Sports Medicine https://doi.org/10.1007/s40279-021-01449-2 REVIEW ARTICLE Equating Resistance‑Training Volume Between Programs Focused on Muscle Hypertrophy João Pedro Nunes1 · Witalo Kassiano1 · Bruna D. V. Costa1 · Jerry L. Mayhew2 · Alex S. Ribeiro1,3 · Edilson S. Cyrino1 Accepted: 8 March 2021 © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021 Abstract Calculating resistance-training volume in programs focused on muscle hypertrophy is an attempt to quantify the external workload carried out, then to estimate the dose of stimulus imposed on targeted muscles. The volume is usually expressed in some variables that directly affected the total training work, such as the number of sets, repetitions, and volume-load. These variables are used to try to quantify the training work easily, for the subsequent organization and prescription of training programs. One of the main uses of measures of volume quantification is seen in studies in which the purpose is to compare the effects of different training protocols on muscle growth in a volume-equated format. However, it seems that not all measures of volume are always appropriate for equating training protocols. In the current paper, it is discussed what training volume is and the potentials and shortcomings of each one of the most common ways to equate it between groups depending on the independent variable to be compared (e.g., weekly frequency, intensity of load, and advanced techniques). Key Points 1 Introduction Volume represents the external work carried out during the training program. Number of sets, repetitions, and volume-load are the most used measures of calculating training volume. Training volume has received particular interest in the resistance training field since it is posited to be one of the most effective variables to improve muscle hypertrophy and health-related outcomes [1–4]. The resistance-training volume is defined as the measure of the total amount of work carried out in a single training session or summed over weeks or months of training [5]. Work is the result of the multiplication of the total bouts of force exerted to displace a mass or exercise bar/platform to a certain distance [6, 7]. In general, calculating the volume in programs focused on muscle hypertrophy is an attempt to quantify the external work carried out to then estimate the dose of stimulus imposed on targeted muscles [7–13]. With the advantage of portable technologies, the biomechanical outcomes to assess training work can be reliably estimated [14–16]; however, to assess them in a real-world setting is recognized to be difficult, even in laboratories [6]. Therefore, probably for this reason, in the resistance-training literature, the volume is mostly expressed using parameters that directly affect training work [5–7], such as the number of sets, repetitions, and volumeload (sets*repetitions*load [kg]) [7–9]. With that, it is easier to calculate the training volume and then to organize the prescription of training programs [7–9]. The main uses of these forms of volume quantification are in studies where the aim is to establish a relationship The use of each measure to express the training volume, then to equate it between training groups, depends on the design of the studies. * João Pedro Nunes joaonunes.jpn@hotmail.com 1 Metabolism, Nutrition, and Exercise Laboratory. Physical Education and Sport Center, Londrina State University, Londrina, Brazil 2 Exercise Science Program, Truman State University, Kirksville, USA 3 Center for Research in Health Sciences, University of Northern Paraná, Londrina, Brazil Vol.:(0123456789) J. P. Nunes et al. between the dose of training and the hypertrophy response, as well as to compare the effects of different training protocols in a volume-equated format. However, the literature indicates that there is no single metric for estimating the training volume [8–11] or, thus, for equating stimuli among different protocols. Consequently, some studies may indicate that the volume offered to different groups was the same, when it was not, and may confer incorrect practical applications of the results. Thus, it is necessary to evaluate when to use each measure of volume to equate the training stimulus between different resistance-training schemes. That is to say, among the common measures to quantify training volume, which is the most recommended for each study design or practical application? This review aimed to raise some concerns about measures of volume and to present possible potentials and shortcomings of each measure when trying to equate training stimuli between different training protocols. 2 Equating Resistance‑Training Volume Although controversies exist concerning the ability to isolate the effects of one training variable, since changing one variable consequently changes another [17], when exploring different training protocols, studies often seek to equate the training volume between the groups [18], aiming to maintain the other variables constant (i.e., investigating the effects of independent variables while matching the training volume between conditions). The variables that may affect training volume and comprise the training programs are: training frequency, number of sets, repetitions per set, intensity of load, rest intervals, execution velocity/tempo, type of muscle action, exercise selection, exercise order, range of motion, and the presence or not of concentric failure. Next, it is presented which volume measure to consider to equate different protocols in which these variables are manipulated. 2.1 The Use of Number of Sets and Total Repetitions A simple way to calculate training volume is through the number of sets. In a recent review, Schoenfeld et al. [4] suggested that equating the number of sets per exercise per week is necessary to determine causality when verifying the actual influence of weekly training frequency on muscle hypertrophy. If this is not done, the differences in weekly set-volume may confound the ability to draw proper inferences [4, 19]. Indeed, the number of sets may be used to equate training volume in most frequency studies [19], particularly when the difference in the number of sessions per week compared is ≤ 2 (e.g., 1–2 vs. 3 x/week). However, more recent studies have indicated that when comparing high (> 4x/week) vs. low muscle frequencies (≤ 2x/week) with the same weekly sets (e.g., 1x/week with 5 sets per session vs. 5x/week with 1 set per session), the number of repetitions performed per week tends to be different between groups, favoring the high-frequency condition [20–22]. As noted in the work of Zaroni et al. [20], this occurs because participants in the lowfrequency groups probably experience fatigue accumulation during multiple sets, which reduces the total number of repetitions over the sessions. Thus, while a common measure of volume (i.e., weekly sets) is equated between groups, others are not (e.g., repetitions or volume-load). In such cases, in order to consider that the training volume was equated at least the total number of repetitions (sets*repetitions) should not be statistically different between groups. While also considering the load (sets*repetitions*load) may be an additional option, volume of sets only seems to be insufficient. Thus, if only sets were equated between the groups, it is correct to say that the weekly sets were equated [23], and not that the study was "volume-equated". This does not mean that sets-equated frequency studies are not valid, but only that if an effect is observed for higher frequencies, the influence of the greater volume of repetitions should be taken into consideration. Use of adequate operational definitions is needed to clarify the understanding of the design of the studies and their practical applications. 2.2 The Use of Volume‑Load The number of sets or total repetitions no longer fulfill the function of representing training volume when manipulating variables that also can affect the training load, the weight used in the exercises. Therefore, the volume-load (sets*repetitions*load) is a necessary proxy to represent the training volume to verify if it was equated between groups because the variables that compose it (set, repetitions, and load) may be influenced ultimately. This is the case when exploring some advanced training systems and techniques such as the pyramidal system, drop-set, rest-pause, combined-sets (bi-set, tri-set, super-set, and giant-set), exercise order (including pre-exhaustion and circuit training), and periodized protocols (with variations in sets, repetitions, or load). For example, to equate the volume of a drop-set training with a traditional protocol, volume-load should be considered as a measure of training volume, and not only the number of sets and drop-sets. On these occasions, no other variable is abruptly changed besides the number of sets, repetitions, and training loads, and thus, volume-load is sufficient for the equalization of training volume between groups. Also, volume-load may serve as a measure to represent training volume when investigating the influence of movement velocity and rest interval between sets, as recently reported by Pearson et al. [24] and Longo et al. [25], respectively. Of note, muscle hypertrophy tends to be very similar Equating Resistance-Training Volume when volume-load is similar between protocols in which these variables are manipulated [24–33]. The same logic may be valid when comparing the effects of concentric vs. eccentric muscle actions [34–36]. Studies that compare these separately [34, 35] are conducted almost exclusively in the laboratory environment where it may be easier to equate the volume by the total work (in joules), as with an isokinetic dynamometer [34, 35], and their findings have limited applicability to weight rooms (of note, the total work has to be considered in these cases, instead of matching by torque and repetitions only, because of the differences in the mechanical efficiency of eccentric and concentric muscle actions [37, 38]). In these cases, given that maximal strength in eccentric training is approximately 20–50% greater than that of concentric training, it has been speculated that the greater amount of load lifted during eccentric muscle actions (when matched by sets or repetitions as opposed to total work) may be responsible for differences in muscle hypertrophy [35]. Moreover, some practitioners use advanced training techniques to focus on the eccentric muscle actions [36, 39]. For example, the use of the assisted-sets technique refers to when an experienced spotter helps the practitioner to perform the concentric muscle actions (with minor taps on the bar or platform; usually to break the sticking point in final repetitions of a set) when exercises are performed with a load greater than that which can be completed without assistance. The greater eccentric overload can also be obtained from a greater load placed on the implement only during the eccentric phase or through the performance of the cheating-sets technique. The latter refers to when the strict exercise form is abandoned to achieve concentric muscle actions, but movement control is maintained during the eccentric phase. Equating the training volume in these cases may be by volume-load as well, which considers the extra load or repetitions. Comparing different intensities of load and/or ranges of repetitions maximum (RM) per set also influence variables that compose the volume-load. In most studies comparing different intensities of load, when the volume-load was equated between groups, muscle hypertrophy tended to be very similar [40–42]. This indicates that volume-load is a recommended proxy to calculate training volume, but it may be most accurate when there are small differences in the RM-zone prescribed [19] and when other variables, with exception of load and RM, are held constant. Sometimes, the number of sets has to be increased in one condition to match the volume-load of the other one [40–43], since the relationship between load and RM is not always linear [12, 44, 45]. It is worth noting that training with RM is subtly different from training with a relative %1RM with a predetermined repetition-zone. When performing sets with a relative %1RM and a fixed number of repetitions, the effort employed may differ between subjects depending on the individual level of maximum and endurance strength [9, 12]. For the same %1RM, a wide range of repetitions can be performed for different individuals [12, 44, 45]; thus, if a predetermined repetition-zone is used, some practitioners may be employing a maximal effort, while others may be using a very submaximal one [12]. Also, attention is required when a group uses very-low loads (e.g., when comparing protocols with ≤ 40%1RM vs. ≥ 85%1RM), since, in the low-load group, sets might not actually be performed to failure. This happens because the ability to reach the real momentary muscular failure is not entirely accurate among most individuals, especially in high-repetition sets [46–48]. Thus, even in a volume-load-equated format, results should be analyzed with caution because “failing” is another variable that may be different between protocols (and not load only), influencing the responses [49]. In these cases, as well as when comparing groups that perform sets to failure or not, or different distances to failure (e.g., cluster-sets [28], repetitions in reserve [50]), since sets, repetitions, and load are affected, volume-load has to be used as a proxy to match training volumes [51, 52]. In addition, it has been shown that the implementation of other training types (i.e., aerobic or stretching) to resistance-training programs, and the use of blood-flow restriction cuffs, may influence training volume [53, 54]. Volume-load may also be a valid proxy to calculate training volume herein due to the same line of reasoning, i.e. these training alternatives may affect the repetitions performed or the load to be used [53, 54]. At this point, it is important to note that it is not because the volume-load (as well as other measures of volume) is equated between different conditions that the hypertrophic gains will be equal. Also, higher volumes do not guarantee greater physiological demand [10, 55] or hypertrophy [56–58]. Muscle hypertrophy is the result of a multi-factorial process that involves much more than the external workvolume carried out [13, 59, 60]. The main point here is to indicate that for affirming that the volumes are equated between groups in these situations, the volume-load has to be considered the measure to estimate it, and not only the number of sets or total repetitions. 2.2.1 The Use of Relative Volume‑Load A caveat should be mentioned regarding studies comparing any of the training variables mentioned so far but in samples of significantly different average levels of baseline strength (e.g., trained vs. untrained, men vs. women [61]). In these cases, the “load” in the volume-load formula should be individually adjusted [9]; otherwise, the weaker counterpart will present a lower volume-load which may erroneously insinuate that they performed a very submaximal training, even if both groups work at the same training characteristics (RM-zone, %1RM, sets, repetitions, etc.). To correct such a J. P. Nunes et al. bias, the load has to be presented as a percentage of the baseline performance on a maximum strength test (e.g., 1RM), i.e., sets*repetitions*%1RM (volume-%load; arbitrary units) [7, 9]. This also is an appropriate approach to consider the training volume when trying to equate it between groups in studies that compare the same training program but in these different samples. regarding the effects of each exercise, improving the applicability of the findings [17]. Of note, this approach is what has been done most [62, 65–78], and is valid for studies comparing exercises of different numbers of joints involved (single vs. multi-joint), ranges of motion (full vs. partial), apparatus (machine vs. free-weight), angles (inclined vs. declined), and initial joint positions (stretched vs. shortened). 2.3 What to Do When Comparing Different Exercises? 2.3.1 Recent Considerations and Unresolved Issues Concerning Training Volume per Muscle When comparing the effects of the execution of different exercises, it is important to appreciate that there are substantial differences in the muscles or muscle portions that are trained. Therefore, considering training volume as the amount of work carried out that ultimately represents the strain imposed on the muscles, and given that different exercises stimulate different muscles, there is no rationale to equate training volume between exercises that place effort on different body regions. For example, for the same targeted muscle (e.g., quadriceps femoris), performing a multi-joint exercise (e.g., squat or leg press) results in greater volumeload than a single-joint exercise (e.g., leg extension) because of the greater load that can be placed on the multi-joint exercises; however, this does not mean that greater hypertrophy will be seen for quadriceps [62]. A greater volume-load is seen in multi-joint exercises only because more joints and muscles are trained at once. Thus, in studies comparing different exercises, increasing the number of sets or repetitions in the single-joint exercise to try to match the volume-load as the multi-joint exercise is not recommended (albeit this has already been done; e.g., [63]), because—considering the previous example; leg extension vs. squat—the greater volume-load for the leg-extension exercise will be designated to knee extensors only, while for the squat, it will be dissipated between the other hip, knee, and ankle muscles. In the same way, for example, in a full-depth squat, lower loads can be placed on the bar in comparison to a half-squat (resulting in a lower volume-load for the same RM-zone), and this does not mean that the hypertrophy will be blunted for the trained muscles [64–66]. Also, by varying the range of motion, different muscle portions are stimulated during an exercise [64–66]. Therefore, volume-load (or any other measure of external work) is not a valid measure to estimate training volume when comparing different exercises because it is not sufficient to estimate the percentage of stimulus that is placed into each muscle or portion due to exercise variation [13]. In this sense, when aiming to compare the isolated effects of different exercises, it is recommended to keep constant all other possible variables (number of sets, RM-zone, etc.) between the groups, so the only difference will be the selected exercises. With this, conclusions will be driven only Volume counting in the resistance-training literature has changed over the years and has become more specific. Previously, meta-analytic reviews used to consider volume as the number of sets performed per whole body [79], then as the number of sets per exercise per session [80, 81], number of sets per exercise per week [82], and, more recently, sets per muscle group per week [2]. Traditionally, 1 set of squat, 1 set of leg press, and 1 set of leg extension are all counted as 1 set for the quadriceps femoris [2, 4, 83], and, more controversially, 1 set of bench press is counted as 1 set for the pectoralis major, 1 set for the anterior deltoid, and 1 set for the triceps brachii [84]. Currently, discussions have been raised concerning how much volume of an exercise can be considered for each exercised muscle [83]; that is, can different exercises be counted equally for a common target muscle? and, can different muscles worked in an exercise be counted as if they were trained equally? Although these issues appear to be more related to the research field [83, 85, 86], elucidating such points is also important for the organization of recreational fitness schedules once the muscles experience demands of distinct magnitudes during an exercise [83]—which seems to be the case, as demonstrated by Chiu [13]. The literature is controversial on this topic and does need more studies before trying to answer such questions or propose new metrics [83]. As an example, some studies showed that the triceps brachii hypertrophied 50% in comparison with the pectoralis major following a barbell chest-press training [68, 87], which would indicate that the volume performed on the chest press for the triceps has to be counted as a half volume compared to the pectoralis major, that is, in a 0.5:1.0 ratio. Also, the triceps increased 50% in the chest press compared to the triceps extension exercise [68], which would indicate that 1 set of chest press has to be counted as a 0.5 set for the triceps. However, these results represent the outcomes on a group-mean basis, and some individuals might have presented different hypertrophy ratios between the muscles besides the 0.5:1.0. Moreover, these results relate to specific training characteristics, and different findings could be seen if the chest press was performed in different ways (e.g., with different grip widths, bench inclinations, machines, intensities), as observed in a recent study on barbell back squat training [65]. Following Equating Resistance-Training Volume Table 1 Which proxy of resistance-training volume to use in different contexts Study design Comparing weekly frequencies Measure of training volume to be used for equating volume between conditions When the difference between the number of sessions per week is small, such as 1–2 vs. 3, weekly sets are sufficient to estimate, then to equate training volume between groups. If the difference in sessions per week is ≥ 3, repetition per set may be influenced; therefore, sets*repetitions should be used to certify whether training volume was equated Volume of sets can be calculated per exercise, or per muscle group, per week. Repetitionsvolume is easily counted by multiplicating the number of repetitions performed during the sets; 3 sets × 10 reps = 30 reps The use of volume-load is necessary to estimate training volume, then to equate it between Comparing training loads, repetition-zones; groups since it covers the variables that can be influenced (sets, repetitions, load) by the failure vs. not to failure; exercise order; execution velocity; inter-set rest intervals; and manipulation of training load and such training methods advanced training systems or methods which The use of volume-%load is necessary to estimate training volume, then to equate it between groups, when there are differences between groups on baseline strength levels affect load and repetitions, e.g., drop-set, restpause, cluster-sets, pre-exhaustion, pyramid, E.g., in a unilateral dumbbell curl, where the dumbbell weight is 10 kg and this represents 80% of the 1RM: compound-sets Volume-load: 3 sets × 10 reps x 10 kg = 300 kg Volume-%load: 3 sets × 10 reps × 80% = 24 a.u. No common proxy (like volume-load) is valid to equate the volume between different exerComparing exercises with different number cises. When trying to compare the isolated effects of different exercises, it is recommended of joints involved (single vs. multi-joint), to hold constant all other possible variables (number sets, RM-zone, etc.), so that the unique ranges of motion (full vs. partial), apparatus (machine vs. free-weight), angles (inclined vs. difference between groups is the exercise selected declined), and initial joint positions (stretched vs. shortened) a half-squat training, the gluteus maximus increased on average ~ 50% compared to the quadriceps; however, this proportion was ~ 140% when squat was performed in a full-depth way [65]. In both conditions, the hamstrings did not present any increase [65], which would indicate that the volume of squat should not be counted for this muscle group. Similarly, Mannarino et al. [78] observed that the biceps brachii hypertrophied ~ 50% in a compound exercise (lat-row) compared to an isolation exercise (biceps curl); conversely, in another study involving elbow flexion [70], similar changes were observed between compound (lat-pulldown) and isolation exercises (biceps curl) on biceps brachii hypertrophy. Also, Nunes et al. [73] showed that gastrocnemii hypertrophy may be dictated by feet positioning during a calf-raise training, and Maeo et al. [71] observed that trunk position may influence hamstring hypertrophy following a leg-curl training. These findings [71, 73] further indicate that variations on the “same” exercise may impact volume counting. Indeed, the degree to which the different muscles involved in an exercise can hypertrophy varies considerably, as shown in the literature [65, 67–78, 87–91]. These responses depend on the exercises selected [92], the biomechanical properties of each muscle [13], and on several factors such as the intensity of load used, individual training status, ability to place internal focus on muscle contraction, among others [83]. Some authors suggest that this ratio of hypertrophy demand may be associated with the degree of activation of each muscle or muscle portion during the exercises [13, 73, 88, 90, 91, 93]. Nevertheless, again, the degree of activation of a muscle in relation to another can vary between exercises, training variables, individual characteristics, as well as the training background, as recently noted by Stronska et al. [94]. Therefore, trying to equate training volume placed on different muscles through the performance of different exercises, as well as trying to define any other hypertrophy ratio (rather than 1:1) between different muscles, does not seem to be feasible at present [83]. As discussed in previous paragraphs, when comparing different exercises, the most suitable method is to organize the study design with all other training variables prescribed in the same way so that the unique difference between groups is the exercise selected. Future studies should further test whether different muscles present different hypertrophic responses for the same exercise, and whether different exercises present different hypertrophic responses for the same muscle. 3 Conclusions Volume represents a measure of total work performed during resistance training, and it can be expressed through the number of sets, repetitions, and volume-load. When trying to equate volume between groups, the variables that should enter into the volume calculation are those that may differ between the training approaches and that can be monitored (e.g., in studies in which groups perform training programs at different repetitions-zone and training loads, the volumeload has to be considered as a measure to equate training volume because this method takes into account these variables). J. P. Nunes et al. In Table 1summarizes the measures of training volume which should be used in various study design. The points presented herein may help to interpret the volume measures and hypertrophic outcomes of previous studies and to prepare designs of future volume-equated investigations. We believe that by correctly equating the volume between training groups, the effects of the analyzed independent variables (e.g., weekly frequency, intensity of load, failure vs. non-failure) can be better explored [17, 18]. 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