Hemodynamic Responses to Blood Flow Restriction and Resistance Exercise to Muscular Failure

Cleiton Augusto Libardi; Aparecida Maria Catai; Maiara Miquelini; Audrey Borghi-Silva; Vinicius Minatel; Ieda Fernanda Alvarez; Juliana Cristina Milan-Mattos; Hamilton Roschel; Valmor Tricoli; Carlos Ugrinowitsch

doi:10.1055/s-0042-115032

International Journal of Sports Medicine, Inhaltsverzeichnis

Int J Sports Med 2017; 38(02): 134-140
DOI: 10.1055/s-0042-115032

Training & Testing

Hemodynamic Responses to Blood Flow Restriction and Resistance Exercise to Muscular Failure

Cleiton Augusto Libardi

¹Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, SP, Brazil

,

Aparecida Maria Catai

²Cardiovascular Physiotherapy Laboratory, Department of Physiotherapy, Federal University of São Carlos, São Carlos, SP, Brazil

,

Maiara Miquelini

¹Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, SP, Brazil

,

Audrey Borghi-Silva

³Cardiopulmonary Physiotherpy Laboratory, Department of Physiotherapy, Federal University of São Carlos, São Carlos, SP, Brazil

,

Vinicius Minatel

²Cardiovascular Physiotherapy Laboratory, Department of Physiotherapy, Federal University of São Carlos, São Carlos, SP, Brazil

,

Ieda Fernanda Alvarez

¹Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, SP, Brazil

,

Juliana Cristina Milan-Mattos

²Cardiovascular Physiotherapy Laboratory, Department of Physiotherapy, Federal University of São Carlos, São Carlos, SP, Brazil

,

Hamilton Roschel

⁴School of Physical Education and Sport, University of São Paulo, São Paulo, SP, Brazil

,

Valmor Tricoli

⁴School of Physical Education and Sport, University of São Paulo, São Paulo, SP, Brazil

,

Carlos Ugrinowitsch

⁴School of Physical Education and Sport, University of São Paulo, São Paulo, SP, Brazil

› Institutsangaben

Abstract

The aim of the present study was to compare hemodynamic responses between blood flow-restricted resistance exercise (BFR-RE), high-intensity resistance exercise (HI-RE) and low-intensity resistance exercise (LI-RE) performed to muscular failure. 12 men (age: 20±3 years; body mass: 73.5±9 kg; height: 174±6 cm) performed 4 sets of leg press exercises using BFR-RE (30% of 1-RM), HI-RE (80% of 1-RM) and LI-RE (30% of 1-RM) protocols. Systolic (SBP) and diastolic blood pressure (DBP), heart rate (HR), stroke volume (SV), cardiac output (CO) and total peripheral vascular resistance (TPR) were measured on a beat-to-beat continuous basis by a noninvasive photoplethysmographic arterial pressure device. The HI-RE and LI-RE showed higher values (P<0.05) in all of the sets than the BFR-RE for SBP, DBP, HR. Additionally, HI-RE showed higher SBP (4^th set) and DBP (all sets) (P<0.05) values than the LI-RE. However, the SV, CO and TPR showed significantly greater values for LI-RE compared to HI-RE and BFR-RE (P<0.05). In conclusion, the results of this study indicate that the BFR-RE promotes a lower hemodynamic response compared to the HI-RE and LI-RE performed to muscular failure.

Key words

Kaatsu training - resistance training - cardiovascular response - concentric failure

Volltext

Referenzen

References
1 ACSM . American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc 2009; 41: 687-708
2 Bogert LW, van Lieshout JJ. Non-invasive pulsatile arterial pressure and stroke volume changes from the human finger. Exp Physiol 2005; 90: 437-446
3 Brandner CR, Kidgell DJ, Warmington SA. Unilateral bicep curl hemodynamics: Low-pressure continuous vs. high-pressure intermittent blood flow restriction. Scand J Med Sci Sports 2015; 25: 770-777
4 Brown LE, Weir JP. Procedures recommendation I: Accurate assessment of muscular strength and power. JEPonline 2001; 4: 1-21
5 Burd NA, Holwerda AM, Selby KC, West DW, Staples AW, Cain NE, Cashaback JG, Potvin JR, Baker SK, Phillips SM. Resistance exercise volume affects myofibrillar protein synthesis and anabolic signalling molecule phosphorylation in young men. J Physiol 2010; 588: 3119-3130
6 Burd NA, Mitchell CJ, Churchward-Venne TA, Phillips SM. Bigger weights may not beget bigger muscles: Evidence from acute muscle protein synthetic responses after resistance exercise. Appl Physiol Nutr Metab 2012; 37: 551-554
7 Burd NA, West DW, Staples AW, Atherton PJ, Baker JM, Moore DR, Holwerda AM, Parise G, Rennie MJ, Baker SK, Phillips SM. Low-load high volume resistance exercise stimulates muscle protein synthesis more than high-load low volume resistance exercise in young men. PLoS One 2010; 5: e12033
8 Downs ME, Hackney KJ, Martin D, Caine TL, Cunningham D, O’Connor DP, Ploutz-Snyder LL. Acute vascular and cardiovascular responses to blood flow-restricted exercise. Med Sci Sports Exerc 2014; 46: 1489-1497
9 Fahs CA, Loenneke JP, Thiebaud RS, Rossow LM, Kim D, Abe T, Beck TW, Feeback DL, Bemben DA, Bemben MG. Muscular adaptations to fatiguing exercise with and without blood flow restriction. Clin Physiol Funct Imaging 2014; 35: 167-176
10 Fry AC. The role of resistance exercise intensity on muscle fibre adaptations. Sports Med 2004; 34: 663-679
11 Gjovaag T, Mirtaheri P, Simon K, Berdal G, Tuchel I, Westlie T, Bruusgaard KA, Nilsson BB, Hisdal J. Hemodynamic responses to resistance exercise in patients with coronary artery disease. Med Sci Sports Exerc 2015; 48: 581-588
12 Gomides RS, Dias RM, Souza DR, Costa LA, Ortega KC, Mion Jr D, Tinucci T, de Moraes Forjaz CL. Finger blood pressure during leg resistance exercise. Int J Sports Med 2010; 31: 590-595
13 Gotshall R, Gotman J, Byrnes W, Fleck S, Valovich T. Noinvasive characterization of the blood pressure to the double-leg press exercise. JEPonline 1999; 2: 1-6
14 Greaney JL, Matthews EL, Boggs ME, Edwards DG, Duncan RL, Farquhar WB. Exaggerated exercise pressor reflex in adults with moderately elevated systolic blood pressure: role of purinergic receptors. nur Am J Physiol 2014; 306: H132-H141
15 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; 5: 40
16 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2016 update. Int J Sports Med 2015; 36: 1121-1124
17 Hatzaras I, Tranquilli M, Coady M, Barrett PM, Bible J, Elefteriades JA. Weight lifting and aortic dissection: more evidence for a connection. Cardiol 2007; 107: 103-106
18 Haykowsky MJ, Findlay JM, Ignaszewski AP. Aneurysmal subarachnoid hemorrhage associated with weight training: three case reports. Clin J Sport Med 1996; 6: 52-55
19 Holm L, Reitelseder S, Pedersen TG, Doessing S, Petersen SG, Flyvbjerg A, Andersen JL, Aagaard P, Kjaer M. Changes in muscle size and MHC composition in response to resistance exercise with heavy and light loading intensity. J Appl Physiol 2008; 105: 1454-1461
20 Idema RN, van den Meiracker AH, Imholz BP, Man in’t Veld AJ, Settels JJ, Ritsema van Eck HJ, Schalekamp MA. Comparison of Finapres non-invasive beat-to-beat finger blood pressure with intrabrachial artery pressure during and after bicycle ergometry. J Hypertens Suppl 1989; 7: S58-S59
21 Iida H, Kurano M, Takano H, Kubota N, Morita T, Meguro K, Sato Y, Abe T, Yamazaki Y, Uno K, Takenaka K, Hirose K, Nakajima T. Hemodynamic and neurohumoral responses to the restriction of femoral blood flow by KAATSU in healthy subjects. Eur J Appl Physiol 2007; 100: 275-285
22 Kubo K, Komuro T, Ishiguro N, Tsunoda N, Sato Y, Ishii N, Kanehisa H, Fukunaga T. Effects of low-load resistance training with vascular occlusion on the mechanical properties of muscle and tendon. J Appl Biomech 2006; 22: 112-119
23 Lamotte M, Niset G, van de Borne P. The effect of different intensity modalities of resistance training on beat-to-beat blood pressure in cardiac patients. Eur J Cardiovasc Prev Rehabil 2005; 12: 12-17
24 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
25 Libardi CA, Chacon-Mikahil MP, Cavaglieri CR, Tricoli V, Roschel H, Vechin FC, Conceicao MS, Ugrinowitsch C. Effect of concurrent training with blood flow restriction in the elderly. Int J Sports Med 2015; 36: 395-399
26 Lixandrão ME, Ugrinowitsch C, Laurentino G, Libardi CA, Aihara AY, Cardoso FN, Tricoli V, Roschel H. Effects of exercise intensity and occlusion pressure after 12 weeks of resistance training with blood-flow restriction. Eur J Appl Physiol 2015; 115: 2471-2480
27 MacDougall JD, Tuxen D, Sale DG, Moroz JR, Sutton JR. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol 1985; 58: 785-790
28 Manini TM, Clark BC. Blood flow restricted exercise and skeletal muscle health. Exerc Sport Sci Rev 2009; 37: 78-85
29 Mayo JJ, Kravitz L. A review of the acute cardiovascular responses to resistance exercise of healthy young and older adults. J Strength Cond Res 1999; 13: 90-96
30 Mitchell CJ, Churchward-Venne TA, West DW, Burd NA, Breen L, Baker SK, Phillips SM. Resistance exercise load does not determine training-mediated hypertrophic gains in young men. J Appl Physiol 2012; 113: 71-77
31 Nery SS, Gomides RS, Da Silva GV, Forjaz CLM, Mion Jr D, Tinucci T. Intra-arterial blood pressure response in hypertensive. Clinics 2010; 65: 271-277
32 Nóbrega SR, Libardi CA. Is resistance training to muscular failure necessary?. Front Physiol 2016; 7: 1-4
33 O’Connor P, Sforzo GA, Frye P. Effect of breathing instruction on blood pressure responses during isometric exercise. Phys Ther 1989; 69: 757-761
34 Pinto RR, Polito MD. Haemodynamic responses during resistance exercise with blood flow restriction in hypertensive subjects. Clin Physiol Funct Imaging 2015; [Epub ahead of print]
35 Poton R, Polito MD. Hemodynamic response to resistance exercise with and without blood flow restriction in healthy subjects. Clin Physiol Funct Imaging 2016; 36: 231-236
36 Romero-Ortuno R, Cogan L, Foran T, Fan CW, Kenny RA. Using the Finometer to examine sex differences in hemodynamic responses to orthostasis in older people. Blood Press Monit 2010; 15: 8-17
37 Rowell LB. Neural control of muscle blood flow: importance during dynamic exercise. Clin Exp Pharmacol Physiol 1997; 24: 117-125
38 Schoenfeld BJ, Peterson MD, Ogborn D, Contreras B, Sonmez GT. Effects of low- vs. high-load resistance training on muscle strength and hypertrophy in well-trained men. J Strength Cond Res 2015; 29: 2954-2963
39 Takano H, Morita T, Iida H, Asada K, Kato M, Uno K, Hirose K, Matsumoto A, Takenaka K, Hirata Y, Eto F, Nagai R, Sato Y, Nakajima T. Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. Eur J Appl Physiol 2005; 95: 65-73
40 Vechin FC, Libardi CA, Conceicao MS, Damas FR, Lixandrao ME, Berton RP, Tricoli VA, Roschel HA, Cavaglieri CR, Chacon-Mikahil MP, Ugrinowitsch C. Comparisons between low-intensity resistance training with blood flow restriction and high-intensity resistance training on quadriceps muscle mass and strength in elderly. J Strength Cond Res 2015; 29: 1071-1076
41 Vieira PJ, Chiappa GR, Umpierre D, Stein R, Ribeiro JP. Hemodynamic responses to resistance exercise with restricted blood flow in young and older men. J Strength Cond Res 2013; 27: 2288-2294