The Role of Muscle Mass in Endurance Performance and Neuromuscular Fatigue

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Study Details

Authors
Zhang, J., Pearson, A. Z., Grunau, M., Iannetta, D., Millet, G. Y., & Aboodarda, S. J.
Published
2025
View the study
Citation
Zhang, J., Pearson, A. Z., Grunau, M., Iannetta, D., Millet, G. Y., & Aboodarda, S. J. (2025). The role of muscle mass in endurance performance and neuromuscular fatigue: A systematic review and meta-analysis. Sports Medicine. Advance online publication. https://doi.org/10.1007/s40279-025-02290-7

Introduction

This systematic review and meta-analysis examined the impact of active muscle mass — specifically, single-limb versus double-limb exercise — on endurance performance and neuromuscular fatigue.

Data from 19 studies (17 included in the meta-analysis) revealed a key distinction:

  • Endurance performance — measured as time-to-task failure — was not significantly affected by the size of active muscle mass.
  • However, smaller muscle mass exercises caused greater declines in maximal force production and contractile function, showing a more substantial effect on neuromuscular fatigue.

These findings highlight the crucial role of muscle mass in the development of fatigue, even when overall endurance performance remains unchanged.


Key Findings

1. Endurance Performance Is Not Dependent on Muscle Size

  • Time-to-task failure was similar across exercises involving small and large muscle groups.
  • Larger active muscle mass did not enhance endurance capacity compared to smaller muscle groups.

2. Smaller Muscle Mass Exercises Increase Neuromuscular Fatigue

  • Exercises targeting smaller muscle groups resulted in greater declines in maximal force-generating capacity.
  • This effect was primarily due to greater impairments in muscle contractile function, contributing to higher localized fatigue.

3. Central Fatigue Is Less Affected

  • Voluntary activation — an indicator of central nervous system fatigue — was only slightly lower following small muscle mass exercises.
  • This suggests that differences in fatigue are driven more by peripheral mechanisms within the muscles themselves.

4. Localized Fatigue Is Driven by Metabolic Stress

  • Smaller muscle mass tasks may allow less inhibitory feedback to the central nervous system.
  • As a result, greater local metabolic stress accumulates before task failure, leading to increased peripheral fatigue.

Practical Applications

1. Training Design

  • Single-limb or small-muscle exercises are effective for targeted strengthening and developing fatigue resilience in specific muscle groups.

2. Endurance Programming

  • Since endurance performance remains similar regardless of muscle size, combining large-muscle endurance tasks (e.g., cycling, rowing) with small-muscle exercises (e.g., unilateral leg work) may create more balanced conditioning programs.

3. Rehabilitation and Return-to-Sport

  • Small-muscle-mass tasks can be used safely in rehabilitation to increase localized fatigue tolerance without negatively affecting overall endurance.

4. Monitoring Fatigue

  • Coaches and practitioners should recognize that peripheral fatigue can be significantly higher in smaller muscle groups, even when performance metrics appear stable.

Conclusion

This review demonstrates that while endurance performance is not influenced by active muscle mass size, neuromuscular fatigue is strongly affected.

Smaller muscle mass exercises cause greater localized fatigue, making them valuable tools for targeted strength development, rehabilitation, and fatigue management strategies. Integrating both small- and large-muscle training provides a more comprehensive approach to optimizing endurance and performance.

Zhang, J., Pearson, A. Z., Grunau, M., Iannetta, D., Millet, G. Y., & Aboodarda, S. J. (2025). The role of muscle mass in endurance performance and neuromuscular fatigue: A systematic review and meta-analysis. Sports Medicine. Advance online publication. https://doi.org/10.1007/s40279-025-02290-7