Acute effects of blood flow restriction resistance exercise on endothelial function and platelet aggregation
DOI:
https://doi.org/10.33233/rbfex.v21i1.4982Keywords:
oxyhemoglobin; deoxyhemoglobin; muscle strength; resistance exercise; hemodynamicsAbstract
Objective: To compare endothelial function and platelet aggregation after resistance exercise performed with low-intensity blood flow restriction (LI-BFR) or free blood flow (LI-FreeBF) and high intensity with no blood flow restriction (HI-FreeBF) in healthy adults. Methods: Ten healthy men (23 ± 3 years) performed three experimental trials involving bilateral leg press and knee extension in a randomized crossover design: LI-BFR (3 x 15 reps at 30% 1 RM), LI-FreeBF (3 x 15 reps at 30% 1 RM), and HI-FreeBF (3 x 8 reps at 80% 1RM). BFR was maintained at 50% of the individual total occlusion pressure during the three sets, and it was released after the end of set 3. Brachial artery flow-mediated dilation (FMD) was measured with ultrasound with Doppler before and after exercise. Blood was collected to determine nitrite levels and platelet aggregation. Results: None of the volunteers reported any adverse reactions during the exercise protocols. A 3 x 2 ANOVA with repeated measures in both factors (condition vs. time) indicated no significant main effects or interactions for FMD, basal and peak brachial artery diameter, and shear rate. Plasma nitrite levels and platelet aggregation did not differ among the three exercise conditions nor pre-post resistance exercise. Conclusion: Our results indicate that lower limbs resistance exercise performed at low or high intensities and with or without BFR does not affect endothelial function, nitrite levels, and platelet aggregation. These findings indicate that such exercise conditions do not seem to represent cardiovascular risk from a hemostatic point of view in healthy adult men.
References
Corban MT, Lerman LO, Lerman A. Endothelial dysfunction cardiovascular disease pathophysiology hidden in plain sight. Arterioscler Thromb Vasc Biol 2019;39:1272-4. doi: 10.1161/ATVBAHA.119.312836
Zhang Y, Zhang Y, Zhang H, Ye W, Korivi M. Low-to-moderate-intensity resistance exercise is more effective than high-intensity at improving endothelial function in adults: a systematic review and meta-analysis. Int J Environ Res Public Health 2021;18:6723. doi: 10.3390/ijerph18136723
Haynes A, Linden MD, Robey E, Watts GF, Barrett PH, Naylor LH, Green DJ. Acute impact of different exercise modalities on arterial and platelet function. Med Sci Sports Exerc 2018;50(4):785-91. doi: 10.1249/MSS.0000000000001505
Scott BR, Loenneke JP, Slattery KM, Dascombe BJ. Exercise with blood flow restriction: an updated evidence-based approach for enhanced muscular development. Sports Med 2015;45:313-25. doi: 10.1007/s40279-014-0288-1
Green DJ. Dawson EA, Jones H, Thijssen DH. Is flow-mediated dilation nitric oxide mediated? A meta-analysis. Hypertension 2014;63:376-82. doi: 10.1161/HYPERTENSIONAHA.113.02044
Early KS, Rockhill M, Bryan A, Tyo B, Buuck D, McGinty J. Effect of blood flow restriction training on muscular performance, pain and vascular function. Int J Sports Phys Ther 2020;15(6):892-900. doi: 10.26603/ijspt20200892
Credeur DP, Hollis BC, Welsch MA. Effects of handgrip training with venous restriction on brachial artery vasodilation. Med Sci Sports Exerc 2010;42(7):1296-302. doi: 10.1249/MSS.0b013e3181ca7b06
Ramis TR, De Muller LCH, Boeno FP, Teixeira BC, Rech A, Pompermayer MG, et al. 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 2020;34(3):689-98 doi: 10.1519/JSC.0000000000002717
Hunt JEA, Walton LA, Ferguson RA. 2012. Brachial artery modifications to blood flow-restricted handgrip training and detraining. J Applied Physiol 112(6):956-61. doi: 10.1152/japplphysiol.00905.2011
Paiva FM, Vianna LC, Fernandes IA, Nobrega AC, Lima RM. 2016. Effects of disturbed blood flow during exercise on endothelial function: a time course analysis. Braz J Med Biol Res 2016;49(4):49. doi: 10.1590/1414-431X20155100
Ferguson RA, Hunt JE, Lewis MP, Martin NR, Player DJ, Stangier C, et al. The acute angiogenic signaling response to low load resistance exercise with blood flow restriction. Eur J Sport Sci 2018;18(3):397-406. doi: 10.1080/17461391.2017.1422281
Nascimento DC, Schoenfeld BJ, Prestes J. Potential implications of blood flow restriction exercise on vascular health: a brief review. Sports Med 2020;50(1):73-81. doi: 10.1007/s40279-019-01196-5
Ahmadizad S, El-Sayed MS, MacLaren DP. Responses of platelet activation and function to a single bout of resistance exercise and recovery. Clin Hemorheol Microcirc 2006;35(1-2):159-68. Available from: https://pubmed.ncbi.nlm.nih.gov/16899922/
Shephard RJ. PAR-Q, Canadian Home Fitness Test and exercise screening alternatives. Sports Med 1988;5(3):185-95. doi: 10.2165/00007256-198805030-00005
Haun DR, Pitanga FJ, Lessa I. Razão cintura/estatura comparado a outros indicadores antropométricos de obesidade como preditor de risco coronariano elevado. Rev Assoc Med Bras 2009;55(6):705-11. doi: 10.1590/s0104-42302009000600015
Xavier HT, Izar MC, Neto JR, Assaad MH, Rocha VZ, Sposito AC, et al. Diretriz brasileira de dislipidemias e prevenção da aterosclerose. Arq Bras Cardiol 2013;101(4):1. doi: 10.5935/abc.20170121
Morishima T, Tsuchiya Y, Iemitsu M, Ochi E. High-intensity resistance exercise with low repetitions maintains endothelial function. Am J Physiol Heart Circ Physiol 2018;315:H681-6. doi: 10.1152/ajpheart.00281.2018
Tinken TM, Thijssen DH, Hopkins N, Black MA, Dawson EA, Minson CT, et al. Impact of shear rate modulation on vascular function in humans. Hypertension 2009;54(2):278-85. doi: 10.1161/HYPERTENSIONAHA.109.134361
Thijssen DHJ, Dawson EA, Tinken TM, Cable NT, Green DJ. Retrograde flow and shear rate acutely impair endothelial function in humans. Hypertension 2009;53(6):986-92(a). doi: 10.1161/HYPERTENSIONAHA.109.131508
Thijssen DHJ, Dawson EA, Black MA, Hopman MTE, Cable NT, Green DJ. Brachial artery blood flow responses to different modalities of lower limb exercise. Med Sci Sports Exer 2009;41(5):1072-9(b). doi: 10.1249/MSS.0b013e3181923957
Thomas KN, Kissling LS, Gibbons TD, Akerman AP, van Rij AM, Cotter JD. The acute effect of resistance exercise on limb blood flow. Exp Physiol 2020;105(12):2099-109. doi: 10.1113/EP088743
Stassen JM, Arnout J, Deckmyn H. The hemostatic system. Curr Med Chem 2004;11(17): 2245-60. doi: 10.2174/0929867043364603
Green DJ, O’Driscoll G, Joyner MJ, Cable NT. Exercise and cardiovascular risk reduction: time to update the rationale for exercise? J Appl Physiol 2008;105(2):766-78. doi: 10.1152/japplphysiol.01028.2007
Ahmadizad S, El-Sayed MS. The effects of graded resistance exercise on platelet aggregation and activation. Med Sci Sports Exerc 2003;35(6):1026-32. doi: 10.1249/01.MSS.0000069406.54766.C6
Creighton BC, Kupchak BP, Aristizabal JC, Flanagan SD, Dunn-Lewis C, Volk BM, et al. Influence of training on markers of platelet activation in response to a bout of heavy resistance exercise. Eur J Appl Physiol 2013;113:2203-9. doi: 10.1007/s00421-013-2645-4
Tsikas D. Methods of quantitative analysis of the nitric oxide metabolites nitrite and nitrate in human biological fluids. Free Radic Res 2005;39(8):797-815. doi: 10.1080/10715760500053651
Boeno FP, Ramis TR, Farinha JB, LemosLS, Medeiros NS, Ribeiro JL. Acute effects of strength exercise with blood flow restriction on vascular function of young healthy males. J Vasc Bras 2018;17(2):122-7. doi: 10.1590/1677-5449.011017
Vanni DS, Horstmann B, Benjo AM, Daher JP, Kanaan S, Sleiman M. Óxido nítrico: inibição das plaquetas e participação na formação do trombo. J Bras Patol Med Lab 2007;43(3):181-9. doi: 10.1590/S1676-24442007000300007
Zhang Y, Zhang Y-J, Zhang H, Ye WB, Korivi M. Low-to-moderate-intensity resistance exercise is more effective than high-intensity at improving endothelial function in adults: a systematic review and meta-analysis. Int J Environ Res Public Health 2021;18:6723. doi: 10.3390/ijerph18136723
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