|  4 min read

Muscle strengthening: doing some is better than doing none

Muscle strengthening exercise

Engaging in physical activity is advocated by the World Health Organization to prevent and manage chronic diseases. Although they specifically recommend engaging in muscle-strengthening exercise at moderate or greater intensity, targeting all the major muscle groups on 2 or more days/week, these recommendations are mostly based on the benefits resulting from aerobic exercise. 

Strong evidence points to the importance of muscle strengthening in reducing morbidity in people with chronic disease as it is associated with improved metabolic health (through improved glucose and lipid metabolism, lowering blood pressure, depression, the risk of mortality, diabetes, cardiovascular disease and colon and kidney cancer).

This blog article will dive deeper into the findings of a large cross-sectional study including more than 16K individuals and tries to answer:

  • If muscle strengthening duration and volume are associated with prevalent chronic health conditions.
  • Whether there exists a dose-dependent relationship.
  • What exercise mode is preferred?
muscle strengthening exercise

Let’s get right to the point. Muscle strengthening exercises are associated with a lower prevalence of chronic health conditions. BAM.

Now that we know that, we can look further at the amount and type of muscle strengthening exercise that was associated with these lower prevalences. 

The study looked at 5 major health conditions: diabetes, heart disease, respiratory disease, musculoskeletal disorder and anxiety/depression. 


It appears that when performing own-bodyweight exercises, the lowest prevalence of diabetes is seen in those engaging in 60minutes of training or more; while this is less for gym-based strength training, where 21-59 minutes leads to the lowest prevalence. No differences were seen between high or low volume per week.

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From: Shakespear-Druery et al., J Sci Med Sport. (2022)

Heart disorder

Regardless of exercise type (own-bodyweight or gym-based strengthening), the lowest prevalence of heart disease was seen in those exercising 60 minutes or more. Here a high volume of gym-based strengthening had a lower likelihood for a heart condition.

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From: Shakespear-Druery et al., J Sci Med Sport. (2022)
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Respiratory disorder

The lowest prevalence of respiratory disorders was seen when gym-based strengthening was performed for 21-59 minutes and 60 minutes or more for own-bodyweight exercises. For own-body weight, low volume led to the lowest prevalence while for gym-based strengthening low or high volume was comparable. 

Schermafbeelding 2022 02 21 om 19.50.23
From: Shakespear-Druery et al., J Sci Med Sport. (2022)

Musculoskeletal disorder

10-20 minutes of own-bodyweight exercises or 60 minutes or more of gym-based strengthening were associated with the lowest likelihood of a musculoskeletal condition. Low volume for own-bodyweight and high-volume for gym-based strengthening was related with the lowest likelihood of a musculoskeletal condition.

Schermafbeelding 2022 02 21 om 19.50.32
From: Shakespear-Druery et al., J Sci Med Sport. (2022)


Engaging in 60 minutes or more of own-bodyweight exercise or in 21-59 minutes of gym-based strengthening was related to the lowest likelihood of having anxiety or depression. For both exercise modes, low volume showed the lowest prevalence. 

Schermafbeelding 2022 02 21 om 19.50.41
From: Shakespear-Druery et al., J Sci Med Sport. (2022)


Doing any muscle-strengthening exercise, regardless of mode, duration or volume is associated with a reduced likelihood of diabetes, heart, respiratory and musculoskeletal disorders and anxiety/depression. These associations were still standing after adjusting for as many possible sociodemographic and behavioral confounding factors. Engagement in own-bodyweight exercise for 60 minutes or more and in gym-based strengthening for about 21-59 minutes led to the lowest prevalence of having 2 or more chronic health conditions and here high or low volume participation led to equal prevalence.

This information may really encourage people to engage in regular muscle strength training and may lower the barriers to do so as for all chronic health conditions, their prevalence was lower with doing some muscle strengthening than doing none!

I hope you enjoyed reading this blog!



Shakespear-Druery J, De Cocker K, Biddle SJH, Bennie J. Associations between muscle-strengthening exercise and prevalent chronic health conditions in 16,301 adults: Do session duration and weekly volume matter? J Sci Med Sport. 2022 Jan 7:S1440-2440(22)00001-9. doi: 10.1016/j.jsams.2022.01.001. Epub ahead of print. PMID: 35067480. https://pubmed.ncbi.nlm.nih.gov/35067480/

My goal is to deliver high-quality research findings in a highly accessible format for anyone interested in improving his or her knowledge and practical skills in the field of physiotherapy. Next to this, I want to critically review the evidence to keep you up to date with the most recent findings and stimulate you to improve your clinical thinking skills.
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