UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062787
Receipt number R000071880
Scientific Title Effects of multiple-load resistance training within a set on muscle strength, muscle hypertrophy and physical function in middle-aged and older adults
Date of disclosure of the study information 2026/09/02
Last modified on 2026/09/02 17:24:32

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Basic information

Public title

Effects of Multi-Load Resistance Training on Muscle and Physical Function in Middle-Aged and Older Adults

Acronym

MLT Study

Scientific Title

Effects of multiple-load resistance training within a set on muscle strength, muscle hypertrophy and physical function in middle-aged and older adults

Scientific Title:Acronym

MLT Study

Region

Japan


Condition

Condition

Age-related decline in muscle mass, muscle strength, and physical function

Classification by specialty

Not applicable

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the effects of multiple-load within-set resistance training with low-load resistance training on muscle hypertrophy, muscle strength, power, physical function, vascular function, and cognitive function in middle-aged and older adults.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in thigh muscle thickness from baseline to after the 6-week intervention. The sum of rectus femoris and vastus intermedius muscle thickness is assessed 48 to 72 hours after the final training session.

Key secondary outcomes

Secondary outcomes are changes in knee-extension MVC, unloaded and 70 percent 1RM squat lifting velocity, squat-jump performance, 5-m walking time, the 30-second chair-stand test, the five-times sit-to-stand test, lower-body reaction time, the sit-and-reach test, TMT-A, TMT-B, MoCA-J, baPWV, systolic blood pressure, diastolic blood pressure, and heart rate from baseline to after the 6-week intervention. Blood lactate concentration and RPE are assessed once during the sixth, seventh, or eighth training session.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Behavior,custom

Interventions/Control_1

MLT group: Participants perform supervised resistance training twice per week for 6 weeks, for a total of 12 sessions. For the parallel squat, each set consists of 2 repetitions at 85 percent of 1RM, followed by 3 repetitions at 70 percent of 1RM and 6 repetitions at 55 percent of 1RM. Two sets are performed. All concentric actions are performed with maximal effort. Participants also perform the bench press, lat pulldown, Romanian deadlift, back lunge, and kettlebell swing.

Interventions/Control_2

LL group: Participants perform supervised resistance training twice per week for 6 weeks, for a total of 12 sessions. For the parallel squat, participants perform 4 sets of 6 repetitions at 55 percent of 1RM. All concentric actions are performed with maximal effort. Participants also perform the bench press, lat pulldown, Romanian deadlift, back lunge, and kettlebell swing.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1. Healthy middle-aged or older adults.
2. Individuals who are able to independently perform a parallel squat.
3. Individuals who are able to participate in supervised training twice per week for 6 weeks, for a total of 12 sessions.
4. Individuals who provide written informed consent after receiving an explanation of the study procedures.

Key exclusion criteria

1. Individuals with pain or musculoskeletal injuries that may interfere with the safe performance of resistance training.
2. Individuals who are unable to perform a parallel squat.
3. Individuals who are unable to participate in supervised training twice per week for 6 weeks, for a total of 12 sessions.
4. Individuals considered unsuitable for participation by the principal investigator for safety or study-related reasons.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Naoki
Middle name
Last name Kikuchi

Organization

Nippon Sport Science University

Division name

Faculty of Sport Science

Zip code

158-8508

Address

7-1-1 Fukasawa, Setagaya-ku, Tokyo 158-8508, Japan

TEL

03-5706-0900

Email

n.kikuchi@nittai.ac.jp


Public contact

Name of contact person

1st name Yukina
Middle name
Last name Mochizuki

Organization

Nippon Sport Science University

Division name

Faculty of Sport Science

Zip code

158-8508

Address

7-1-1 Fukasawa, Setagaya-ku, Tokyo 158-8508, Japan

TEL

03-5706-0900

Homepage URL


Email

mochizuki.y@nittai.ac.jp


Sponsor or person

Institute

Nippon Sport Science University

Institute

Department

Personal name



Funding Source

Organization

Nippon Sport Science University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Nippon Sport Science University

Address

7-1-1 Fukasawa, Setagaya-ku, Tokyo 158-8508, Japan

Tel

03-5706-0931

Email

kenkyu@nittai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

日本体育大学(東京都)


Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 02 Day


Related information

URL releasing protocol

Protocol is not publicly available.

Publication of results

Partially published


Result

URL related to results and publications

https://nittaidai.repo.nii.ac.jp/records/2000942

Number of participants that the trial has enrolled

45

Results

Forty-five participants were randomized, and 35 were analyzed (MLT, n=16; LL, n=19). Blood lactate was higher in MLT than LL (p<0.001). Group-by-time interaction trends were observed for 5-m walking time (p=0.06) and thigh muscle thickness (p=0.07). Significant time effects were observed for unloaded and 70 percent 1RM squat velocity and MoCA-J score (p<0.05).

Results date posted

2026 Year 09 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Thirty-five participants were analyzed: 16 in MLT (9 men, 7 women) and 19 in LL (9 men, 10 women). For MLT, age was 53.6 +/- 13.1 years, height 164.3 +/- 7.3 cm, body weight 65.7 +/- 9.7 kg, body fat 26.5 +/- 7.0 percent, and BMI 23.9 +/- 3.1. For LL, age was 55.6 +/- 9.8 years, height 164.2 +/- 8.4 cm, body weight 62.1 +/- 10.4 kg, body fat 23.8 +/- 7.4 percent, and BMI 23.0 +/- 3.1. Data are mean +/- SD.

Participant flow

Fifty-two individuals were assessed for eligibility, and 7 were excluded. Reasons for exclusion were inability to perform a parallel squat (n=2), inability to attend all scheduled training sessions (n=1), and musculoskeletal injury or pain (n=4). Forty-five eligible participants were randomly assigned to the LL group (n=23) or the MLT group (n=22). In the LL group, 4 participants discontinued or were excluded from the final analysis because of family reasons (n=1), infection (n=1), work commitments (n=1), or injury during private life (n=1). Nineteen participants in the LL group were included in the final analysis. In the MLT group, 6 participants discontinued or were excluded from the final analysis because of family reasons (n=1), joint pain of unknown cause (n=1), work commitments (n=1), injury during private life (n=1), failure to meet the attendance criterion (n=1), or infection (n=1). Sixteen participants in the MLT group were included in the final analysis. A total of 35 participants were included in the final analysis.

Adverse events

No serious adverse events were reported. One participant in the MLT group discontinued the intervention because of joint pain of unknown cause. Two participants discontinued because of infection, and 2 participants discontinued because of injuries during private life. A causal relationship between these events and the training intervention was not established.

Outcome measures

The primary outcome measure was the change in thigh muscle thickness from baseline to after the 6-week intervention. Thigh muscle thickness was assessed as the sum of rectus femoris and vastus intermedius muscle thickness. Secondary outcome measures were knee-extension maximal voluntary isometric contraction (MVC), unloaded and 70 percent 1RM squat lifting velocity, squat-jump performance, 5-m walking time, the 30-second chair-stand test, the five-times sit-to-stand test, lower-body reaction time, the sit-and-reach test, TMT-A, TMT-B, MoCA-J, brachial-ankle pulse wave velocity (baPWV), systolic blood pressure, diastolic blood pressure, heart rate, blood lactate concentration, and rating of perceived exertion (RPE). Chronic outcomes were assessed before and after the 6-week intervention. Post-intervention assessments were performed 48 to 72 hours after the final training session. Blood lactate concentration and RPE were assessed once during the sixth, seventh, or eighth training session.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 04 Month 16 Day

Date of IRB

2022 Year 12 Month 19 Day

Anticipated trial start date

2024 Year 06 Month 17 Day

Last follow-up date

2024 Year 08 Month 04 Day

Date of closure to data entry

2024 Year 08 Month 10 Day

Date trial data considered complete

2024 Year 08 Month 15 Day

Date analysis concluded

2024 Year 08 Month 30 Day


Other

Other related information

This trial was registered retrospectively after participant enrollment and completion of the intervention.


Management information

Registered date

2026 Year 09 Month 02 Day

Last modified on

2026 Year 09 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071880