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Sports Medicine · 2025

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Knut Sindre Mølmen, Nicki Winfield Almquist, Øyvind Skattebo

Effects of Exercise Training on Mitochondrial and Capillary Growth in Human Skeletal Muscle: A Systematic Review and Meta-Regression

Springer Science and Business Media LLC. 55(1). 115-144.

Study type
Systematic review and meta-regression
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Full text reviewed

Choosing a training style is partly a question of how much adaptation fits the time available. Across 425 articles involving 5,973 people, the authors examined changes in mitochondria, structures that help muscle produce usable energy, and capillaries, its smallest blood vessels. Adjusted pooled estimates suggested mitochondrial content rose by about 23% with steady endurance training and 27% with either high-intensity intervals or sprint intervals. The differences between training styles were not statistically clear. These are changes in muscle measurements across varied programs, not equivalent percentage improvements in fitness or race times.

Sprint intervals produced more mitochondrial change per active training hour, but that calculation did not count passive rest. It therefore cannot be read as the same advantage per hour on the calendar. The analysis also combined studies rather than assigning everyone to the same head-to-head comparison. Its estimates help describe patterns; they do not establish a universally best workout.

How Does This Show Up in Real Life?

A person comparing a continuous ride with a session of hard sprints should ask what time is actually being counted. Brief effort can still come with recovery periods, warm-up, and other parts of the session. The reported efficiency measure is useful, but it is narrower than total time commitment. The findings also make room for a less dramatic choice: steady exercise still produced substantial muscle changes in the studies. Similar pooled gains are not proof that every person will respond equally to every method. This evidence can inform a discussion about training format and available time. It does not identify the safest or most suitable intensity for an individual, and it does not turn a muscle biopsy result into a performance guarantee.

Studies differed in participants, training programs, and methods for measuring muscle changes. Many programs were short, and publication bias was not assessed. Mitochondrial quantity also does not fully describe how well those structures work. The analysis did not establish how long the reported gains remain after training stops, so it cannot support claims of lasting benefits from a brief program.

Why We Cite It

For Alpekin, the analysis offers a reason to show starting fitness alongside reported progress. An improvement percentage alone can hide how much room someone had to improve. That is useful for comparing a returning exerciser with an experienced athlete without turning a smaller change into a judgment about effort.

Read efficiency claims with their denominator intact. A result per active minute answers a different question from a result per complete session. The evidence is useful for comparing possibilities, but a training choice still needs a clear goal and an honest accounting of what the measurement represents.

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