Physical exercise with aerobic predominance associated with blood flow restriction in the elderly: are there enough evidence for clinical application?

2020 ◽  
Vol 19 (4) ◽  
pp. 312
Author(s):  
Mariane Botelho Ferrari ◽  
Igor Covre Forechi ◽  
Valério Garrone Barauna ◽  
Leandro Dos Santos
Keyword(s):  
Blood Flow ◽  
Physical Exercise ◽  
Elderly Population ◽  
Scientific Literature ◽  
The Elderly ◽  
Blood Flow Restriction ◽  
Hormonal Responses ◽  
Aged People ◽  
Flow Restriction ◽  
Muscle Adaptations

Introduction: Physical exercise with aerobic predominance is already a known strategy with benefits for the elderly population, and the use of blood flow restriction (BFR) can be a promising and effective alternative to bring vaster benefits with lower training loads when compared to physical exercise without restriction. Objectives: To review the scientific literature regarding the effects of aerobic physical exercise using blood flow restriction in the elderly. Methods: Searches were performed in three databases (PEDro, Pubmed, and Scielo). As descriptors, the combination of the terms blood flow restriction/KAATSU, endurance/aerobic/walking aged people/elderly was used. Results: Eight articles were included in the review. Three studies investigated muscle adaptations, two studies investigated aerobic capacity, three studies addressed cardiovascular and hemodynamic responses, two articles analyzed oxidative stress and hormonal responses, and one article assessed physical function. Conclusion: Aerobic exercise in the elderly with BFR seems to be superior to without BFR in this population. However, the low number of studies does not allow a definitive conclusion. It should be noted that no study has shown adverse effects or contraindications for the application of the BFR.Keywords: blood flow restriction, aerobic, elderly.

scholarly journals Muscle Adaptations to High-Load Training and Very Low-Load Training With and Without Blood Flow Restriction

2018 ◽  
Vol 9 ◽  
Author(s):  
Matthew B. Jessee ◽  
Samuel L. Buckner ◽  
J. Grant Mouser ◽  
Kevin T. Mattocks ◽  
Scott J. Dankel ◽  
...  
Keyword(s):  
Blood Flow ◽  
High Load ◽  
Blood Flow Restriction ◽  
Flow Restriction ◽  
Muscle Adaptations ◽  
Low Load

The Effect of Cuff Width on Muscle Adaptations after Blood Flow Restriction Training

2016 ◽  
Vol 48 (5) ◽  
pp. 920-925 ◽  
Author(s):  
GILBERTO CANDIDO LAURENTINO ◽  
JEREMY PAUL LOENNEKE ◽  
EMERSON LUIZ TEIXEIRA ◽  
ELIZA NAKAJIMA ◽  
WAGNER IARED ◽  
...  
Keyword(s):  
Blood Flow ◽  
Blood Flow Restriction ◽  
Flow Restriction ◽  
Muscle Adaptations ◽  
Cuff Width

scholarly journals Clinical safety of blood flow-restricted training? A comprehensive review of altered muscle metaboreflex in cardiovascular disease during ischemic exercise

2020 ◽  
Vol 318 (1) ◽  
pp. H90-H109 ◽  
Author(s):  
Michelle Cristina-Oliveira ◽  
Kamila Meireles ◽  
Marty D. Spranger ◽  
Donal S. O’Leary ◽  
Hamilton Roschel ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Blood Flow ◽  
Muscle Blood Flow ◽  
Cardiovascular Responses ◽  
The Elderly ◽  
Blood Flow Restriction ◽  
Present Review ◽  
Clinical Safety ◽  
Muscle Metaboreflex ◽  
Flow Restriction

Blood flow restriction training (BFRT) is an increasingly widespread method of exercise that involves imposed restriction of blood flow to the exercising muscle. Blood flow restriction is achieved by inflating a pneumatic pressure cuff (or a tourniquet) positioned proximal to the exercising muscle before, and during, the bout of exercise (i.e., ischemic exercise). Low-intensity BFRT with resistance training promotes comparable increases in muscle mass and strength observed during high-intensity exercise without blood flow restriction. BFRT has expanded into the clinical research setting as a potential therapeutic approach to treat functionally impaired individuals, such as the elderly, and patients with orthopedic and cardiovascular disease/conditions. However, questions regarding the safety of BFRT must be fully examined and addressed before the implementation of this exercise methodology in the clinical setting. In this respect, there is a general concern that BFRT may generate abnormal reflex-mediated cardiovascular responses. Indeed, the muscle metaboreflex is an ischemia-induced, sympathoexcitatory pressor reflex originating in skeletal muscle, and the present review synthesizes evidence that BFRT may elicit abnormal cardiovascular responses resulting from increased metaboreflex activation. Importantly, abnormal cardiovascular responses are more clearly evidenced in populations with increased cardiovascular risk (e.g., elderly and individuals with cardiovascular disease). The evidence provided in the present review draws into question the cardiovascular safety of BFRT, which clearly needs to be further investigated in future studies. This information will be paramount for the consideration of BFRT exercise implementation in clinical populations.

Effect of Concurrent Training with Blood Flow Restriction in the Elderly

2015 ◽  
Vol 36 (05) ◽  
pp. 395-399 ◽  
Author(s):  
C. Libardi ◽  
M. Chacon-Mikahil ◽  
C. Cavaglieri ◽  
V. Tricoli ◽  
H. Roschel ◽  
...  
Keyword(s):  
Blood Flow ◽  
The Elderly ◽  
Blood Flow Restriction ◽  
Concurrent Training ◽  
Flow Restriction

scholarly journals Effect of Long-Term Training Program Combining Increased Physical Activity and Walking with Blood Flow Restriction on Locomotive Syndrome in the Elderly

2016 ◽  
Vol 62 (Suppl.1) ◽  
pp. 211-217 ◽  
Author(s):  
TAKASHI NAKAGATA ◽  
HAYAO OZAKI ◽  
SHUICHI MACHIDA ◽  
MASAYOSHI ISHIBASHI ◽  
HISASHI NAITO
Keyword(s):  
Physical Activity ◽  
Blood Flow ◽  
Training Program ◽  
The Elderly ◽  
Blood Flow Restriction ◽  
Locomotive Syndrome ◽  
Flow Restriction

scholarly journals Effect of one bout of local vibration exercise with blood flow restriction on neuromuscular and hormonal responses

2018 ◽  
Vol 105 (2) ◽  
pp. 166-176 ◽  
Author(s):  
W-C Chen ◽  
C-M Wu ◽  
Z-Y Cai
Keyword(s):  
Blood Flow ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Metabolic Response ◽  
Rectus Femoris ◽  
Blood Flow Restriction ◽  
Local Vibration ◽  
Hormonal Responses ◽  
Flow Restriction ◽  
A Minor

This study aimed to investigate the effects of single local vibration (LV) with and without blood flow restriction (BFR) on muscle activity and hormonal responses. A total of 12 physically inactive males were exposed to 10 sets of intermittent LV (35–40 Hz) on unilateral mid-quadriceps in the supine lying position and LV + BFR (inflated to 140 mmHg) sessions in a repeated-measures randomized crossover design, with a 1-week interval separating the sessions. The results indicated that the electromyography values from the rectus femoris during LV + BFR were greater than those during LV (p < 0.05). LV + BFR caused a minor increase in the lactate (LA) response (p < 0.05); LV with or without BFR failed to elicit change in growth hormone (GH) and testosterone (T) levels (p > 0.05). Cortisol (C) levels were decreased postexercise in both the sessions (p < 0.05). In conclusion, BFR elicited higher increase in muscle activity and metabolic response, but it did not induce hormonal responses. The exposure of LV and LV + BFR may only have a relief effect as detected by the reduction in C levels, probably because the LV did not elicit sufficient stimulus to the muscles.

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