Intra-Session Reliability and Predictive Value of Maximum Voluntary Isometric Contraction for Estimating One-Repetition Maximum in Older Women: A Randomised Split-Sample Study

<b>Background:</b> Ageing is associated with a progressive decline in muscle strength, particularly in the lower limbs, which compromises functional independence. While both maximum voluntary isometric contraction (MVIC) and one-repetition maximum (1RM) are widely employed to assess muscle strength, the intra-session reliability and predictive capacity of MVIC for estimating 1RM in older women remain insufficiently explored. <b>Objectives:</b> This study aims to evaluate the intra-session reliability of MVIC in knee extensors, analyse its correlation with 1RM, and develop a predictive model for estimating 1RM from MVIC in older women. <b>Methods:</b> Using a randomised split-sample design, 82 women aged 60-69 years performed two MVIC trials and one 1RM test using a leg extension machine. Intra-session reliability was assessed by calculating the intraclass correlation coefficient (ICC), the standard error of measurement (SEM), and the minimal detectable change (MDC). Furthermore, a linear regression model was developed to predict 1RM based on MVIC. <b>Results:</b> MVIC demonstrated excellent intra-session reliability (ICC = 0.96, SEM = 4.3%, MDC = 11.9%), and a strong correlation between MVIC and 1RM was observed (R² = 0.618). Although the predictive equation 1RM = [(0.932 × MVIC) - 3.852] did not yield statistically significant differences between the estimated and actual 1RM values (<i>p</i> = 0.791), it exhibited a prediction error of 13.4%. <b>Conclusions</b>: MVIC is a highly reliable measure in older women and represents a practical tool for estimating 1RM. Nonetheless, its predictive accuracy is limited, highlighting the need for further studies to refine predictive models by incorporating additional variables.