds: arms grew 4.0% thicker, strength up 12.8%.
  4. 4Women did more total work than men, but both genders improved equally.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme

Year

2025

Authors

Zachariah J. Henderson, Shizhen Wang, Stephen M. Cornish, Trisha Scribbans

1 citations
Analysis v5

Related Content

Claims (7)

Assertion

Performing strength exercises until muscle fatigue, with 8 to 12 repetitions per set, results in an increase in muscle size in people who have not previously trained regularly.

Causal
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Assertion

Performing multiple sets of resistance exercise with sustained tension and fatigue leads to greater activation of muscle fibers and results in an increase in muscle size.

Mechanistic
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Assertion

In people who have not previously trained, 8 weeks of traditional weightlifting exercises for the biceps leads to greater increases in muscle size and strength compared to a different type of resistance exercise that involves holding a static position under load.

Causal
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Assertion

In people who have not previously trained, performing 8 weeks of traditional weightlifting exercises for the biceps leads to greater increases in muscle size and strength compared to performing exercises that involve holding a weight in a stretched position without moving it.

Causal
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Assertion

Over an 8-week training program targeting the elbow flexors, untrained females performed more total resistance exercise volume than untrained males, but both groups showed similar increases in muscle thickness and strength.

Descriptive
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Assertion

In people who have not previously trained, performing 8 weeks of traditional weightlifting exercises for the biceps results in larger increases in muscle size and strength compared to performing exercises that involve slowly lowering weight without changing muscle length.

Causal
Read analysis
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