• Estrogen deficiency reduces muscle mass and strength in ovariectomized rats, associated with decreased satellite cell activation, myonuclear domain, and ribosome function.
• High-intensity interval training (HIIT) alone partially restores muscle mass and function, increasing satellite cell number, myonuclear domain, and ribosomal RNA expression.
• Combined HIIT and estrogen therapy produces superior effects on muscle hypertrophy compared to either intervention alone, enhancing satellite cell activation, myonuclear domain, and ribosome biogenesis.
• The synergistic effect of HIIT and estrogen on muscle hypertrophy is mediated through improved ribosome function and increased protein synthesis capacity.
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