Document Detail


Effects of leg blood flow restriction during walking on cardiovascular function.
MedLine Citation:
PMID:  19952840     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Exercise with limb blood flow restriction (BFR) is a very popular exercise modality in Japan and is spreading widely to the rest of the world. The underlying principle of this training modality is that under the conditions of restricted blood flow, even low-intensity exercise can provide significant muscle strength and hypertrophy. One concern, however, is that BFR during exercise may place unnecessary burden on those with compromised cardiac function.
METHODS: We determined the impact of leg BFR during walking on cardiovascular function in 17 young (26 ± 1 yr) healthy volunteers. Each subject underwent five bouts of 2-min treadmill walking at 2 miles·h(-1) with 1-min interval either with or without tourniquet cuffs inflated on both thighs.
RESULTS: Heart rate increased more during the BFR session, whereas stroke volume decreased greater during the BFR session. Blood pressure increased significantly and substantially during the BFR session. Consequently, an increase in double product, an index of myocardial oxygen demand, was more than threefold higher in the BFR condition. Systemic arterial compliance evaluated by stroke volume/pulse pressure ratio significantly increased during the control session by 14% but reduced during the BFR condition by 19%. Popliteal artery flow-mediated vasodilation decreased significantly after the exercise with BFR but not after the control session.
CONCLUSIONS: Even at low intensity, the aerobic exercise with BFR requires a greater cardiac work and decreases endothelial function. Limb BFR during exercise may need to be more cautiously prescribed to those with compromised cardiac conditions.
Authors:
Christopher P Renzi; Hirofumi Tanaka; Jun Sugawara
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  42     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-11-25     Completed Date:  2011-04-07     Revised Date:  2011-07-27    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  726-32     Citation Subset:  IM; S    
Affiliation:
Cardiovascular Aging Research Laboratory, Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure / physiology
Cardiovascular Physiological Processes*
Exercise Test / methods
Female
Hemodynamics / physiology
Humans
Ischemia / etiology*
Japan
Leg / blood supply*
Male
Regional Blood Flow / physiology
Stroke Volume / physiology
Tourniquets
Walking / physiology*
Young Adult
Grant Support
ID/Acronym/Agency:
AG20966/AG/NIA NIH HHS; R01 AG020966-07/AG/NIA NIH HHS
Comments/Corrections

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