Abstract

[Purpose]The present study investigated the effect of endurance exercise with blood flow restriction (BFR) performed at either 25% maximal oxygen uptake ( max) or 40% max) on muscle oxygenation, energy metabolism, and endocrine responses.[Methods]Ten males were recruited in the present study. The subjects performed three trials: (1) endurance exercise at 40% max without BFR (NBFR40), (2) endurance exercise at 25% max with BFR (BFR25), and (3) endurance exercise at 40% max with BFR (BFR40). The exercises were performed for 15 min during which the pedaling frequency was set at 70 rpm. In BFR25 and BFR40, 2 min of pressure phase (equivalent to 160 mmHg) followed by 1 min of release phase were repeated five times (5 × 3 min) throughout 15 minutes of exercise. During exercise, muscle oxygenation and concentration of respiratory gases were measured. The blood samples were collected before exercise, immediately after 15 min of exercise, and at 15, 30, and 60 minutes after completion of exercise.[Results]Deoxygenated hemoglobin (deoxy-Hb) level during exercise was significantly higher with BFR25 and BFR40 than that with NBFR40. BFR40 showed significantly higher total-hemoglobin (total-Hb) than NBFR40 during 2 min of pressure phase. Moreover, exercise-induced lactate elevation and pH reduction were significantly augmented in BFR40, with concomitant increase in serum cortisol concentration after exercise. Carbohydrate (CHO) oxidation was significantly higher with BFR40 than that with NBFR40 and BFR25, whereas fat oxidation was lower with BFR40.[Conclusion]Deoxy-Hb and total Hb levels were significantly increased during 15 min of pedaling exercise in BFR25 and BFR40, indicating augmented local hypoxia and blood volume (blood perfusion) in the muscle. Moreover, low-and moderate-intensity exercise with BFR facilitated CHO oxidation.

Highlights

  • In traditional training procedures aimed to increase muscular strength and muscle hypertrophy, exercise intensity above at least 70% of one repetition maximum (1RM) is commonly recommended[1] high-intensity exercise entails the risk of injury due to excessive stress on muscle joints as well as connective tissues in untrained or older people

  • CHO oxidation was significantly higher in the BFR40 trial than in the BFR25 and NBFR40 trials

  • The primary findings of the present study were that the deoxy-Hb level was significantly higher during the exercise session in the BFR25 and BFR40 trials than in the NBFR40 trial

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Summary

Introduction

In traditional training procedures aimed to increase muscular strength and muscle hypertrophy, exercise intensity above at least 70% of one repetition maximum (1RM) is commonly recommended[1] high-intensity exercise entails the risk of injury due to excessive stress on muscle joints as well as connective tissues in untrained or older people. Resistance exercise with BFR is effective in improving muscle strength and muscle hypertrophy[5,6,7,8]. The lowered muscle oxygenation during exercise is expected to elicit erythropoiesis with subsequent increases in oxygen transport capacity[9], capillary density, mitochondrial biosynthesis, and myoglobin level in the tissues[10,11]. These cascades are stimulated by increased expression of hypoxia-inducible factor-1 (HIF-1) and vascular endothelial growth factor (VEGF), which are two major factors involved in angiogenesis[12]

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