Exercise with blood flow restriction: an effective alternative for the non‐pharmaceutical treatment for muscle wasting

Conceição, Miguel Soares; Ugrinowitsch, Carlos

doi:10.1002/jcsm.12397

Cited by 21 publications

(10 citation statements)

References 64 publications

(112 reference statements)

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“…To generate BFR, about 73% of professionals use some type of inflatable cuff with objective pressure control (manometer), however, the use of elastic tourniquets with no objective pressure control was expressive (~27%). Although previous studies have shown the use of elastics tourniquets may be a practical and cost-effective [27] and safe [28] alternative, the number of publications is limited [29]. Moreover, when using elastic tourniquets, pressure control becomes subjective [28] and it depends on the user's sensitivity which increases the risk of intervention failure, as noted by Loenneke et al [30].…”

Section: Discussionmentioning

confidence: 99%

Como o treinamento com oclusão vascular tem sido utilizado no Brasil?

Teixeira

Messias

Farah

et al. 2021

Rev Bras Fisiol Exerc

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Objective: The aim of the present study was to analyze how the blood flow restriction (BFR) training has been used by professionals in Brazil, focusing on the user's profile, control of training variables and the rate of occurrence of adverse effects. Methods: Eighty-six health professionals with experience in BFR training were interviewed through a digital questionnaire prepared by the authors containing 17 questions about the characteristics of using the method. Results: BFR training has been used in Brazil for the past 5 years, mainly by Physical Education professionals who attend healthy adults, athletes and elderly people with several objectives. Most of the professionals seem to follow specific scientific recommendations for the BFR training prescription, except for a small portion of participants, especially regarding pressure control to BFR. Low-severity immediate adverse effects associated with the method were observed at reasonable rates and no serious effects were reported. Conclusion: Since a small number of professionals reported inattention to scientific recommendations for controlling this variable, these adverse effects may be associated with inadequate control of vascular occlusion pressure.Key-words: hypoxia, physical training, rehabilitation, therapeutic occlusion, vascular occlusion devices.

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Section: Discussionmentioning

confidence: 99%

Como o treinamento com oclusão vascular tem sido utilizado no Brasil?

Teixeira

Messias

Farah

et al. 2021

Rev Bras Fisiol Exerc

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“…Through increasing vascular stress, BFRT triggers hemodynamic responses and thus alters the circulating environment of skeletal muscle. BFRT sessions induced higher systolic and diastolic blood pressure increments ( 26 , 41 ). It appears that the partial pressure applied to tissue might change the vascular resistance or alter the blood flow output to increase blood pressure.…”

Section: The Mechanisms Underlying Bfrt In Treating Sarcopeniamentioning

confidence: 95%

“…Because BFRT can efficiently attenuate severe muscle wasting and improve muscle mass and strength, which significantly improves the muscle condition in clinical practice, it is regarded as an effective method to treat sarcopenia ( 25 ). Extensive research has also shown that it might serve as a well-tolerated novel intervention that can improve muscle rehabilitation and regeneration to counteract sarcopenia ( 26 ).…”

Section: Two Main Methods Of Bfr Application In Treating Sarcopeniamentioning

confidence: 99%

Blood Flow Restriction Training for the Intervention of Sarcopenia: Current Stage and Future Perspective

et al. 2022

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Sarcopenia is a geriatric syndrome that is characterized by a progressive and generalized skeletal muscle disorder and can be associated with many comorbidities, including obesity, diabetes, and fracture. Its definitions, given by the AWGS and EWGSOP, are widely used. Sarcopenia is measured by muscle strength, muscle quantity or mass and physical performance. Currently, the importance and urgency of sarcopenia have grown. The application of blood flow restriction (BFR) training has received increased attention in managing sarcopenia. BFR is accomplished using a pneumatic cuff on the proximal aspect of the exercising limb. Two main methods of exercise, aerobic exercise and resistance exercise, have been applied with BFR in treating sarcopenia. Both methods can increase muscle mass and muscle strength to a certain extent. Intricate mechanisms are involved during BFRT. Currently, the presented mechanisms mainly include responses in the blood vessels and related hormones, such as growth factors, tissue hypoxia-related factors and recruitment of muscle fiber as well as muscle satellite cells. These mechanisms contribute to the positive balance of skeletal muscle synthesis, which in turn mitigates sarcopenia. As a more suited and more effective way of treating sarcopenia and its comorbidities, BFRT can serve as an alternative to traditional exercise for people who have marked physical limitations or even show superior outcomes under low loads. However, the possibility of causing stress or muscle damage must be considered. Cuff size, pressure, training load and other variables can affect the outcome of sarcopenia, which must also be considered. Thoroughly studying these factors can help to better determine an ideal BFRT scheme and better manage sarcopenia and its associated comorbidities. As a well-tolerated and novel form of exercise, BFRT offers more potential in treating sarcopenia and involves deeper insights into the function and regulation of skeletal muscle.

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“…Furthermore, resistance training and aerobic exercise performed at higher intensities may be associated with a greater risk of injury in a frail population of subjects like many individuals with sarcopenia ( Skelton and Mavroeidi, 2018 ; Di Monaco et al, 2020 ). Thus, low-load resistance training or aerobic exercise with blood flow restriction (BFR) has been suggested as a potential method to improve skeletal muscle strength and decrease the risk of injury in older people with sarcopenia, which may improve adherence to exercise ( Hughes et al, 2017 ; Beckwée et al, 2019 ; Conceição and Ugrinowitsch, 2019 ). In fact, a previous systematic review and meta-analysis of BFR training identified 13 studies in which older adults susceptible to sarcopenia underwent BFR training, with eight of the 13 studies suitable for meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

A call to action for blood flow restriction training in older adults with or susceptible to sarcopenia: A systematic review and meta-analysis

et al. 2022

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Background: The extent to which exercise training with blood flow restriction (BFR) improves functional performance (FP) in people with sarcopenia remains unclear. We performed a comprehensive search of BFR training in subjects with sarcopenia or susceptible to sarcopenia hoping to perform a systematic review and meta-analysis on the effects of BFR on FP in older adults without medical disorders, but with or susceptible to sarcopenia.Methods: PubMed and the Cochrane library were searched through February 2022. Inclusion criteria were: 1) the study examined older adults (>55 years of age) with or susceptible to sarcopenia and free of overt acute or chronic diseases, 2) there was a random allocation of participants to BFR and active control groups, 3) BFR was the sole intervention difference between the groups, and 4) the study provided post-intervention measures of skeletal muscle and physical function which were either the same or comparable to those included in the revised European Working Group on Sarcopenia in Older People (EWGSOP) diagnostic algorithm.Results: No studies of BFR training in individuals with sarcopenia were found and no study included individuals with FP values below the EWGSOP criteria. However, four studies of BFR training in older adults in which FP was examined were found. BFR training significantly improved the timed up and go (MD = −0.46, z = 2.43, p = 0.02), 30-s chair stand (MD = 2.78, z = 3.72, p < 0.001), and knee extension strength (standardized MD = 0.5, z = 2.3, p = 0.02) in older adults.Conclusion: No studies of BFR exercise appear to have been performed in patients with or suspected sarcopenia based on latest diagnostic criteria. Despite the absence of such studies, BFR training was found to significantly improve the TUG, 30-s chair stand, and knee extension strength in older adults. Studies examining the effects of BFR in subjects below EWGSOP cut-off points are needed.

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Exercise with blood flow restriction: an effective alternative for the non‐pharmaceutical treatment for muscle wasting

Cited by 21 publications

References 64 publications

Como o treinamento com oclusão vascular tem sido utilizado no Brasil?

Como o treinamento com oclusão vascular tem sido utilizado no Brasil?

Blood Flow Restriction Training for the Intervention of Sarcopenia: Current Stage and Future Perspective

A call to action for blood flow restriction training in older adults with or susceptible to sarcopenia: A systematic review and meta-analysis

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