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KMID : 1044720200100020110
Journal of Lifestyle Medicine
2020 Volume.10 No. 2 p.110 ~ p.115
Sex Difference in Participation in Muscle-Strengthening Activities
Nuzzo James L.

Abstract
Background: Previous data from the United States Centers for Disease Control and Prevention indicate men are more likely than women to participate in muscle-strengthening activities (e.g., resistance training). However, a recent review by Rhodes et al. concluded there is no reliable sex difference in participation. The purpose of the current paper was to review population-level surveys of participation in muscle-strengthening activities to clarify if a sex difference in participation exists.

Methods: Keyword searches (e.g., ¡°resistance training participation¡±) were performed in PubMed and Google Scholar to identify papers that surveyed a general adult population (N > 1,000) and reported an outcome of the proportion of the population meeting recommendations for ¡°muscle-strengthening activities¡± (i.e., ¡Ã 2 times/wk) or participating in resistance training.

Results: Sixteen studies from 6 countries met the inclusion criteria. Irrespective of the measure of participation, population- levels of participation were typically higher in men than women. More men than women met recommendations for muscle-strengthening activities in England (men: 34%; women: 24%), Finland (men: 18.1%; women: 16.4%), Northern Ireland (men: 25%; women: 14%), Scotland (men: 30%; women: 25%), and the United States (men: 34.8%; women: 25.8%). For Australia, some studies showed no sex difference in participation, whereas other studies showed greater participation among men.

Conclusion: A sex difference exists in participation in muscle-strengthening activities. Low participation rates in both sexes indicate efforts to encourage participation in men and women are warranted. The results also highlight the need for rigorous definitions of ¡°participation,¡± as the lack of such definitions explains the mixed results reported previously.
KEYWORD
Gender, Muscle strength, Physical activity, Resistance training, Sex, Strength training
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