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European Journal of Applied Physiology

, Volume 115, Issue 2, pp 397–405 | Cite as

Blood flow restriction in the upper and lower limbs is predicted by limb circumference and systolic blood pressure

  • Jeremy P. LoennekeEmail author
  • Kirsten M. Allen
  • J. Grant Mouser
  • Robert S. Thiebaud
  • Daeyeol Kim
  • Takashi Abe
  • Michael G. Bemben
Original Article

Abstract

Purpose

To determine what factors should be accounted for when setting the blood flow restriction (BFR) cuff pressure for the upper and lower body.

Methods

One hundred and seventy one participants visited the laboratory for one testing session. Arm circumference, muscle (MTH) and fat (FTH) thickness were measured on the upper arm. Next, brachial systolic (SBP) and diastolic (DBP) blood pressure measurements were taken in the supine position. Upper body arterial occlusion was then determined using a Doppler probe. Following this, thigh circumference and lower body arterial occlusion were determined. Models of hierarchical linear regression were used to determine the greatest predictor of arterial occlusion in the upper and lower body. Two models were employed in the upper body, a Field (arm size) and a Laboratory model (arm composition).

Results

The Laboratory model explained 58 % of the variance in arterial occlusion with SBP (β = 0.512, part = 0.255), MTH (β = 0.363, part = 0.233), and FTH (β = 0.248, part = 0.213) contributing similarly to explained variance. The Field model explained 60 % of the variance in arterial occlusion with arm circumference explaining the greatest amount (β = 0.419, part = 0.314) compared to SBP (β = 0.394, part = 0.266) and DBP (β = 0.147, part = 0.125). For the lower body model the third block explained 49 % of the variance in arterial occlusion with thigh circumference (β = 0.579, part = 0.570) and SBP (β = 0.281, part = 0.231) being significant predictors.

Conclusions

Our findings indicate that arm circumference and SBP should be taken into account when determining BFR cuff pressures. In addition, we confirmed our previous study that thigh circumference is the greatest predictor of arterial occlusion in the lower body.

Keywords

KAATSU Hypertrophy Arterial occlusion Vascular occlusion training 

Abbreviations

Arm circ

Arm circumference

AOP

Arm occlusion pressure

BFR

Blood flow restriction

BMI

Body mass index

DBP

Diastolic blood pressure

FTH

Fat thickness

MTH

Muscle thickness

SBP

Systolic blood pressure

Thigh circ

Thigh circumference

TOP

Thigh arterial occlusion pressure

Notes

Acknowledgments

The authors are not aware of any affiliations, memberships, funding, or financial holdings that might be perceived as affecting the objectivity of this manuscript. This study was not supported by any funding.

Supplementary material

421_2014_3030_MOESM1_ESM.docx (15 kb)
Supplementary material 1 (DOCX 14 kb)
421_2014_3030_MOESM2_ESM.docx (15 kb)
Supplementary material 2 (DOCX 14 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Jeremy P. Loenneke
    • 1
    Email author
  • Kirsten M. Allen
    • 2
  • J. Grant Mouser
    • 2
  • Robert S. Thiebaud
    • 3
  • Daeyeol Kim
    • 2
  • Takashi Abe
    • 1
  • Michael G. Bemben
    • 2
  1. 1.Department of Health, Exercise Science, and Recreation ManagementThe University of MississippiOxfordUSA
  2. 2.Department of Health and Exercise Science, Neuromuscular Research LaboratoryThe University of OklahomaNormanUSA
  3. 3.Department of KinesiologyTexas Wesleyan UniversityFort WorthUSA

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