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血流限制阻力训练对血流动力学的影响:一项系统评价。

Effects of resistance training with blood flow restriction on haemodynamics: a systematic review.

作者信息

Neto Gabriel R, Novaes Jefferson S, Dias Ingrid, Brown Amanda, Vianna Jeferson, Cirilo-Sousa Maria S

机构信息

Associated Graduate Program in Physical Education, University of Pernambuco/Federal University of Paraíba (UPE/UFPB), João Pessoa, Brazil.

Graduate Program in Physical Education, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.

出版信息

Clin Physiol Funct Imaging. 2017 Nov;37(6):567-574. doi: 10.1111/cpf.12368. Epub 2016 Apr 20.

Abstract

This study systematically reviewed the available scientific evidence on the changes promoted by low-intensity (LI) resistance training (RT) combined with blood flow restriction (BFR) on blood pressure (BP), heart rate (HR) and rate-pressure product (RPP). Searches were performed in databases (PubMed, Web of Science , Scopus and Google Scholar), for the period from January 1990 to May 2015. The study analysis was conducted through a critical review of contents. Of the 1 112 articles identified, 1 091 were excluded and 21 met the selection criteria, including 16 articles evaluating BP, 19 articles evaluating HR and four articles evaluating RPP. Divergent results were found when comparing the LI protocols with BFR versus LI versus high intensity (HI) on BP, HR and RPP. The evidence shows that the protocols using continuous BFR following a LIRT session apparently raise HR, BP and RPP compared with LI protocols without BFR, although increases significantly in BP seem to exist between the HI protocols when compared to LI protocols. Haemodynamic changes (HR, SBP, DBP, MBP, RPP) promoted by LIRT with BFR do not seem to differ between ages and body segments (upper or lower), although they are apparently affected by the width of the cuff and are higher with continuous BFR. However, these changes are within the normal range, rendering this method safe and feasible for special populations.

摘要

本研究系统回顾了关于低强度(LI)抗阻训练(RT)联合血流限制(BFR)对血压(BP)、心率(HR)和率压乘积(RPP)所产生变化的现有科学证据。检索了1990年1月至2015年5月期间的数据库(PubMed、科学网、Scopus和谷歌学术)。通过对内容的批判性综述进行研究分析。在识别出的1112篇文章中,排除了1091篇,21篇符合入选标准,其中16篇评估BP,19篇评估HR,4篇评估RPP。在比较LI联合BFR方案与LI方案以及高强度(HI)方案对BP、HR和RPP的影响时,发现了不同的结果。证据表明,与无BFR的LI方案相比,在低强度抗阻训练(LIRT)后使用持续BFR的方案明显提高了HR、BP和RPP,尽管与LI方案相比,HI方案之间的BP似乎有显著增加。LIRT联合BFR引起的血流动力学变化(HR、收缩压、舒张压、平均血压、RPP)在年龄和身体部位(上肢或下肢)之间似乎没有差异,尽管它们显然受袖带宽度的影响,且持续BFR时更高。然而,这些变化在正常范围内,使得这种方法对特殊人群是安全可行的。

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