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What Causes What
Biology & endocrinology

Muscle strength

kg (1RM or FFM)

How much force a muscle can produce, or the lean mass that usually travels with it. It is an outcome, not the habit of going to the gym.

Trials report a one-rep max, a predicted 1RM from reps to fatigue, handgrip strength, or lean and fat-free mass. Resistance training is work that may change those numbers. A memory-task score is a different outcome, and water alone can move a lean-mass reading without a stronger contraction.

Also called lean mass, fat-free mass, 1RM, muscular strength.

Connected relationships

MECHANISM? CONDITIONAL

Randomized trial · Contested

Creatine supplementation→Muscle strength

Higher Creatine supplementation moves Muscle strength only in some conditions. Read the mechanism.

Assigned creatine raised predicted one-rep strength more than lifting alone in 45 older adults (Amiri 2023) and raised fat-free mass in a five-day load (Mihic 2000), but a two-year postmenopausal trial found no extra one-rep max (Chilibeck 2023).

Read the full evidence

MECHANISM− DECREASES

Randomized trial · Moderate

GLP-1 receptor agonist→Muscle strength

Higher GLP-1 receptor agonist decreases Muscle strength.

In 160 adults with obesity who sat for a DXA scan in SURMOUNT-1, weekly tirzepatide cut lean mass by 10.9 percent versus 2.6 percent on placebo (Look 2025). About a quarter of the lost weight was lean on both arms. Fat mass fell more.

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Sources