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Leg- vs arm-cycling repeated sprints with blood flow restriction and systemic hypoxia

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Abstract

Purpose

The aim was to compare changes in peripheral and cerebral oxygenation, as well as metabolic and performance responses during conditions of blood flow restriction (BFR, bilateral vascular occlusion at 0% vs. 45% of resting pulse elimination pressure) and systemic hypoxia (~ 400 m, FIO2 20.9% vs. ~ 3800 m normobaric hypoxia, FIO2 13.1 ± 0.1%) during repeated sprint tests to exhaustion (RST) between leg- and arm-cycling exercises.

Methods

Seven participants (26.6 ± 2.9 years old; 74.0 ± 13.1 kg; 1.76 ± 0.09 m) performed four sessions of RST (10-s maximal sprints with 20-s recovery until exhaustion) during both leg and arm cycling to measure power output and metabolic equivalents as well as oxygenation (near-infrared spectroscopy) of the muscle tissue and prefrontal cortex.

Results

Mean power output was lower in arms than legs (316 ± 118 vs. 543 ± 127 W; p < 0.001) and there were no differences between conditions for a given limb. Arms demonstrated greater changes in concentration of deoxyhemoglobin (∆[HHb], − 9.1 ± 6.1 vs. − 6.5 ± 5.6 μm) and total hemoglobin concentration (∆[tHb], 15.0 ± 10.8 vs. 11.9 ± 7.9 μm), as well as the absolute maximum tissue saturation index (TSI, 62.0 ± 8.3 vs. 59.3 ± 8.1%) than legs, respectively (p < 0.001), demonstrating a greater capacity for oxygen extraction. Further, there were greater changes in tissue blood volume [tHb] during BFR only compared to all other conditions (p < 0.01 for all).

Conclusions

The combination of BFR and/or hypoxia led to increased changes in [HHb] and [tHb] likely due to greater vascular resistance, to which arms were more responsive than legs.

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Abbreviations

ACSM:

American College of Sports Medicine

BFR:

Blood flow restriction

ES:

Effect size

HHb:

Deoxyhemoglobin

NIRS:

Near-infrared spectroscopy

O2Hb:

Oxyhemoglobin

RER:

Respiratory exchange ratio

RPE:

Rate of perceived exertion

RST:

Repeated sprint ability test to exhaustion

S dec :

Percent decrement in RST

S best :

Highest mean power of either of the first two sprints in RST

SpO2 :

Pulse oxygen saturation

tHb:

Total hemoglobin

TSI:

Tissue saturation index

V̇E:

Minute ventilation

V̇O2 :

Maximal oxygen uptake

∆:

Delta change over time

References

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Acknowledgements

The authors would like to thank all participants for their efforts, patience, and cooperation with this study.

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Authors and Affiliations

Authors

Contributions

SJW, FB, and GPM conceived and designed research. SJW conducted experiments. SJW and FB analyzed data. SJW, FB, and GPM wrote the manuscript. All authors read and approved the manuscript.

Corresponding author

Correspondence to Sarah J. Willis.

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Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Communicated by I. Mark Olfert.

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Willis, S.J., Borrani, F. & Millet, G.P. Leg- vs arm-cycling repeated sprints with blood flow restriction and systemic hypoxia. Eur J Appl Physiol 119, 1819–1828 (2019). https://doi.org/10.1007/s00421-019-04171-0

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  • DOI: https://doi.org/10.1007/s00421-019-04171-0

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