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European Journal of Applied Physiology

Erschienen in:

25.06.2020 | Original Article

Acute cardiovascular response to unilateral, bilateral, and alternating resistance exercise with blood flow restriction

verfasst von: Daphney M. Stanford, Joonsun Park, Raymond Jones, Daniel P. Credeur, Stephanie McCoy, Matthew B. Jessee

Erschienen in: European Journal of Applied Physiology | Ausgabe 8/2020

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Abstract

Aim

Blood flow restriction (BFR) exercise is a common alternative to traditional high-load resistance exercise used to increase muscle size and strength. Some populations utilizing BFR at a low load may wish to limit their cardiovascular response to exercise. Different contraction patterns may attenuate the cardiovascular response, but this has not been compared using BFR.

Purpose

To compare the cardiovascular response to unilateral (UNI), bilateral (BIL), and alternating (ALT) BFR exercise contraction patterns.

Methods

Twenty healthy participants performed four sets (30 s rest) of knee extensions to failure, using 30% one-repetition maximum, 40% arterial occlusion pressure, and each of the three contraction patterns (on different days, at the same time of day, separated by 2–10 days, randomized). Cardiovascular responses, presented as pre- to post-exercise mean changes (SD), were measured using pulse wave analysis and analyzed with Bayesian RMANOVA.

Results

ALT caused greater changes in: aortic systolic [ΔmmHg: ALT = 21(8); UNI = 13(11); BIL = 15(8); BF₁₀ = 29.599], diastolic [ΔmmHg: ALT = 13(8); UNI = 7(11); BIL = 8(8); BF₁₀ = 5.175], and mean arterial [ΔmmHg: ALT = 19(8); UNI = 11(11); BIL = 13(7); BF₁₀ = 48.637] blood pressures. Aortic [ΔmmHg bpm: ALT = 4945(2340); UNI = 3294(1408); BIL = 3428 (1461); BF₁₀ = 113.659] and brachial [ΔmmHg bpm: ALT = 6134(2761); UNI = 4300(1709); BIL = 4487(1701); BF₁₀ = 31.845] rate pressure products, as well as heart rate [Δbpm: ALT = 26(14); UNI = 19(8); BIL = 19(11); BF₁₀ = 5.829] were greatest with ALT. Augmentation index [Δ%: UNI = -6(13); BIL = − 7(11); ALT = − 5(16); BF₁₀ = 0.155] and wave reflection magnitude [Δ%: UNI = − 5(9); BIL = − 4(7); ALT = − 4(7); BF₁₀ = 0.150] were not different.

Conclusion

Those at risk of a cardiovascular event may choose unilateral or bilateral BFR exercise over alternating until further work determines the degree to which it can be tolerated.

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Titel: Acute cardiovascular response to unilateral, bilateral, and alternating resistance exercise with blood flow restriction
verfasst von: Daphney M. Stanford
Joonsun Park
Raymond Jones
Daniel P. Credeur
Stephanie McCoy
Matthew B. Jessee
Publikationsdatum: 25.06.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Applied Physiology / Ausgabe 8/2020
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-020-04401-w

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Abstract

Aim

Purpose

Methods

Results

Conclusion

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