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6 in 10 Adults Don’t Lift Weights, but New Research Says Almost Any Routine Works

In A Nutshell

  • Nearly 60% of American adults do zero strength training, and researchers say overly complicated advice is likely a contributing factor.
  • Most variables gym culture obsesses over, including training to failure, periodization, and free weights vs. machines, do not consistently produce better results.
  • Elastic bands, home workouts, and circuit training all deliver significant gains in strength, muscle size, and physical function.
  • For healthy adults, almost any form of resistance training done consistently is far better than doing none at all.

Six out of every ten American adults do zero strength training. A new analysis of more than 30,000 people suggests that overcomplicated advice may be one reason, and that the science of lifting weights may be far simpler than much of the fitness industry suggests.

Published in Medicine & Science in Sports & Exercise, the new position stand from the American College of Sports Medicine synthesizes 137 systematic reviews to produce the most evidence-based update to resistance training guidelines in nearly two decades. On a long list of training assumptions that have made strength work feel inaccessible to ordinary people, the analysis finds that many of them do not consistently hold up.

Regular strength work is tied to lower risks of cardiovascular disease, cancer, and diabetes, alongside measurable reductions in depression and better sleep quality. With only about 30 percent of American adults meeting minimum muscle-strengthening guidelines, those benefits are being left unclaimed on a massive scale.

Why Strength Training Advice Got So Complicated

Researchers at McMaster University led the analysis, pulling data from six major academic databases through October 2024. Studies ranged from first-time lifters to experienced athletes across all adult age groups, producing a dataset large enough to evaluate which training variables actually drive results and which ones have coasted on reputation.

Previous guidelines from 2009 leaned heavily on specific, detailed protocols, and some critics have argued that following them fully could require upwards of 20 hours of training per week. For most working adults, that is not an inconvenience. It is a dealbreaker. As the authors write, “we propose that individualizing programs to increase RT participation is, from our perspective, more important than conforming to specific RTx criteria outlined in previous Position Stands.” In other words, getting people lifting in whatever way fits their lives matters more than optimizing every detail of how they do it.

The evidence behind that shift is substantial. Training to complete muscular failure, the point at which another repetition is physically impossible, is not necessary for gains in strength, muscle size, or power. Stopping two to three reps short produces similar results in most cases, and potentially less strain. Free weights versus machines makes no meaningful difference in strength outcomes. Periodization, morning versus evening training, rest periods between sets, time under tension, and specialized techniques like drop sets did not consistently show clear advantages across studies. Coaching philosophies and bestselling fitness books have been built on these variables for decades. The evidence, drawn from more than 30,000 participants, does not consistently support them.

Woman performs resistance training exercises while working out
Almost any form of resistance training, done consistently, delivers results. (Photo by Roman Samborskyi on Shutterstock)

What Strength Training Research Actually Supports

Some variables do matter, and the analysis is specific. For maximum strength, heavier loads of at least 80 percent of a person’s one-rep max outperform lighter approaches. Two to three sets per exercise, at least two sessions per week, a full range of motion, and placing strength work at the start of a session rather than the end all produced consistent positive effects.

For muscle growth, at least ten sets per muscle group per week, with an emphasis on the lowering phase of each movement, produced the strongest results. For power, moderate loads between 30 and 70 percent of maximum, combined with intentionally fast lifting on the way up, were most effective.

Progressive overload, gradually increasing the challenge placed on a muscle over time, remains a foundational principle. Critically, this does not require constantly adding weight to the bar. More volume, adjusted frequency, or simply maintaining consistent effort as strength improves can all accomplish the same thing.

Why Almost Any Resistance Training Beats Doing Nothing

Elastic bands, home workouts, and circuit training all produced significant improvements in strength, muscle size, endurance, balance, and physical function compared with no exercise. Someone doing twice-weekly resistance band workouts in their living room is capturing most of what resistance training has to offer, and is well ahead of someone with a theoretically perfect program they never actually start.

Safety concerns, a well-documented reason many older adults avoid strength training altogether, are not strongly supported by current evidence. An analysis of more than 38,000 participants found that resistance training did not raise the risk of serious adverse events, and nonfatal cardiovascular complications occur substantially less often during weight training than during aerobic exercise. For healthy adults of any age, the risk profile is favorable.

Six decades have passed since Captain Thomas DeLorme first documented the rehabilitative power of resistance training in wounded soldiers. The science has only strengthened since. What has not kept pace is participation, and the most thorough evidence synthesis yet conducted on the subject points to a likely contributor: advice that made a simple, broadly accessible activity feel like something only experts could get right. Almost any form of resistance training, done consistently, delivers results that most Americans are currently not getting.


Disclaimer: This article is based on a position stand published by the American College of Sports Medicine and is intended for informational purposes only. It does not constitute medical advice. Consult a qualified healthcare provider before beginning any new exercise program, particularly if you have a preexisting health condition.


Paper Notes

Limitations

As an overview of reviews, this analysis synthesizes evidence at the group level, limiting its ability to capture fine-grained dose-response relationships for individual training variables. Included reviews were restricted to healthy adults, so findings may not extend to clinical populations or those with conditions such as sarcopenia, obesity, or physical frailty. Overlap between primary studies appearing in multiple systematic reviews is an inherent limitation of umbrella reviews; the authors calculated an overlap index for the strength outcome but were unable to do so for all other variables. Evidence was insufficient to draw conclusions about resistance training’s effects on stair climbing, agility, or functional reach. Randomized trials in exercise science frequently suffer from small sample sizes, inconsistent outcome reporting, and poor randomization methodology, which limits the precision of conclusions across the field.

Funding and Disclosures

No specific external funding source was used for this work. Lead author Brad S. Currier was supported by an Alexander Graham Bell Canada Graduate Scholarship-Doctoral. Senior author Stuart M. Phillips acknowledges support from the Canada Research Chairs program and grant support from NSERC and CIHR. Co-author Brad J. Schoenfeld formerly served on the scientific advisory board for Tonal Corporation, a manufacturer of fitness equipment. No other authors reported conflicts of interest relevant to this work.

Publication Details

Authors: Brad S. Currier, Alysha C. D’Souza, Maria A. Fiatarone Singh, Caroline V. Lowisz, Eric S. Rawson, Brad J. Schoenfeld, Abbie E. Smith-Ryan, Jeremy P. Steen, Gwendolyn A. Thomas, N. Travis Triplett, Tyrone A. Washington, Timothy J. Werner, and Stuart M. Phillips. | Title: “American College of Sports Medicine Position Stand. Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults: An Overview of Reviews” | Journal: Medicine & Science in Sports & Exercise, Vol. 58, No. 4, pp. 851-872, 2026. | DOI: 10.1249/MSS.0000000000003897

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