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Int J Sports Med 2015; 36(05): 395-399
DOI: 10.1055/s-0034-1390496
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Effect of Concurrent Training with Blood Flow Restriction in the Elderly

C. A. Libardi
1   Department of Physical Education, Federal University of São Carlos – UFSCar, São Carlos, Brazil
,
M. P. T. Chacon-Mikahil
2   School of Physical Education, State University of Campinas – UNICAMP, Campinas, Brazil
,
C. R. Cavaglieri
2   School of Physical Education, State University of Campinas – UNICAMP, Campinas, Brazil
,
V. Tricoli
3   School of Physical Education and Sport, University of São Paulo – USP, São Paulo, Brazil
,
H. Roschel
3   School of Physical Education and Sport, University of São Paulo – USP, São Paulo, Brazil
,
F. C. Vechin
3   School of Physical Education and Sport, University of São Paulo – USP, São Paulo, Brazil
,
M. S. Conceição
2   School of Physical Education, State University of Campinas – UNICAMP, Campinas, Brazil
,
C. Ugrinowitsch
3   School of Physical Education and Sport, University of São Paulo – USP, São Paulo, Brazil
› Author Affiliations
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Publication History



accepted after revision 14 August 2014

Publication Date:
20 February 2015 (online)

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Abstract

The aim of this present study was to investigate on the effects of concurrent training with blood flow restriction (BFR-CT) and concurrent training (CT) on the aerobic fitness, muscle mass and muscle strength in a cohort of older individuals. 25 healthy older adults (64.7±4.1 years; 69.33±10.8 kg; 1.6±0.1 m) were randomly assigned to experimental groups: CT (n=8, endurance training (ET), 2 days/week for 30–40 min, 50–80% VO2peak and RT, 2 days/week, leg press with 4 sets of 10 reps at 70–80% of 1-RM with 60 s rest), BFR-CT (n=10, ET, similar to CT, but resistance training with blood flow restriction: 2 days/week, leg press with 1 set of 30 and 3 sets of 15 reps at 20–30% 1-RM with 60 s rest) or control group (n=7). Quadriceps cross-sectional area (CSAq), 1-RM and VO2peak were assessed pre- and post-examination (12 wk). The CT and BFR-CT showed similar increases in CSAq post-test (7.3%, P<0.001; 7.6%, P<0.0001, respectively), 1-RM (38.1%, P<0.001; 35.4%, P=0.001, respectively) and VO2peak (9.5%, P=0.04; 10.3%, P=0.02, respectively). The BFR-CT promotes similar neuromuscular and cardiorespiratory adaptations as CT.

Key words

strength training - vascular occlusion - interference effect - aerobic training - older
 

  • References

  • 1 Abe T, Kearns CF, Sato Y. Muscle size and strength are increased following walk training with restricted venous blood flow from the leg muscle, Kaatsu-walk training. J Appl Physiol 2006; 100: 1460-1466
    CrossrefPubMedGoogle Scholar
  • 2 ACSM. American College of Sports Medicine position stand . Exercise and physical activity for older adults. Med Sci Sports Exerc 2009; 41: 1510-1530
    CrossrefPubMedGoogle Scholar
  • 3 ACSM. American College of Sports Medicine position stand . Progression models in resistance training for healthy adults. Med Sci Sports Exerc 2009; 41: 687-708
    CrossrefPubMedGoogle Scholar
  • 4 ACSM. American College of Sports Medicine position stand . Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334-1359
    CrossrefPubMedGoogle Scholar
  • 5 Brown LE, Weir JP. ASEP procedures recommendation I: accurate assessment of muscular strength and power. J Exerc Physiol Online 2001; 4: 1-21
    PubMedGoogle Scholar
  • 6 Docherty D, Sporer B. A proposed model for examining the interference phenomenon between concurrent aerobic and strength training. Sports Med 2000; 30: 385-394
    CrossrefPubMedGoogle Scholar
  • 7 Fiatarone MA, O’Neill EF, Ryan ND, Clements KM, Solares GR, Nelson ME, Roberts SB, Kehayias JJ, Lipsitz LA, Evans WJ. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 1994; 330: 1769-1775
    CrossrefPubMedGoogle Scholar
  • 8 Florindo AA, Latorre MRDO. Validação e reprodutibilidade do questionário de Baecke de avaliação da atividade física habitual em homens adultos. Rev Bras Med Esp 2003; 9: 121-128
    PubMedGoogle Scholar
  • 9 Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Roubenoff R. Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol 2000; 88: 1321-1326
    CrossrefPubMedGoogle Scholar
  • 10 Gualano B, Ugrinowitsch C, Neves Jr M, Lima FR, Pinto AL, Laurentino G, Tricoli VA, Lancha Jr AH, Roschel H. Vascular occlusion training for inclusion body myositis: a novel therapeutic approach. J Vis Exp 2010;
    PubMedGoogle Scholar
  • 11 Guillet C, Boirie Y. Insulin resistance: a contributing factor to age-related muscle mass loss?. Diabetes Metab 2005; 31: S20-S26
    PubMedGoogle Scholar
  • 12 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Izquierdo M, Ibanez JKHA, Kraemer WJ, Larrion JL, Gorostiaga EM. Once weekly combined resistance and cardiovascular training in healthy older men. Med Sci Sports Exerc 2004; 36: 435-443
    CrossrefPubMedGoogle Scholar
  • 14 Jones AM, Doust JH. A 1% treadmill grade most accurately reflects the energetic cost of outdoor running. J Sports Sci 1996; 14: 321-327
    CrossrefPubMedGoogle Scholar
  • 15 Jurca R, Lamonte MJ, Barlow CE, Kampert JB, Church TS, Blair SN. Association of muscular strength with incidence of metabolic syndrome in men. Med Sci Sports Exerc 2005; 37: 1849-1855
    CrossrefPubMedGoogle Scholar
  • 16 Karabulut M, Abe T, Sato Y, Bemben MG. The effects of low-intensity resistance training with vascular restriction on leg muscle strength in older men. Eur J Appl Physiol 2010; 108: 147-155
    CrossrefPubMedGoogle Scholar
  • 17 Karavirta L, Hakkinen A, Sillanpaa E, Garcia-Lopez D, Kauhanen A, Haapasaari A, Alen M, Pakarinen A, Kraemer WJ, Izquierdo M, Gorostiaga E, Hakkinen K. Effects of combined endurance and strength training on muscle strength, power and hypertrophy in 40-67-year-old men. Scand J Med Sci Sports 2011; 21: 402-411
    CrossrefPubMedGoogle Scholar
  • 18 Laaksonen DE, Lindstrom J, Tuomilehto J, Uusitupa M. Increased physical activity is a cornerstone in the prevention of type 2 diabetes in high-risk individuals. Diabetologia. 2007; 50: 2607-2608 author reply 2609-2610
    PubMedGoogle Scholar
  • 19 Laaksonen DE, Niskanen L, Lakka HM, Lakka TA, Uusitupa M. Epidemiology and treatment of the metabolic syndrome. Ann Med 2004; 36: 332-346
    CrossrefPubMedGoogle Scholar
  • 20 Laurentino G, Ugrinowitsch C, Aihara AY, Fernandes AR, Parcell AC, Ricard M, Tricoli V. Effects of strength training and vascular occlusion. Int J Sports Med 2008; 29: 664-667
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Laurentino GC, Ugrinowitsch C, Roschel H, Aoki MS, Soares AG, Neves Jr M, Aihara AY, DARCF A, Tricoli V. Strength training with blood flow restriction diminishes myostatin gene expression. Med Sci Sports Exerc 2012; 44: 406-412
    CrossrefPubMedGoogle Scholar
  • 22 Lexell J. Human aging, muscle mass, and fiber type composition. J Gerontol A Biol Sci Med Sci 1995; 50: S11-S16
    PubMedGoogle Scholar
  • 23 Libardi CA, De Souza GV, Cavaglieri CR, Madruga VA, Chacon-Mikahil MP. Effect of resistance, endurance, and concurrent training on TNF-alpha, IL-6, and CRP. Med Sci Sports Exerc 2012; 44: 50-56
    CrossrefPubMedGoogle Scholar
  • 24 Loenneke JP, Thiebaud RS, Abe T. Does blood flow restriction result in skeletal muscle damage? A critical review of available evidence. Scand J Med Sci Sports 2014;
    PubMedGoogle Scholar
  • 25 Loenneke JP, Wilson JM, Wilson GJ, Pujol TJ, Bemben MG. Potential safety issues with blood flow restriction training. Scand J Med Sci Sports 2011; 21: 510-518
    CrossrefPubMedGoogle Scholar
  • 26 McLellan TM. Ventilatory and plasma lactate response with different exercise protocols: a comparison of methods. Int J Sports Med 1985; 6: 30-35
    Article in Thieme ConnectPubMedGoogle Scholar
  • 27 Nakajima T, Kurano M, Iida H, Takano H, Oonuma H, Morita T, Meguro K, Sato Y, Nagata T. Use and safety of KAATSU training: results of a national survey. Int J Kaatsu Training Res 2006; 2: 5-14
    CrossrefPubMedGoogle Scholar
  • 28 Pollock ML, Carroll JF, Graves JE, Leggett SH, Braith RW, Limacher M, Hagberg JM. Injuries and adherence to walk/jog and resistance training programs in the elderly. Med Sci Sports Exerc 1991; 23: 1194-1200
    PubMedGoogle Scholar
  • 29 Sillanpää E, Hakkinen A, Nyman K, Mattila M, Cheng S, Karavirta L, Laaksonen DE, Huuhka N, Kraemer WJ, Hakkinen K. Body composition and fitness during strength and/or endurance training in older men. Med Sci Sports Exerc 2008; 40: 950-958
    CrossrefPubMedGoogle Scholar
  • 30 Strait JB, Lakatta EG. Aging-associated cardiovascular changes and their relationship to heart failure. Heart Fail Clin 2012; 8: 143-164
    CrossrefPubMedGoogle Scholar
  • 31 Suga T, Okita K, Morita N, Yokota T, Hirabayashi K, Horiuchi M, Takada S, Omokawa M, Kinugawa S, Tsutsui H. Dose effect on intramuscular metabolic stress during low-intensity resistance exercise with blood flow restriction. J Appl Physiol 2010; 108: 1563-1567
    CrossrefPubMedGoogle Scholar
  • 32 Suga T, Okita K, Morita N, Yokota T, Hirabayashi K, Horiuchi M, Takada S, Takahashi T, Omokawa M, Kinugawa S, Tsutsui H. Intramuscular metabolism during low-intensity resistance exercise with blood flow restriction. J Appl Physiol 2009; 106: 1119-1124
    CrossrefPubMedGoogle Scholar
  • 33 Takarada Y, Takazawa H, Sato Y, Takebayashi S, Tanaka Y, Ishii N. Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans. J Appl Physiol 2000; 88: 2097-2106
    CrossrefPubMedGoogle Scholar
  • 34 Tanimoto M, Madarame H, Ishii N. Muscle oxygenation and plasma growth hormone concentration during and after resistance exercise: Comparison between “KAATSU” and other types of regimen. Int J KAATSU Training Res 2005; 1: 51-56
    CrossrefPubMedGoogle Scholar
  • 35 Wijndaele K, Duvigneaud N, Matton L, Duquet W, Thomis M, Beunen G, Lefevre J, Philippaerts RM. Muscular strength, aerobic fitness, and metabolic syndrome risk in Flemish adults. Med Sci Sports Exerc 2007; 39: 233-240
    CrossrefPubMedGoogle Scholar
  • 36 Yasuda T, Fukumura K, Fukuda T, Uchida Y, Iida H, Meguro M, Sato Y, Yamasoba T, Nakajima T. Muscle size and arterial stiffness after blood flow-restricted low-intensity resistance training in older adults. Scand J Med Sci Sports 2014; 24: 799-806
    CrossrefPubMedGoogle Scholar