Institute for Clinical Diabetology, Leibniz Center for Diabetes Research at Heinrich-Heine University Düsseldorf, German Diabetes Center, Düsseldorf, Germany; German Center for Diabetes Research (DZD eV), Partner Düsseldorf, Germany.
Department of Health, Exercise Science, and Recreation Management, Kevser Ermin Applied Physiology Laboratory, The University of Mississippi, Oxford, MS, USA.
Trends Endocrinol Metab. 2021 Feb;32(2):106-117. doi: 10.1016/j.tem.2020.11.010.
Blood flow restriction resistance training (BFRT) employs partial vascular occlusion of exercising muscles via inflation cuffs. Compared with high-load resistance training, mechanical load is markedly reduced with BFRT, but induces similar gains in muscle mass and strength. BFRT is thus an effective training strategy for people with physical limitations. Recent research indicates that BFRT has beneficial effects on glucose and mitochondrial metabolism. BFRT may therefore qualify as a valuable exercise alternative for individuals with type 2 diabetes (T2D), a disorder characterized by impaired glucose metabolism, musculoskeletal decline, and exacerbated progression of sarcopenia. This review covers the effects of BFRT in healthy populations and in persons with impaired physical fitness, the mechanisms of action of this novel training modality, and possible applications for individuals with T2D.
血流限制阻力训练(BFRT)通过充气袖带对运动肌肉进行部分血管阻塞。与高负荷阻力训练相比,BFRT 显著降低了机械负荷,但可引起类似的肌肉质量和力量增加。因此,BFRT 是一种对身体受限人群有效的训练策略。最近的研究表明,BFRT 对葡萄糖和线粒体代谢有有益的影响。因此,BFRT 可以作为 2 型糖尿病(T2D)患者的一种有价值的运动替代方法,T2D 是一种以葡萄糖代谢受损、肌肉骨骼衰退和肌肉减少症恶化进展为特征的疾病。本综述涵盖了 BFRT 在健康人群和身体机能受损人群中的作用、这种新型训练方式的作用机制,以及在 T2D 患者中的可能应用。