Resistance Training Increases Hemoglobin Mass in Endurance Athletes Summary
- Researchers compared the effects of heavy strength training on hemoglobin mass (i.e., greater hemoglobin mass enables greater oxygen transport, which is essential for aerobic performance) and maximal oxygen consumption in well-trained elite female and male rowers.
- Hemoglobin mass and peak oxygen consumption (VO2peak) improved independent of the training volume and lean muscle mass.
- Resistance training may improve hemoglobin mass in endurance athletes, enhancing oxygen transport and performance.
Introduction to Resistance Exercise and Endurance Training

Background on Resistance Training
Despite lingering debates over whether endurance athletes should add resistance exercise to their training, emerging evidence suggests resistance training’s indirect benefits on endurance performance through increased lean body mass (Wewege et al., 2022), which correlates with improved oxygen transport efficiency and performance.(Laursen et al., 2005)

The Role of Hemoglobin in Endurance Performance
Hemoglobin is a protein found in red blood cells responsible for transporting oxygen from the lungs to the rest of the body. Hemoglobin, which contains iron, is the protein within red blood cells that transports about 98% of oxygen.(Rhodes et al., 2024) It contains iron and plays a crucial role in ensuring a sufficient supply of oxygen to the body’s tissues and organs.

Enhancing Hemoglobin Mass through Resistance Training
While hemoglobin concentration is important, hemoglobin mass is particularly significant for enabling greater oxygen transport. Research has indicated that resistance training may improve hemoglobin mass, and the volume of resistance training may play a role in this improvement. (McCarthy et al., 1997) Having a greater hemoglobin mass allows for greater oxygen transport. Therefore, hemoglobin mass is more strongly related to maximal oxygen consumption (VO2 max) and total blood volume than hemoglobin concentration. (Goodrich et al., 2018) These studies suggest that increasing hemoglobin can boost endurance performance. Increases in hemoglobin mass, facilitated by resistance training within concurrent programs, enhance oxygen delivery to muscles. This is a crucial factor for improving aerobic performance and a direct benefit of resistance exercise for endurance athletes.(Markov et al., 2023)
Study: Resistance Training’s Impact on Hemoglobin Mass
Given that resistance exercise may increase hemoglobin mass, researchers compared the effects of high and low-volume resistance training for eight weeks on changes in lean body mass, hemoglobin mass, blood volume, and VO2peak in rowers. Additionally, the researchers examined if sex moderated the responses.
Workouts Designed to Increase Performance

Results: Resistance Training Enhances Hemoglobin Mass
The study unveiled interesting findings that can benefit all endurance athletes; the researchers found that:
- Resistance training, irrespective of how many sets, significantly enhanced hemoglobin mass and V̇o2peak (i.e., peak aerobic capacity), highlighting resistance exercise’s pivotal role in boosting key endurance performance markers.
- Contrary to expectations, no significant changes in lean body mass were observed within either group, implying that enhancements in hemoglobin mass and aerobic capacity might manifest independently of muscle mass alterations.
Discussion on Resistance Training and Endurance Exercise Benefits
This investigation challenges the prevailing skepticism that endurance athletes should not lift weights and illuminates the symbiotic relationship between resistance training and endurance performance. The study dispels myths about the detrimental effects of combining cardio with resistance training by demonstrating that resistance training can significantly improve oxygen transport efficiency and aerobic capacity.
Conclusion: Hemoglobin Mass Improvements through Resistance Training
By debunking myths surrounding concurrent training, this study underscores resistance training’s indispensable role in enhancing endurance performance through significant increases in hemoglobin levels and aerobic capacity.
Practical Applications for Hemoglobin Mass Enhancement
In conclusion, the study’s findings on integrating resistance training within endurance athletes’ regimens highlight several practical applications, notably in designing and customizing concurrent training programs that enhance endurance performance, running economy, and VO2 max.
References
Goodrich, J. A., Ryan, B. J., & Byrnes, W. C. (2018). The Influence of Oxygen Saturation on the Relationship Between Hemoglobin Mass and VO (2) max. Sports Med Int Open, 2(4), E98-e104. https://doi.org/10.1055/a-0655-7207
Laursen, P. B., Chiswell, S. E., & Callaghan, J. A. (2005). Should Endurance Athletes Supplement Their Training Program With Resistance Training to Improve Performance? Strength and Conditioning. https://doi.org/10.1519/00126548-200510000-00008
Lundby, C., Mazza, O., Nielsen, J., Haubro, M., Kvorning, T., Ørtenblad, N., & Gejl, K. D. (2024). Eight weeks of heavy strength training increases hemoglobin mass and V̇o(2peak) in well-trained to elite female and male rowers. J Appl Physiol (1985), 136(1), 1-12. https://doi.org/10.1152/japplphysiol.00587.2023
Markov, A., Bussweiler, J., Helm, N., Arntz, F., Steidten, T., Krohm, L., Sacot, A., Baumert, P., Puta, C., & Chaabene, H. (2023). Acute effects of concurrent muscle power and sport-specific endurance exercises on markers of immunological stress response and measures of muscular fitness in highly trained youth male athletes. European Journal of Applied Physiology, 123, 1015 – 1026. https://link.springer.com/article/10.1007/s00421-022-05126-8
References
McCarthy, J. P., Bamman, M. M., Yelle, J. M., LeBlanc, A. D., Rowe, R. M., Greenisen, M. C., Lee, S. M., Spector, E. R., & Fortney, S. M. (1997). Resistance exercise training and the orthostatic response. Eur J Appl Physiol Occup Physiol, 76(1), 32-40. https://doi.org/10.1007/s004210050209
Rhodes, C. E., Denault, D., & Varacallo, M. (2024). Physiology, Oxygen Transport. In StatPearls. StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.
Smith, N. D. W., Scott, B. R., Girard, O., & Peiffer, J. J. (2021). Aerobic Training With Blood Flow Restriction for Endurance Athletes: Potential Benefits and Considerations of Implementation. The Journal of Strength and Conditioning Research. https://doi.org/10.1519/jsc.0000000000004079
Wewege, M. A., Desai, I., Honey, C., Coorie, B., Jones, M. D., Clifford, B. K., Leake, H. B., & Hagstrom, A. D. (2022). The Effect of Resistance Training in Healthy Adults on Body Fat Percentage, Fat Mass and Visceral Fat: A Systematic Review and Meta-Analysis. Sports Med, 52(2), 287-300. https://doi.org/10.1007/s40279-021-01562-2