A leg press machine has a floor engaging main frame, a user support pivotally mounted relative to the main frame and having primary and secondary support portions which support spaced locations on a user's body throughout an exercise, and a leg press exercise arm rotatably mounted relative to the main frame. The exercise arm has a first pivot connection which pivotally links the exercise arm to the user support and a second pivot connection which is associated with the main frame to link movement of the exercise arm to movement of the user support. A load resists movement of at least one of the moving parts.