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高压力血流限制与极低负荷阻力训练导致外周血管适应类似于重阻力训练。

High-pressure blood flow restriction with very low load resistance training results in peripheral vascular adaptations similar to heavy resistance training.

机构信息

Department of Kinesiology and Health Promotion, Troy University, Troy, AL, United States of America.

出版信息

Physiol Meas. 2019 Apr 3;40(3):035003. doi: 10.1088/1361-6579/ab0d2a.

DOI:10.1088/1361-6579/ab0d2a
PMID:30840934
Abstract

OBJECTIVE

To investigate vascular adaptations to eight weeks of resistance exercise, with and without different pressures of blood flow restriction (BFR), in the upper and lower body.

APPROACH

Forty individuals (men  =  20, women  =  20) completed eight weeks of resistance exercise at very low loads (15% of one-repetition maximum (1RM)), with two levels of BFR (40% arterial occlusion pressure (AOP), 80% AOP), without BFR, and 70% of 1RM. Vascular conductance and venous compliance were measured via plethysmography before and following training in the forearms and in the calves.

MAIN RESULTS

Values reported as means (95% confidence intervals). Pre to post changes in vascular conductance occurred only in the high-pressure conditions (upper body:  +8.29 (3.01-13.57) ml · mmHg; lower body:  +7.86 (3.37-12.35) ml · mmHg) and high-load conditions (upper body:  +8.60 (3.45-13.74) ml · mmHg); lower body:  +7.20 (2.71-11.69) ml · mmHg) only. In the upper body, the change was significantly greater in the high-pressure and high-load conditions compared to the change observed in the low-pressure condition (-0.41 (-5.56, 4.73) ml · mmHg). These changes were not greater than the change observed in the low-load condition without pressure (+1.81 (-3.47, 7.09) ml · mmHg). In the lower body, the change in the high-pressure and high-load conditions were significantly greater than the changes observed with low-load training with (-0.86 (-5.60, 3.87) ml · mmHg) and without (-1.22 (-5.71, 3.27) ml · mmHg) a low pressure. Venous compliance increased in all groups in the upper body (+0.003 (.000 08, 0.006) ml · 100 ml · mmHg) only, with no changes in the lower body.

SIGNIFICANCE

High-pressure BFR causes adaptations in vascular function following eight weeks of training at mechanical loads not typically associated with such adaptations.

摘要

目的

研究在上下肢进行 8 周抗阻运动时,结合和不结合不同血流量限制(BFR)压力对血管适应性的影响。

方法

40 名个体(男性=20,女性=20)完成了 8 周的极低负荷(15%的 1 次重复最大重量(1RM))抗阻运动,BFR 有两个水平(动脉闭塞压的 40%(AOP),80% AOP),无 BFR 和 70%的 1RM。在训练前后,通过容积描记法测量前臂和小腿的血管传导和静脉顺应性。

主要结果

报告的数值为平均值(95%置信区间)。仅在高压力条件(上肢:+8.29(3.01-13.57)ml·mmHg;下肢:+7.86(3.37-12.35)ml·mmHg)和高负荷条件(上肢:+8.60(3.45-13.74)ml·mmHg)下,血管传导出现了预到后的变化;下肢:+7.20(2.71-11.69)ml·mmHg)。在上肢,与低压条件下的变化(-0.41(-5.56,4.73)ml·mmHg)相比,高压力和高负荷条件下的变化明显更大。这些变化并不大于无压力的低负荷条件下的变化(+1.81(-3.47,7.09)ml·mmHg)。在下肢,高压力和高负荷条件下的变化明显大于低负荷训练时的变化(-0.86(-5.60,3.87)ml·mmHg)和无压力的变化(-1.22(-5.71,3.27)ml·mmHg)。仅在上肢,静脉顺应性增加(所有组:+0.003(0.00008,0.006)ml·100·mmHg),而在下肢没有变化。

意义

高压力 BFR 在机械负荷下进行 8 周训练后引起血管功能适应性改变,而这种适应性通常与机械负荷无关。

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