Acute hemodynamic responses during resistance exercises associated with blood flow restriction: a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i8.30761

Keywords:

Resistance exercise; Hemodynamic monitoring; Blood pressure monitoring ambulatory.

Abstract

Resistance exercise associated with blood flow restriction has been shown to be an effective metd for hypertrophy and muscle strength gain. Analyse the acute hemodynamic responses after resistance exercise associated with the blood flow restriction method. For this, a systematic review was conducted according to the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). The databases used for the literature search were PubMed and Web of Science, using the following descriptors: blood flow restriction AND hemodynamic responses OR hemodynamic monitoring OR blood pressure OR cardiac output OR heart rate OR vascular resistance. Studies that analysed acute hemodynamic responses after a resistance exercise session associated with blood flow restriction were included in this systematic review. Eleven studies that evaluated hemodynamic variables were included. The systematic analysis of the results indicates that resistance physical exercise associated with blood flow restriction results in an immediate increase in blood pressure levels and heart rate (HR). In the analysed studies, ten experimental designs assessed systolic (SBP), diastolic (DBP) and mean blood pressure (MBP). Of these, seven, eight and nine experimental designs showed significant increases in these variables, respectively. Based on the PEDro scale, five studies were classified as articles with low risk of bias, while the other six were classified as medium risk of bias. Based on the results found, it is concluded that resistance exercise associated with blood flow restriction tends to promote significant increases in hemodynamic variables, such as SBP, DBP, MAP and HR.

References

American College of Sports Medicine. (2009). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc, 41(3), 687-708.

Bjarnason-Wehrens, B., Mayer-Berger, W., Meister, E R., Baum, K., Hambrecht, R., & Gielen, S. (2004). Recommendations for resistance exercise in cardiac rehabilitation. Recommendations of the German Federation for Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil, 11(4), 352-61.

Brandner, C. R., Kidgell, D. J., & Warmington, S. A. (2015). Unilateral biceps curl hemodynamics: Low-pressure continuous vs high-pressure intermitent blood flow restriction. Scand J Med Sci Sports, 25(6), 770–777.

Centner, C., Wiegel, P., Gollhofer, A., & König, D. (2009). Effects of Blood Flow Restriction Training on Muscular Strength and Hypertrophy in Older Individuals: A Systematic Review and Meta-Analysis. Sports Med, 49(1), 95-108.

Clinkscales, T. B., Reyes, R., Wood, R. H., & Welsch, M. A. (2001). Influence of intensity and repetition number on hemodynamic responses to resistance exercise in older adults. Med Sci Sport Exerc, 33, S14-S14.

Costa, G. P. N., Moreira, V. P., Reis, A, C., Leite, S. N., & Lodovichi, S. S. (2012). Efeitos da oclusão vascular parcial no ganho de força muscular. Acta Fisiátrica, 19(3), 192-192.

Credeur, D., Jones, R., Stanford, D., Stoner, L., McCoy, S., & Jessee, M. (2019). Central cardiovascular hemodynamic response to unilateral handgrip exercise with blood flow restriction. Eur J Appl Physiol, 119(10), 2255-63.

Fecchio, R. Y., Brito, L. C., Peçanha, T., & Moraes-Forjaz, C. L. (2021). Potential Mechanisms Behind the Blood Pressure-Lowering Effect of Dynamic Resistance Training. Curr Hypertens Rep, 23(6), 35.

Hughes, L., Rosenblatt, B., Gissane, C., Paton, B., & Patterson, S. D. (2018). Interface pressure, perceptual, and mean arterial pressure responses to different blood flow restriction systems. Scand J Med Sci Sports, 28(7), 1757-65.

Ilett, M. J., Rantalainen, T., Keske, M. A., May, A. K., & Warmington, S. A. (2019). The Effects of Restriction Pressures on the Acute Responses to Blood Flow Restriction Exercise. Front Physiol, 10, 1018.

Kacin, A., & Strazar, K. (2011). Frequent low-load ischemic resistance exercise to failure enhances muscle oxygen delivery and endurance capacity. Scand J Med Sci Sports, 21(6), e231-41.

Kilgas, M. A., McDaniel, J., Stavres, J., Pollock, B. S., Singer, T. J., & Elmer, S. J. Limb blood flow and tissue perfusion during exercise with blood flow restriction. Eur J Appl Physiol, 119(2), 377-87.

Loenneke, J., Wilson, G., & Wilson, J. (2010). A Mechanistic Approach to Blood Flow Occlusion. Sports Med, 31(1), 1-4.

Loenneke, J. P., Wilson, J. M., Balapur, A., Thrower, A. D., Barnes, J.T., & Pujol, T.J. (2012). Time under tension decreased with blood flow-restricted exercise. Clin Physiol Funct Imaging, 32(4), 268-73.

May, A. K., Brandner, C. R., & Warmington, S. A. (2017). Hemodynamic responses are reduced with aerobic compared with resistance blood flow restriction exercise. Physiol Rep, 5(3), 13142.

McDougall, J. D., McKelvie, R. S., Moroz, D. E., Sale, D. G., McCartney, N., & Buick, F. (1992). Factors affecting blood pressure during heavy weight lifting and static contractions. J Appl Physiol, 73(4), 1590-7.

Moriggi, R. J., Mauro, H. D., Dias, S. C., Matos, J. M., Urtado, M. B., Camarço, N. F., Neto, I. V. S., Nascimento, D. C., Tibana, R. A., Assumpcao, C. O., Prestes, J., & Urtado, C. B. (2015). Similar hypotensive responses to resistance exercise with and without blood flow restriction. Biol sport, 32(4), 289-294.

Mouser, J. G., Mattocks, K. T., Dankel, S. J., Buckner, S. L., Jessee, M. B., & Bell, Z. W. (2019). Very-low-load resistance exercise in the upper body with and without blood flow restriction: cardiovascular outcomes. Appl Physiol Nut Metabol, 44(3), 288-92.

Neto, G. R., Sousa, M. S., Costa, P. B., Salles, B. F., Novaes, G. S., & Novaes, J. S. (2015). Hypotensive effects of resistance exercises with blood flow restriction. J Strength Cond Res, 29(4), 1064-1070.

Neto, G. R., Novaes, J. S., Salerno, V. P., Gonçalves, M. M., Piazera, B. K. L., Rodrigues, T., & Cirilo-Sousa, M.S. (2016). Acute Effects of Resistance Exercise With Continuous and Intermittent Blood Flow Restriction on Hemodynamic Measurements and Perceived Exertion. Percept Mot Skills, 124(1), 277-292.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L.A., Stewart, L. A., Thomas, J., Tricco, A. C., Welch, V. A., Whiting, P., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev, 10(1), 89.

Picon, M. M., Chulvi, I. M., Cortell, J. M. T., Tortosa, J., Alkhadar, Y., Sanchís, J., & Laurentino, G. (2018). Acute Cardiovascular Responses after a Single Bout of Blood Flow Restriction Training. Int J Exer Sci, 11(2), 20-31.

Sanchis-Sánchez, E., Lluch-Girbés, E., Guillart-Castells, P., Georgieva, S., García-Molina, P., & Blasco, J. M. (2021). Effectiveness of mechanical diagnosis and therapy in patients with non-specific chronic low back pain: a literature review with meta-analysis. Braz J Phys Ther, 25(2), 117-34.

Sato, Y. (2005). The history and future of KAATSU Training. Int J KAATSU Train Res, 1(1), 1-5.

Schranner, D., Kastenmüller, G., Schönfelder, M., Römisch-Margl, W., & Wackerhage, H. (2000). Metabolite Concentration Changes in Humans After a Bout of Exercise: a Systematic Review of Exercise Metabolomics Studies. Sports Med Open, 6(1), 11.

Staunton, C. A., May, A. K., Brandner, C. R., & Warmington, S. A. (2015). Haemodynamics of aerobic and resistance blood flow restriction exercise in young and older adults. Eur J Appl Physiol,115(11), 2293-2302.

Terjung, R. L., Clarkson, P., Eichner, E. R., Greenhaff, P. L., Hespel, P. J., Israel, R. G., Kraemer, W. J., Meyer, R. A., Spriet, L. L., Tarnopolsky, M. A., Wagenmakers, A. J., & Williams, M. H. (2000). American College of Sports Medicine. Round table: The physiological and health effects of oral creatine supplementation. Med Sci Sports Exerc, 32(3), 706-17.

Umpierre, D., & Stein, R. (2007). Efeitos hemodinâmicos e vasculares do treinamento resistido: implicações na doença cardiovascular. Arq Bras Cardiol, 89(4), 256-262.

Published

15/06/2022

How to Cite

GOMES, J. V. S. .; ALMEIDA, M. T. de O. .; LIMA, F. K. de M. .; PAULO, L. R. .; LARA, B. M. de C. .; CAMPOS, H. O. . Acute hemodynamic responses during resistance exercises associated with blood flow restriction: a systematic review. Research, Society and Development, [S. l.], v. 11, n. 8, p. e19611830761, 2022. DOI: 10.33448/rsd-v11i8.30761. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/30761. Acesso em: 12 nov. 2024.

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Section

Health Sciences