Effects of complex training compared to resistance training alone on physical fitness of healthy individuals: A systematic review with meta-analysis.

Combining traditional resistance and ballistic exercises in a complex training (CT) format has shown improved physical fitness compared to the control conditions. However, no meta-analysis has directly compared CT with traditional resistance training (RT) alone. A systematic search was conducted in PubMed, Scopus, and WoS. Thirty-two studies involving 726 participants were included. Both RT and CT similarly improved one-repetition maximum (1RM) squat and bench press, 10 m and 30-60 m linear sprint time, squat jump height, jump power, reactive strength index, and standing long jump distance. Compared to RT, CT favoured 5-m (ES = 0.96) and 20-m linear sprint (ES = 0.52), change-of-direction speed (CODS; ES = 0.39), and countermovement jump height (CMJ; ES = 0.36). Furthermore, moderating effects of training frequency, duration, and complex training type were reported. Certainty of evidence was considered low for 5-m and 20-m linear sprints and CODS and very low for other outcomes. Compared to traditional resistance training, complex training may improve 5-m and 20-m linear sprints, CODS, and CMJ height. The effects of complex training may be optimised by longer interventions (≥7 weeks), with ~ 3 weekly training sessions, and using ascending and contrast training formats. However, the certainty of evidence ranges from very low to low.