Kong Hao, Zhang Yilin, Yin Mingyue, Xu Kai, Sun QingGuo, Xie Yun, Girard Olivier
Athletic Training Institute, Tianjin University of Sport, Tianjin, China.
School of Athletic Performance, Shanghai University of Sport, Shanghai, China.
Front Physiol. 2025 Jan 17;15:1521995. doi: 10.3389/fphys.2024.1521995. eCollection 2024.
This meta-analysis aims to evaluate the effects of blood flow restriction (BFR) training on cardiometabolic health and body composition in adults with overweight and obesity.
Following PRISMA guidelines, a systematic search of PubMed (MEDLINE), EMBASE, Web of Science, Cochrane, and Scopus databases was conducted on 15 March 2024. Pooled effects for each outcome were summarized using Hedge's () through meta-analysis-based random effects models, and subgroup analyses were used to explore moderators.
A total of 11 studies with 242 participants (Age:32.6 ± 3.6, BMI:27.2 ± 3.5) were included. Regarding cardiometabolic health, BFR training significantly reduced systolic blood pressure ( = [0.08, 1.16], = 0.02), while no significant differences were observed in maximal oxygen uptake ( [-0.21, 1.17], = 0.17) or diastolic blood pressure ( [-0.22, 0.84], = 0.25). Regarding body composition, BFR training significantly reduced body fat percentage ( = [0.01, 0.58]; = 0.04), while no significant differences ( > 0.05) were observed in body weight ( [-0.14, 0.42]), body mass index ( [-0.21, 0.38]), waist circumference ( [-0.28, 0.53]), or waist-to-hip ratio ( [-0.19, 1.15]). Subgroup analysis revealed no significant difference in improving systolic blood pressure ( [-0.10, 1.24] vs. = [-0.18, 1.59]) and body fat percentage ( [-0.20, 0.61] vs. [-0.05, 0.95]) between BFR resistance training and BFR aerobic training. In all selected studies, the overall risk of bias was categorized as "some concern". The certainty of evidence for the BFR outcomes was low.
BFR training shows promise in improving cardiometabolic health and body composition, indicating that it may serve as a beneficial, individualized exercise prescription for improving cardiovascular disease risk and fat loss in adults with excess body weight and obesity.
本荟萃分析旨在评估血流限制（BFR）训练对超重和肥胖成年人心脏代谢健康及身体成分的影响。
按照PRISMA指南，于2024年3月15日对PubMed（MEDLINE）、EMBASE、Web of Science、Cochrane和Scopus数据库进行了系统检索。通过基于荟萃分析的随机效应模型，使用Hedge's （）总结每个结局的合并效应，并进行亚组分析以探索调节因素。
共纳入11项研究，242名参与者（年龄：32.6±3.6，体重指数：27.2±3.5）。在心脏代谢健康方面，BFR训练显著降低了收缩压（ = [0.08, 1.16]， = 0.02），而在最大摄氧量（ [-0.21, 1.17]， = 0.17）或舒张压（ [-0.22, 0.84]， = 0.25）方面未观察到显著差异。在身体成分方面，BFR训练显著降低了体脂百分比（ = [0.01, 0.58]； = 0.04），而在体重（ [-0.14, 0.42]）、体重指数（ [-0.21, 0.38]）、腰围（ [-0.28, 0.53]）或腰臀比（ [-0.19, 1.15]）方面未观察到显著差异（ > 0.05）。亚组分析显示，BFR抗阻训练和BFR有氧训练在改善收缩压（ [-0.10, 1.24]与 = [-0.18, 1.59]）和体脂百分比（ [-0.20, 0.61]与 [-0.05, 0.95]）方面无显著差异。在所有选定研究中，总体偏倚风险被归类为“有些担忧”。BFR结局的证据确定性较低。
BFR训练在改善心脏代谢健康和身体成分方面显示出前景，表明它可能作为一种有益的个性化运动处方，用于改善超重和肥胖成年人的心血管疾病风险和减脂。
