Holloszy · Journal of applied physiology: respiratory, environmental and exercise physiology 1984 · narrative review · n=?

Adaptations of skeletal muscle to endurance exercise and their metabolic consequences.

Cited 1976 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review describing physiological mechanisms without systematic review methodology or original trial data in the abstract

PubMed 6373687 · doi:10.1152/jappl.1984.56.4.831 · record verified 2026-08-30

What was done

This paper is a narrative review detailing the physiological and biochemical adaptations of skeletal muscle to regular endurance exercise, along with their downstream metabolic effects during exercise.

What was found

The abstract provides no quantitative data or specific numerical results. Qualitatively, it reports that endurance exercise increases skeletal muscle mitochondrial content and respiratory capacity. Consequently, exercise at a given intensity causes a smaller disruption to homeostasis in trained versus untrained muscle, characterized by slower utilization of muscle glycogen and blood glucose, greater reliance on fat oxidation, and reduced lactate production.

Why it matters

It outlines the classic physiological mechanisms explaining how endurance training enhances submaximal exercise efficiency and prolonged exercise performance.

Limits

As a narrative review, it lacks systematic search criteria, quality appraisal of included studies, and quantitative effect sizes. The abstract does not report specific populations, sample sizes, or training protocols.

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