Chronic hemodynamic adaptations induced by resistance training with and without blood flow restriction in adults: A systematic review and meta-analysis

Allison Russo; Giorjines Boppre; Cristine Schmidt; Lucimere Bohn

doi:10.1016/j.smhs.2023.09.006

Chronic hemodynamic adaptations induced by resistance training with and without blood flow restriction in adults: A systematic review and meta-analysis

Allison Russo, Giorjines Boppre, Cristine Schmidt, Lucimere Bohn

Research output: Contribution to journal › Review article › peer-review

1 Citation (Scopus)

Abstract

The purposes of this systematic review and meta-analysis of peer-reviewed literature were to examine the chronic effects of resistance training with blood flow restriction (RT-BFR) on hemodynamics, and to compare these adaptations to those induced by traditional resistance training (TRT) programs in adults (PROSPERO: Registry: CRD42022339510). A literature search was conducted across PubMed, Sports Discus, Scielo, and Web of Science databases. Two independent reviewers extracted study characteristics and blood pressure measures. Risk of bias (The Cochrane risk of bias tool for randomized controlled trials [RoB-2]), and the certainty of the evidence (Grading of Recommendations, Assessment, Development, and Evaluation [GRADE]) were used. A total of eight studies met the inclusion criteria for systolic (SBP), diastolic (DBP), and mean arterial pressure (MAP). Regarding the comparison of RT-BFR vs. non-exercise, no significant differences favoring the exercise group were observed (p > 0.05). However, when compared to TRT, RT-BFR elicited additional improvements on DBP (−3.35; 95%CI -6.00 to −0.71; I² = 14%; z = −2.48, p = 0.01), and on MAP (−3.96; 95%CI -7.94 to 0.02; I² = 43%; z = −1.95, p = 0.05). Results indicate that RT-BFR may elicit a decrease in DBP in comparison with TRT, but the lack of data addressing this topic makes any conclusion speculative. Future research on this topic is warranted.

Original language	English
Pages (from-to)	259-268
Number of pages	10
Journal	Sports Medicine and Health Science
Volume	5
Issue number	4
DOIs	https://doi.org/10.1016/j.smhs.2023.09.006
Publication status	Published - Dec 2023

Bibliographical note

Publisher Copyright:
© 2023 Chengdu Sport University

Funding

Giorjines Boppre, is supported by the FCT grant SFRH/BD/1 46,976/2019 . The Research Centre in Physical Activity, Health, and Leisure (CIAFEL) is funded by Regional Development Fund (ERDF) through COMPETE and by FCT grant (FCT/UIDB/ 00617/2020 ), and Laboratory for Integrative and Translational Research in Population Health (ITR) by grant LA/P/0064/2020 .

Funders	Funder number
European Regional Development Fund	LA/P/0064/2020, FCT/UIDB/ 00617/2020

Keywords

Blood flow restriction
Blood pressure
Chronic effect
Strength training

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10.1016/j.smhs.2023.09.006

Cite this

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title = "Chronic hemodynamic adaptations induced by resistance training with and without blood flow restriction in adults: A systematic review and meta-analysis",

abstract = "The purposes of this systematic review and meta-analysis of peer-reviewed literature were to examine the chronic effects of resistance training with blood flow restriction (RT-BFR) on hemodynamics, and to compare these adaptations to those induced by traditional resistance training (TRT) programs in adults (PROSPERO: Registry: CRD42022339510). A literature search was conducted across PubMed, Sports Discus, Scielo, and Web of Science databases. Two independent reviewers extracted study characteristics and blood pressure measures. Risk of bias (The Cochrane risk of bias tool for randomized controlled trials [RoB-2]), and the certainty of the evidence (Grading of Recommendations, Assessment, Development, and Evaluation [GRADE]) were used. A total of eight studies met the inclusion criteria for systolic (SBP), diastolic (DBP), and mean arterial pressure (MAP). Regarding the comparison of RT-BFR vs. non-exercise, no significant differences favoring the exercise group were observed (p > 0.05). However, when compared to TRT, RT-BFR elicited additional improvements on DBP (−3.35; 95%CI -6.00 to −0.71; I2 = 14%; z = −2.48, p = 0.01), and on MAP (−3.96; 95%CI -7.94 to 0.02; I2 = 43%; z = −1.95, p = 0.05). Results indicate that RT-BFR may elicit a decrease in DBP in comparison with TRT, but the lack of data addressing this topic makes any conclusion speculative. Future research on this topic is warranted.",

keywords = "Blood flow restriction, Blood pressure, Chronic effect, Strength training",

author = "Allison Russo and Giorjines Boppre and Cristine Schmidt and Lucimere Bohn",

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AU - Bohn, Lucimere

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N2 - The purposes of this systematic review and meta-analysis of peer-reviewed literature were to examine the chronic effects of resistance training with blood flow restriction (RT-BFR) on hemodynamics, and to compare these adaptations to those induced by traditional resistance training (TRT) programs in adults (PROSPERO: Registry: CRD42022339510). A literature search was conducted across PubMed, Sports Discus, Scielo, and Web of Science databases. Two independent reviewers extracted study characteristics and blood pressure measures. Risk of bias (The Cochrane risk of bias tool for randomized controlled trials [RoB-2]), and the certainty of the evidence (Grading of Recommendations, Assessment, Development, and Evaluation [GRADE]) were used. A total of eight studies met the inclusion criteria for systolic (SBP), diastolic (DBP), and mean arterial pressure (MAP). Regarding the comparison of RT-BFR vs. non-exercise, no significant differences favoring the exercise group were observed (p > 0.05). However, when compared to TRT, RT-BFR elicited additional improvements on DBP (−3.35; 95%CI -6.00 to −0.71; I2 = 14%; z = −2.48, p = 0.01), and on MAP (−3.96; 95%CI -7.94 to 0.02; I2 = 43%; z = −1.95, p = 0.05). Results indicate that RT-BFR may elicit a decrease in DBP in comparison with TRT, but the lack of data addressing this topic makes any conclusion speculative. Future research on this topic is warranted.

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Chronic hemodynamic adaptations induced by resistance training with and without blood flow restriction in adults: A systematic review and meta-analysis

Abstract

Bibliographical note

Funding

Keywords

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