Abstract
Objective
To compare the responses of velocities, ventilatory thresholds and maximum oxygen uptake (VO2max) through a maximum incremental test with blood flow restriction (Tmax-BFR) and without restriction (Tmax-TRAD) in active young people.
Methods
This is a crossover study. Eight active young men (25 ± 4 years, 173 ± 0.07 cm, 77.19 ± 7.5 kg) were submitted to cardiopulmonary exercise test performed with or without vascular occlusion and evaluated in the entire test by ergospirometry. The first and second ventilatory threshold (VT1 and VT2), VO2max and the speeds to reach the thresholds were analyzed, as well as the exhaustion time for each condition was analyzed.
Results
VT1, VT2 and VO2max are similar in both conditions. However, to reach VT2 and VO2max the speeds in the Tmax-BFR condition were significantly lower than in the Tmax-TRAD condition: 11.06 ± 1.56; 14.25 ± 1.03 km/h, p = 0.0002; 13.06 ± 2.04; 16.62 ± 1.30 km/h, p = 0.001. To reach VT1, there was a tendency to reduce the Tmax-BFR condition compared to Tmax-TRAD: 7.81 ± 0.92; 9 ± 1.36 km/h, p = 0.0645 d: 1024. Still, the exhaustion time was significantly shorter for the Tmax-BFR condition compared to Tmax-TRAD: 11:16 ± 0.10 min; 15:02 ± 0.05 min (Table 2) p = 0.007.
Conclusion
We identified reductions in velocities at ventilatory thresholds and VO2max when performed with occlusion. These data suggest the possible contribution of this resource to clinical practice, highlighting the achievement by individuals who do not tolerate high speeds on the treadmill or athletes who need to reduce speeds without decreasing exercise intensities.
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References
ACSM American College of Sports Medicine (2009) ACSM’s guidelines for exercise testing and prescription, 9th edn. Lippincott Williams & Wilkins, Baltimore
Bennett H, Slattery F (2019) Effects of blood flow restriction training on aerobic capacity and performance: a systematic review. J Strength Cond Res 33(2):572–583
Park S, Kim JK, Choi HM, Kim HG, Beekley MD et al (2010) Increase in maximal oxygen uptake following 2-week walk training with blood flow occlusion in athletes. Eur J Appl Physiol 109(4):591–600
Loenneke JP, Wilson GJ, Wilson JM (2010) A mechanistic approach to blood flow occlusion. Int J Sports Med 31(01):1–4
Thomas HJ, Scott BR, Peiffer JJ (2018) Acute physiological responses to low-intensity blood flow restriction cycling. J Sci Med Sport 21:969–974
Sakamaki-Sunaga M, Loenneke JP, Thiebaud RS, Abe T (2012) Onset of blood lactate accumulation and peak oxygen uptake during graded walking test combined with and without restricted leg blood flow. Comp Exerc Physiol 8(2):117–122
de Oliveira MFMD, Caputo F, Corvino RB, Denadai BS (2016) Short term low intensity blood flow restricted interval training improves both aerobic fitness and muscle strength. Scand J Med Sci Sports 26(9):1017–1025
Abe T, Fujita S, Nakajima T, Sakamaki M, Ozaki H et al (2010) Effects of low-intensity cycle training with restricted leg blood flow on thigh muscle volume and VO2max in young men. J Sports Sci Med 9(3):452
Yasuda T, Brechue WF, Fujita T, Shirakawa J, Sato Y, Abe T (2009) Muscle activation during low-intensity muscle contractions with restricted blood flow. J Sports Sci 27:479–489
Renzi CP, Tanaka H, Sugawara J (2010) Effects of leg blood flow restriction during walking on cardiovascular function. Med Sci Sports Exerc 42(4):726
Takano H, Morita T, Lida H, Asada KI et al (2005) Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. Eur J Appl Physiol 95(1):65–73
Craig CL, Marshall AL, Sjöström M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35(8):1381–1395
Goldfarb AH, Garten RS, Chee PD, Cho C, Reeves GV et al (2008) Resistance exercise effects on blood glutathione status and plasma protein carbonyls: influence of partial vascular occlusion. Eur J Appl Physiol 104:813–819
Ramis TR, de Lemos Muller CH, Boeno FP, Teixeira BC, Rech A, Pompermayer MG et al (2020) Effects of traditional and vascular restricted strength training program with equalized volume on isometric and dynamic strength, muscle thickness, electromyographic activity, and endothelial function adaptations in young adults. J Strength Cond Res 34(3):689–698
Gonzales JU, Thompson BC, Thistlethwaite JR, Scheuermann BW (2011) Association between exercise hemodynamics and changes in local vascular function following acute exercise. Appl Physiol Nutr Metab 36:137–144
Cunha G et al (2011) Effect of biological maturation on maximal oxygen uptake and ventilatory thresholds in soccer players: an allometric approach. J Sports Sci 29(10):1029–1039
Dekerle J, Baron B, Dupont L, Vanvelcenaher J, Pelayo P (2003) Maximal lactate steady state, respiratory compensation threshold and critical power. Eur J Appl Physiol 89(3-4):281–288
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale
Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD (2017) Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. Br J Sports Med 51(13):1003–1011
Centner C, Wiegel P, Gollhofer A, König D (2019) 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
Ozaki H, Brechue WF, Sakamaki M, Yasuda T, Nishikawa M, Aoki N et al (2010) Metabolic and cardiovascular responses to upright cycle exercise with leg blood flow reduction. J Sports Sci Med 9(2):224
Silva JC, Domingos-Gomes JR, Freitas ED, Neto GR, Aniceto RR, Bemben MG et al (2019) Physiological and perceptual responses to aerobic exercise with and without blood flow restriction. J Strength Cond Res. https://doi.org/10.1519/JSC.0000000000003178
Mendonca GV, Vaz JR, Pezarat-Correia P, Fernhall B (2015) Effects of walking with blood flow restriction on excess post-exercise oxygen consumption. Int J Sports Med 36(03):e11–e18
Pfeiffer PS, Sousa-Cirilo MS, Santos HH (2019) Effects of different percentages of blood flow restriction on energy expenditure. Int J Sports Med 40:186–190
Iida H, Kurano M, Takano H, Kubota N, Morita T, Meguro K et al (2007) Hemodynamic and neurohumoral responses to the restriction of femoral blood flow by KAATSU in healthy subjects. Eur J Appl Physiol 100(3):275–285
Nakajima T, Iida H, Kurano M, Takano H, Morita T, Meguro K et al (2008) Hemodynamic responses to simulated weightlessness of 24-h head-down bed rest and KAATSU blood flow restriction. Eur J Appl Physiol 104(4):727
Yow BG, Tennent DJ, Dowd TC, Loenneke JP, Owens JG (2018) Blood flow restriction training after achilles tendon rupture. J Foot Ankle Surg 57(3):635–638
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the Ethics and Research Committee of the Methodist University (IPA) and registered as number 1.732.719.
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Munhoz, S.V., Ramis, T.R., dos Santos, L.P. et al. Comparison of cardiopulmonary exercise testing performed with blood flow restriction vs. a traditional maximum test on execution speed, ventilatory thresholds and maximum oxygen uptake. Sport Sci Health 16, 685–690 (2020). https://doi.org/10.1007/s11332-020-00644-4
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DOI: https://doi.org/10.1007/s11332-020-00644-4