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Regulation of fiber size, oxidative potential, and

capillarization in human muscle by resistance exercise


H. Green, C. Goreham, J. Ouyang, M. Ball-Burnett and D. Ranney
Am J Physiol Regul Integr Comp Physiol 276:R591-R596, 1999.

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Regulation of fiber size, oxidative potential, and
capillarization in human muscle by resistance exercise
H. GREEN, C. GOREHAM, J. OUYANG, M. BALL-BURNETT, AND D. RANNEY
Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1

Green, H., C. Goreham, J. Ouyang, M. Ball-Burnett, absence of parallel increases in oxidative potential (2,
and D. Ranney. Regulation of fiber size, oxidative potential, 18, 36) and capillarization (37). However, other studies
and capillarization in human muscle by resistance exercise. (28, 30) have challenged these conclusions. The limited
Am. J. Physiol. 276 (Regulatory Integrative Comp. Physiol. number of longitudinal studies, which have employed
45): R591–R596, 1998.—To examine the hypothesis that
HRT for up to 20 wk, are inconclusive. Some studies
increases in fiber cross-sectional area mediated by high-
resistance training (HRT) would result in a decrease in fiber have reported no changes in capillary density, ex-
capillarization and oxidative potential, regardless of fiber pressed as either capillaries per fiber or per unit fiber
type, we studied six untrained males (maximum oxygen area (16, 35, 38), whereas others (8, 21) have found
consumption, 45.6 6 2.3 ml · kg21 · min21; mean 6 SE) partici- increases in the number of capillaries per fiber, both
pating in a 12-wk program designed to produce a progressive type I and type II, without increases in capillaries per
hypertrophy of the quadriceps muscle. The training sessions, unit fiber area. In general, changes in mitochondrial
which were conducted 3 times/wk, consisted of three sets of potential have not been reported with HRT. Tesch et al.

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three exercises, each performed for 6–8 repetitions maximum (35) and Wang et al. (38), using the maximal activity of
(RM). Measurements of fiber-type distribution obtained from citrate synthase in homogenates as a measure of oxida-
tissue extracted from the vastus lateralis at 0, 4, 7, and 12 wk
indicated reductions (P , 0.05) in type IIB fibers (15.1 6 2.1%
tive potential, have found no change in either women or
vs. 7.2 6 1.3%) by 4 wk in the absence of changes in the other men after HRT. Such findings have also been confirmed
fiber types (types I, IIA, and IIAB). Training culminated in a at the single-fiber level, regardless of fiber type (24).
17% increase (P , 0.05) in cross-sectional area by 12 wk with These findings suggest that the absolute number and
initial increases observed at 4 wk. The increase was indepen- size of mitochondria increase on an absolute basis to
dent of fiber type-specific changes. The number of capillaries maintain a constant relative potential. This hypothesis
in contact with each fiber type increased by 12 wk, whereas has been confirmed by Wang et al. (38) by using
capillary contacts-to-fiber area ratios remained unchanged. ultrastructural measurements. However, interpreta-
In a defined cross-sectional field, HRT also increased the tion of the results of most studies is confusing because
capillaries per fiber at 12 wk. Training failed to alter cellular
hypertrophy was not demonstrated (16, 24, 35).
oxidative potential, as measured by succinic dehydrogenase
(SDH) activity, regardless of fiber type and training duration. A number of stimuli have been identified in promot-
It is concluded that modest hypertrophy induced by HRT does ing angiogenesis, and ischemia and hypoxemia have
not compromise cellular tissue capillarization and oxidative been recognized as most potent (6, 15). In addition,
potential regardless of fiber type. mechanical factors such as increased wall tension,
training; resistance; hypertrophy; fiber type
increased sheer stress, and increased intravascular
pressure appear to be important (12). What factors are
involved in inducing capillarization with regular exer-
cise is uncertain. It is known that prolonged, submaxi-
ONE OF THE MOST CONSPICUOUS adaptations accompany- mal exercise training represents a major stimulus for
ing high-resistance training (HRT) is an increase in the angiogenesis and mitochondrial biogenesis (12), suggest-
cross-sectional area of the muscle cell (13). The cellular ing that sustained elevation of one or more of the
hypertrophy appears to extend to both major fiber types stimulating factors may be critical. It has been hypoth-
(type I and type II) and subtypes (IIA and IIB) (8, 21, esized that the sustained elevation in blood flow which
32, 33), although the magnitude of the increase appears occurs during prolonged exercise and which is designed
to be fiber type specific (8, 14, 33). The increase in fiber to meet the nutrient demands of a persistently contract-
size results in an increase in muscle force-generating ing muscle may be of importance in inducing changes in
potential (13). stimuli necessary for capillary growth (12). If such is
Somewhat unclear is the role of HRT in muscle cell the case, few repetitions of heavy resistance exercise,
capillarization and oxidative potential, two properties typically employed for HRT, should have minimal effect
that appear to be intimately related in promoting on angiogenesis.
increased oxidative phosphorylation during exercise In this study, we hypothesized that the HRT program
(11, 27). Earlier studies based on comparisons between would lead to an increase in cellular cross-sectional
weight lifters and age-matched, untrained controls area in the absence of an increase in capillary number.
have indicated that fiber hypertrophy occurs in the As a consequence, the capillaries subserving a defined
cellular area would decrease. Moreover, the decrease in
perfusion potential would be accompanied by a de-
The costs of publication of this article were defrayed in part by the
payment of page charges. The article must therefore be hereby
crease in cellular oxidative potential. All of these
marked ‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 changes would be manifested in the major fiber types
solely to indicate this fact. and subtypes.
0363-6119/99 $5.00 Copyright r 1999 the American Physiological Society R591
R592 FIBER TYPE CAPILLARIZATION AND RESISTANCE TRAINING

METHODS medium, glass slide, and coverslip just outside the section
being measured, was subtracted from the OD measure in the
Subjects. Six healthy but untrained male volunteers (age fiber. In addition, we also subtracted the change in OD due to
19.2 6 0.48 yr; wt 81.0 6 6.0 kg; means 6 SE) completed all the nonspecific reduction of the reaction indicator NBT (4).
phases of the study. A substantially greater number (n 5 11) The value for this nonspecific reduction was obtained on
were recruited, but with attrition and limitations in tissue separate pieces of tissue that had been stained under condi-
availability a complete data set for investigating histochemi- tions as nearly identical as possible. The OD measured on 25
cal features was restricted to six subjects. Based on the fibers of each type, where possible, was obtained using an
information provided by questionnaire, none of the volun- image analysis system (Image-Pro Plus; Media Cybernetics,
teers was ‘‘trained,’’ i.e., none was involved in exercise on a Silver Spring, MD). Fiber-type differences in SDH activity,
regular basis or had been for at least 3 mo before the obtained before training, were very similar to those obtained
beginning of the study. Peak aerobic power, determined by others using a similar procedure and similar sex (24).
during a progressive cycle test to fatigue, was 45.6 6 2.3 Fiber type-specific areas were obtained from the SDH stain
ml · kg21 · min21. As required, all experimental procedures and using the same fibers selected for the OD measurements. The
risks were described to each volunteer, and the study was image analysis system, equipped with a video monitor, digitiz-
approved by the Office of Human Research. ing tablet, and tracing cursor, was used for area measure-
Experimental design. The training model used in this study ments. Serial sections permitted the identification of fiber
consisted of performing three different exercises, specifically area and fiber capillarization in the same fiber, which could
chosen for their emphasis on the quadriceps muscle. The then be identified as to type.
exercises (parallel squats, incline leg presses, and leg exten- Capillarization was determined using two approaches, i.e.,
sions) were performed 3 times/wk with supervision. At least at the level of the individual fiber and in a defined field of a

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one day of rest was provided between each work session. Each fixed, cross-sectional area. At the level of the individual fiber,
training session included three sets of each exercise with each the capillarization indexes included the number of capillaries
set performed for 6–8 repetitions maximum (RM). An approxi- in contact with each fiber type (I, IIA, IIAB, and IIB) or
mate 2-min recovery period was provided between each set. capillary contacts (CC), and the number of capillary contacts
For safety, a warm-up set of 10 repetitions at 50% of each per fiber-type area. Capillary contacts per fiber were deter-
subject’s 6–8 RM was included for each exercise. The training mined by counting the number of capillaries around each
extended for 12 wk with training intensity adjusted after 4 individual fiber, subdivided by type, and then computing the
and 7 wk. On average, 10.1, 5.6, and 15.4 training sessions mean (9, 21, 25). The number of capillaries per fiber area was
were performed during each training segment. During the estimated by dividing the number of capillaries in contact
first training segment, the weights (kg) used were 90.5 6 9.1, with each fiber by the area of the fiber to which they were
165 6 10, and 40.9 6 2.7 for the squats, leg presses, and leg adjacent and computing the mean number of capillaries per
extensions, respectively. For the final training segment, the fiber area for each fiber type (21, 25).
loads (kg) were increased to 146 6 12, 285 6 23, and 63.6 6 5, The indexes that were calculated from a defined cross-
respectively, for each of the exercises. Before the training and sectional area of the tissue sample were the number of fibers
at 4, 7, and 12 wk, samples of tissue were obtained from the or fiber density (FD), the total number of capillaries or
vastus lateralis muscle using the technique of Bergström (3). capillary density (CD), the number of capillaries around the
The tissue obtained was oriented under a dissecting micro- fiber (CAF), and the sharing factor (SF). Both FD and CD
scope, mounted, rapidly frozen in isopentane cooled to liquid were obtained by simply counting the total number of fibers
nitrogen temperatures, and stored at 280°C until analysis. and the total number of capillaries, respectively, in the set
Two tissue samples were obtained from each leg during the cross-sectional area (21, 25). The CAF index was obtained as
study with the order randomized between legs after each the ratio CD/FD (9, 21, 25). The determination of SF (fibers/
training segment. All tissue samples were obtained at least capillary) was based on the quotient obtained by dividing the
24 h after the last training session. number of capillaries around the fiber calculated from the
Analytical procedures. Histochemical properties were deter- defined field into the average number of capillary contacts
mined on cross sections of tissue cut in a cryostat maintained (CC/CAF) (9, 25). For all of these measurements, discrete
at 220°C. Muscle fiber-type identification and typing was regions with clear cross-sections free of artifacts were used.
based on the procedure of Brooke and Kaiser (5) as modified The number of fibers and capillaries on the borders were
by Staron et al. (29). This modification allows identification of counted and then halved.
type I fibers as well as several type II subtypes: IIA, IIB, IIAB, Statistical procedures. To determine the effects of training
and IIC. On average, ,200 fibers from each tissue sample time (0, 4, 7, 12 wk) and fiber-type (type I, IIA, IIB, IIAB)
were used to determine fiber-type distribution. Staining for distribution, area, and capillarization, a two-way ANOVA for
fiber capillarization was performed on 8-µm-thick cross sec- repeated measures was employed. Where only a single mea-
tions using a lectin (Ulex europeaus I ) technique described by sure was obtained, for example with capillary density, with-
Parsons et al. (22). In addition, the oxidative potential of each out regard to fiber-type differences, a one-way ANOVA was
fiber was determined on cross sections (10 µm) stained for used. Where significance was indicated, post hoc analysis
succinic dehydrogenase (SDH) activity. Determinations of with the use of the Newman-Keuls technique was performed
SDH activity were based on the procedure of Pette (23) using to compare specific means. A 95% level of confidence was
a reaction medium containing 100 mM sodium phosphate accepted for all comparisons.
buffer (pH 7.6), 1.0 mM sodium azide, 0.2 mM 1-methoxy-5-
methylphenazinium methyl sulfate, 50 mM succinate, and RESULTS
1.5 mM nitro blue tetrazolium (NBT). Nonspecific reduction
of NBT was determined by incubating several sections in the Muscle fiber-type distribution (%) for the vastus
above medium with succinate. The reaction was allowed to lateralis muscle before training was 47.2 6 3.1, 28.4 6
run for 10 min at 25°C. SDH measurements were based on a 4.8, 7.7 6 1.3, and 15.1 6 2.1 for type I, IIA, IIAB, and
single end point (7). For quantification, the optical density IIB, respectively (Table 1; see Fig. 3). With the excep-
(OD) measured from the blank, representing the mounting tion of the type IIB fibers, training was without effect in
FIBER TYPE CAPILLARIZATION AND RESISTANCE TRAINING R593

Table 1. HRT and fiber-type distribution Table 3. HRT and capillary contacts per fiber
HRT Time, wk HRT Time, wk

0 4 7 12 0 4 7 12

Fiber-type dis- Fiber type


tribution, % I 5.38 6 0.22 5.61 6 0.34 5.94 6 0.23 6.38 6 0.19
I 47.263.1 50.063.5 49.262.7 48.962.1 IIA 5.54 6 0.44 5.27 6 0.38 5.84 6 0.33 6.18 6 0.24
IIA 28.464.8† 33.062.9 33.061.7† 32.561.4†‡ IIAB 4.16 6 0.28 5.92 6 0.49 5.41 6 0.30 5.77 6 0.46
IIAB 7.761.3†‡ 6.361.0†‡ 7.161.1†‡ 8.361.3†‡ IIB 4.20 6 0.51 4.25 6 0.34 4.97 6 0.24 5.23 6 0.41
IIB 15.162.1†‡§ 8.361.2*†‡ 9.961.8*†‡ 7.261.3*†‡
Values are means 6 SE no. of capillary contacts per fiber; n 5 6
Values are means 6 SE; n 5 6 subjects. HRT, high-resistance subjects. Main effects (P , 0.05) for both training and fiber type were
training. Significant differences (* P , 0.05): * from 0 wk; † from type I; found. For training, 0 wk 5 4 , 12 wk. For fiber types, type I 5 type
‡ from type IIA; § from type IIAB. IIA . type IIAB . type IIB. No interaction effect was found.

Additional indexes of fiber capillarization based on a


altering the percent composition. For the type IIB defined field are presented in Table 4. Only one index,
fibers, a pronounced reduction ranging from 34 to 45% namely CAF, was altered by training. In the case of
was observed. The reduction was fully manifested by 4 CAF, a 33% increase was observed, but not until the
wk of training. Although type IC and IIC fibers were 12th week of training.
identified, these represented ,1% of the fiber pool and

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SDH activity, determined by microphotometry and
consequently were not included in the analyses. expressed in absolute units, was observed to be highest
HRT increased fiber area (Table 2). This effect, which in type I fibers, followed by type IIA and type IIB fibers,
was not specific to fiber type, was observed by 7 wk of and lowest in type IIB fibers (Figs. 2 and 3). The
training and persisted through the final 5 wk of train- oxidative potential was not affected by HRT, regardless
ing. After subjects were trained for 12 wk, fiber areas, of fiber type and training duration.
when averaged over all fiber types, were larger than at
4 wk of training. When comparisons were made be- DISCUSSION
tween the fiber types, type IIA fibers were observed to
possess the largest area while type I fibers were the We have been able to confirm, as hypothesized, that
smallest. No difference was observed between the type HRT would result in an increase in fiber cross-sectional
IIAB and type IIB fibers in area. Training did not alter area. This finding is not surprising given the many
the differences between the fiber types in area. previous studies (13) that have found fiber hypertrophy
Training also had a significant effect in increasing CC with HRT. Our findings on the time course response are
(Table 3; see Fig. 3). This effect, which was not specific also consistent with earlier work (31), namely that
to fiber type, was not observed until the 12th week of increases in fiber area are a delayed response to
training. In general, type I and type IIA fibers pos- training, only observable after several weeks of train-
sessed the largest number of capillary contacts per ing. In this study, significant increases were not ob-
fiber, followed by the type IIAB fibers, which were served until the seventh week of training. Our HRT
intermediate, and the type IIB fibers, which were the program failed to produce a differential increase in area
lowest. When the changes in fiber-type area were between the different fiber types. By 12 wk of training,
considered, and the number of capillary contacts were increases in area between fiber types ranged between
expressed relative to fiber area, no effect of training 14 and 24%. Although similar findings have been
was observed (Fig. 1). Type I fibers possessed the reported previously (10, 14, 21), exceptions have been
highest capillary contacts-to-fiber area ratio compared noted (8, 33). Several studies have reported a differen-
with the other types. No differences in this ratio were
found between the type IIA, type IIAB, and type IIB
fibers.

Table 2. HRT and fiber-type areas


HRT Time, wk

0 4 7 12

Fiber-type area,
µm2
I 4,840 6 145 5,192 6 53 5,487 6 153 5,518 6 125
IIA 6,455 6 196 6,624 6 403 7,274 6 431 7,978 6 208
IIAB 6,065 6 658 6,165 6 248 6,758 6 618 6,901 6 392
IIB 5,577 6 194 5,882 6 173 6,348 6 198 6,355 6 421
Values are means 6 SE; n 5 6 subjects. Main effects (P , 0.05) for Fig. 1. Capillary contacts-to-fiber area ratios in untrained males
both training and fiber type were found. For training, 0 wk , 7 wk 5 during high-resistance training (HRT). Values are means 6 SE; n 5
12 wk; 4 wk , 12 wk. For fiber type, type IIA . type IIB 5 type 6. Only a main effect (P , 0.05) of fiber type was found: type I . type
IIAB . type I. IIA 5 type IIAB . type IIB.
R594 FIBER TYPE CAPILLARIZATION AND RESISTANCE TRAINING

Table 4. HRT and fiber capillarization indexes Despite the different time course that was observed
in a defined field between the changes in fiber size and the changes in
fiber capillarization, capillarization as expressed by
HRT Time, wk capillary contacts-to-fiber area ratio was not altered
0 4 7 12 with HRT regardless of the period of training. Our
CD, capillaries/mm2 556641 564635 643648 625633
findings demonstrate that modest increases in fiber
FD, fibers/mm2 30269.6 292611 288611 262614 area can occur in HRT without compromising the fiber
CAF, capillaries/fiber 1.8060.14 2.0160.12 2.1260.13 2.4060.10* area served by a capillary regardless of fiber type.
SF, fibers/capillary 2.9160.15 2.6260.13 2.6960.16 2.5860.07 Although previous longitudinal studies have reported
Values are means 6 SE; n 5 6. CD, capillary density; FD, fiber similar findings (8, 21, 38), there is also evidence that
density; CAF, capillaries per fiber; SF, sharing factor. * Significantly HRT can compromise the capillary-to-fiber area ratio
different from 0 wk (P , 0.05). (8). These discrepancies may be explained by the type of
HRT program. Training using concentric contractions
only, compared with training using concentric and
tial hypertrophy between fiber types with the increase
eccentric contractions similar to HRT with free weights,
in size more pronounced in the type II fiber subtypes (8,
does not increase capillary-to-fiber area ratios. Capillar-
10, 14, 33). The differences between the fiber-specific
ization was also examined from another perspective,
response between studies may well reflect the specifics
namely by examining capillary density in a defined
of the different HRT programs (8, 14), including the
cross-sectional area of tissue. This procedure conveys

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duration of the training. Indeed, the relatively brief
the advantage of examining the changes from the
nature of previous training programs may be an impor-
perspective of a defined field without regard to fiber-
tant factor in the inability to observe hypertrophy (16,
type distribution. By using this procedure, neither the
24). It must be emphasized that the objective of our
total number of capillaries nor the number of fibers was
study was not to examine the efficacy of different HRT
programs in inducing fiber hypertrophy. Rather, we significantly altered. However, trends were clearly evi-
were simply interested in selecting a program that dent toward a decrease in the number of fibers and an
would result in hypertrophy based on previous pub- increase in the number of capillaries, as might be
lished reports. This was necessary so that we could expected. It is probable that the magnitude of the
examine the relationship between hypertrophy, capillar- hypertrophy was insufficient to reduce the number of
ization, and oxidative potential. fibers occupying a given area. A more sensitive index,
HRT clearly resulted in an increase in the number of namely CAF, was increased by 12 wk of training. The
capillaries in contact with each fiber. However, this change in this index was not accompanied by signifi-
response was more delayed than the increases in fiber cant changes in SF, indicating that, on average, HRT
area and not observed until the 12th week of training. was without effect in changing the number of fibers
Similar to the fiber size changes, the magnitude of the sharing one capillary. An increase in this index could
effect was not differentiated by fiber type. As with HRT conceivably compromise nutrient supply to specific
effects on fiber area, the delayed increase in capillariza- fibers.
tion may well explain the failure of a previous study It should be emphasized that the measures of capillar-
(16) to observe changes because this program was ization examined are only indexes that provide for the
shorter in duration than the present program, and of description of muscle capillaries relative to fiber areas
others (8, 21) in which increases in angiogenesis have and types. These properties may not provide the best
been observed. Even with extended training, increases estimate of the potential for blood-to-tissue exchange in
in capillary number are not always a consistent finding skeletal muscle since they do not account for the
(38). configuration of the capillary network (20). A new
property, described as the capillary-to-fiber perimeter
ratio, has been proposed that incorporates the effects of
capillary tortuosity and branching and may provide a
better functional measure (9, 20).
Oxidative potential, as measured by SDH, remained
unchanged throughout the training regardless of the
fiber type. Only one previous study (24) has examined
oxidative potential in the various fiber types in re-
sponse to HRT and arrived at the same conclusions.
However, in the study by Ploutz et al. (24), HRT failed
to result in fiber hypertrophy. These results are also
supported by others using determinations of maximal
enzyme activities of representative mitochondrial en-
zymes in homogenates prepared from whole muscle
samples (35, 38). Ultrastructural studies have provided
Fig. 2. Fiber-type oxidative succinic dehydrogenase (SDH) activity in
untrained males during HRT. Values are means 6 SE; n 5 6. Only a
inconsistent results with either no change (16, 38) or a
main effect (P , 0.05) of fiber type was found: type I . type IIA 5 type decrease (17, 19) in the percentage of fiber volume
IIAB . type IIB. OD, optical density. occupied by mitochondria reported. At present, the
FIBER TYPE CAPILLARIZATION AND RESISTANCE TRAINING R595

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Fig. 3. Cross sections of muscle samples extracted from vastus lateralis muscle at 0, 4, 8, and 12 wk of training.
Serial sections stained for myofibrillar ATPase (A), SDH (B), and capillarity (C). Muscle tissue obtained from a
single subject. See METHODS for further analytic details.

reasons for the differences between the ultrastructural low percentage of type IIB are transformed between
studies are not clear. However, the muscle group se- type IIA and type IIB.
lected for training may be involved. The work per- Of particular interest is the implication of the trans-
formed by MacDougall et al. (17, 19) was based on the formation of the type IIB fibers to the other fast
triceps brachii, whereas others have examined the subtypes regarding the changes in other properties.
quadriceps (16, 38). The transformation in itself, given the smaller fiber
As with other studies (8, 24, 31, 33, 38), we have area, lower capillary counts, and oxidative potential,
found reductions in type IIB fiber percentage with could have the effect of altering these properties in the
HRT. This effect was observed very early in training type IIA and type IIAB fibers independent of actual
and before changes in fiber area and capillarization. It changes in these properties. The magnitude of this
is generally believed that the type IIB fibers, which are effect remains to be determined.
composed of myosin heavy chain IIb (MHCIIb) (34) In summary, using a 12-wk program of HRT, we
undergo a sequential transformation in expression to demonstrated that modest fiber hypertrophy, typical of
type IIAB (composed of MHCIIa and MHCIIb), then that observed with many HRT programs, can occur
type IIA (composed of MHCIIa), and ultimately ending without compromising either the capillarization or the
up as type I fibers expressing MHCI. In this study, the oxidative potential of the different fiber types. Accord-
increases in type IIA, type IIAB, and type I fiber ingly, the hypothesis that we have proposed, namely
percentages were not significant. The failure of HRT to that decreases in both of these indexes would occur
elicit an increase in type I fiber percentage is a consis- with HRT-induced hypertrophy, must be rejected. The
tent finding (8, 14, 24, 31, 33). Although increases in specific mechanisms eliciting the absolute increase in
type IIA fibers have been reported (1, 8, 33) such is not both angiogenesis and mitochondrial biogenesis with
always the case (31), conceivably because the relatively HRT remain to be determined but would appear to be
R596 FIBER TYPE CAPILLARIZATION AND RESISTANCE TRAINING

associated with the elevated metabolic rate and blood 18. MacDougall, J. D., D. G. Sale, G. C. B. Elder, and J. R.
flow, and the cellular hypoxemia that occur (6, 15, 20, Sutton. Muscle ultrastructural characteristics of elite powerlift-
ers and bodybuilders. Eur. J. Appl. Physiol. 48: 117–126, 1982.
26). Our findings do not exclude the possibility that 19. MacDougall, J. D., D. G. Sale, J. R. Moroz, G. C. B. Elder,
other manipulations of HRT may result in fiber hyper- J. R. Sutton, and H. Howald. Mitochondrial volume density in
trophy accompanied by either increases or decreases in human skeletal muscle following heavy resistance training. Med.
capillarization and oxidative potential. These studies Sci. Sports Exerc. 11: 164–166, 1979.
remain to be done. 20. Mathieu-Costello, O. Comparative aspects of muscle capillary
supply. Annu. Rev. Physiol. 55: 503–526, 1993.
This work was supported by the Natural Sciences and Engineering 21. McCall, G. E., W. C. Byrnes, A. Dickinson, P. M. Pattany,
Research Council (NSERC) and Sport Canada. and S. J. Fleck. Muscle fiber hypertrophy, hyperplasia, and
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