Physiological adaptations and myocellular stress in short-term, high-frequency blood flow restriction training: A scoping review
High frequency (1-2 times per day) low-intensity blood flow restriction (BFR) training has been recommended as a prescription approach for short durations of time to maximize relevant physiological adaptations. However, some studies demonstrate negative physiological changes after short periods of h...
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description | High frequency (1-2 times per day) low-intensity blood flow restriction (BFR) training has been recommended as a prescription approach for short durations of time to maximize relevant physiological adaptations. However, some studies demonstrate negative physiological changes after short periods of high-frequency BFR training, including prolonged strength decline and muscle fiber atrophy.
To provide a comprehensive overview of short-term, high-frequency blood flow restriction training, including main adaptations, myocellular stress, limitations in the literature, and future perspectives.
A systematic search of electronic databases (Scopus, PubMed®, and Web of Science) was performed from the earliest record to April 23, 2022. Two independent reviewers selected experimental studies that analyzed physical training protocols (aerobic or resistance) of high weekly frequency (>4 days/week) and short durations (≤3 weeks).
In total, 22 studies were included in this review. The samples were composed exclusively of young predominantly male individuals. Muscle strength and hypertrophy were the main outcomes analyzed in the studies. In general, studies have demonstrated increases in strength and muscle size after short term (1-3 weeks), high-frequency low-intensity BFR training, non-failure, but not after control conditions (non-BFR; equalized training volume). Under failure conditions, some studies have demonstrated strength decline and muscle fiber atrophy after BFR conditions, accompanying increases in muscle damage markers. Significant limitations exist in the current HF-BFR literature due to large heterogeneities in methodologies.
The synthesis presented indicates that short-term, high-frequency BFR training programs can generate significant neuromuscular adaptations. However, in resistance training to failure, strength declines and muscle fiber atrophy were reported. Currently, there are no studies analyzing low-frequency vs. high-frequency in short-term BFR training. Comparisons between resistance exercises of similar intensities (e.g., combined effort) are lacking, limiting conclusions on whether the effect is a product of proximity to failure or a specific effect of BFR. |
doi_str_mv | 10.1371/journal.pone.0279811 |
format | Article |
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To provide a comprehensive overview of short-term, high-frequency blood flow restriction training, including main adaptations, myocellular stress, limitations in the literature, and future perspectives.
A systematic search of electronic databases (Scopus, PubMed®, and Web of Science) was performed from the earliest record to April 23, 2022. Two independent reviewers selected experimental studies that analyzed physical training protocols (aerobic or resistance) of high weekly frequency (>4 days/week) and short durations (≤3 weeks).
In total, 22 studies were included in this review. The samples were composed exclusively of young predominantly male individuals. Muscle strength and hypertrophy were the main outcomes analyzed in the studies. In general, studies have demonstrated increases in strength and muscle size after short term (1-3 weeks), high-frequency low-intensity BFR training, non-failure, but not after control conditions (non-BFR; equalized training volume). Under failure conditions, some studies have demonstrated strength decline and muscle fiber atrophy after BFR conditions, accompanying increases in muscle damage markers. Significant limitations exist in the current HF-BFR literature due to large heterogeneities in methodologies.
The synthesis presented indicates that short-term, high-frequency BFR training programs can generate significant neuromuscular adaptations. However, in resistance training to failure, strength declines and muscle fiber atrophy were reported. Currently, there are no studies analyzing low-frequency vs. high-frequency in short-term BFR training. Comparisons between resistance exercises of similar intensities (e.g., combined effort) are lacking, limiting conclusions on whether the effect is a product of proximity to failure or a specific effect of BFR.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0279811</identifier><identifier>PMID: 36584157</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adaptation ; Adaptation, Physiological ; Adaptations ; Aerobics ; Analysis ; Atrophy ; Biology and Life Sciences ; Blood ; Blood flow ; Blood Flow Restriction Therapy ; Engineering and Technology ; Exercise ; Failure ; Female ; Frequency analysis ; Humans ; Hypertrophy ; Influence ; Intervention ; Male ; Medicine and Health Sciences ; Muscle strength ; Muscle Strength - physiology ; Muscle, Skeletal - physiology ; Physical fitness ; Physical training ; Physiological aspects ; Physiology ; Reading ; Regional Blood Flow - physiology ; Research and Analysis Methods ; Resistance training ; Resistance Training - methods ; Strength training ; Stress (Physiology) ; Weight training</subject><ispartof>PloS one, 2022-12, Vol.17 (12), p.e0279811-e0279811</ispartof><rights>Copyright: © 2022 de Queiros et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 de Queiros et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 de Queiros et al 2022 de Queiros et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-23db3df1dfb2add37629be5a5cc8bd7388e3e67dab880ac541a36537f91c21d93</citedby><cites>FETCH-LOGICAL-c692t-23db3df1dfb2add37629be5a5cc8bd7388e3e67dab880ac541a36537f91c21d93</cites><orcidid>0000-0003-4117-0295</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803189/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803189/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36584157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Queiros, Victor Sabino</creatorcontrib><creatorcontrib>Rolnick, Nicholas</creatorcontrib><creatorcontrib>de Alcântara Varela, Phelipe Wilde</creatorcontrib><creatorcontrib>Cabral, Breno Guilherme de Araújo Tinôco</creatorcontrib><creatorcontrib>Silva Dantas, Paulo Moreira</creatorcontrib><title>Physiological adaptations and myocellular stress in short-term, high-frequency blood flow restriction training: A scoping review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>High frequency (1-2 times per day) low-intensity blood flow restriction (BFR) training has been recommended as a prescription approach for short durations of time to maximize relevant physiological adaptations. However, some studies demonstrate negative physiological changes after short periods of high-frequency BFR training, including prolonged strength decline and muscle fiber atrophy.
To provide a comprehensive overview of short-term, high-frequency blood flow restriction training, including main adaptations, myocellular stress, limitations in the literature, and future perspectives.
A systematic search of electronic databases (Scopus, PubMed®, and Web of Science) was performed from the earliest record to April 23, 2022. Two independent reviewers selected experimental studies that analyzed physical training protocols (aerobic or resistance) of high weekly frequency (>4 days/week) and short durations (≤3 weeks).
In total, 22 studies were included in this review. The samples were composed exclusively of young predominantly male individuals. Muscle strength and hypertrophy were the main outcomes analyzed in the studies. In general, studies have demonstrated increases in strength and muscle size after short term (1-3 weeks), high-frequency low-intensity BFR training, non-failure, but not after control conditions (non-BFR; equalized training volume). Under failure conditions, some studies have demonstrated strength decline and muscle fiber atrophy after BFR conditions, accompanying increases in muscle damage markers. Significant limitations exist in the current HF-BFR literature due to large heterogeneities in methodologies.
The synthesis presented indicates that short-term, high-frequency BFR training programs can generate significant neuromuscular adaptations. However, in resistance training to failure, strength declines and muscle fiber atrophy were reported. Currently, there are no studies analyzing low-frequency vs. high-frequency in short-term BFR training. Comparisons between resistance exercises of similar intensities (e.g., combined effort) are lacking, limiting conclusions on whether the effect is a product of proximity to failure or a specific effect of BFR.</description><subject>Adaptation</subject><subject>Adaptation, Physiological</subject><subject>Adaptations</subject><subject>Aerobics</subject><subject>Analysis</subject><subject>Atrophy</subject><subject>Biology and Life Sciences</subject><subject>Blood</subject><subject>Blood flow</subject><subject>Blood Flow Restriction Therapy</subject><subject>Engineering and Technology</subject><subject>Exercise</subject><subject>Failure</subject><subject>Female</subject><subject>Frequency analysis</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Influence</subject><subject>Intervention</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Muscle strength</subject><subject>Muscle Strength - physiology</subject><subject>Muscle, Skeletal - physiology</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Physiological aspects</subject><subject>Physiology</subject><subject>Reading</subject><subject>Regional Blood Flow - physiology</subject><subject>Research and Analysis Methods</subject><subject>Resistance training</subject><subject>Resistance Training - methods</subject><subject>Strength training</subject><subject>Stress (Physiology)</subject><subject>Weight training</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11rFDEUhgdRbK3-A9GAIArOOpnMR-KFsBQ_FgoVv27DmSQzk5KZrEmmde_86Wa627IrvZBcJCTPeXPOm5wkeYqzBSY1fnthJzeCWaztqBZZXjOK8b3kGDOSp1Wekft766PkkfcXWVYSWlUPkyNSlbTAZX2c_PnSb7y2xnZagEEgYR0gaDt6BKNEw8YKZcxkwCEfnPIe6RH53rqQBuWGN6jXXZ-2Tv2a1Cg2qDHWStQae4UiHZwWsxgKDvSox-4dWiIv7Dou4_mlVlePkwctGK-e7OaT5MfHD99PP6dn559Wp8uzVFQsD2lOZENki2Xb5CAlqaucNaqEUgjayJpQqoiqagkNpRmIssAQiyR1y7DIsWTkJHm-1V0b6_nOPM_zumQVY6SoIrHaEtLCBV87PYDbcAuaX29Y13FwQQujeFO3wKBgSkBRkCoHTLGoC1LIpqEKiqj1fnfb1AxKCjVGB8yB6OHJqHve2UvOaEYwndN9tRNwNlrrAx-0n58CRmWnbd6spITN6It_0Lur21EdxAL02Np4r5hF-bImOCZfFnPeizuoOKQatIg_rdVx_yDg9UFAZIL6HTqYvOerb1__nz3_eci-3GN7BSb03prp-msegsUWFM5671R7azLO-NwoN27wuVH4rlFi2LP9B7oNuukM8hdiZxFa</recordid><startdate>20221230</startdate><enddate>20221230</enddate><creator>de Queiros, Victor Sabino</creator><creator>Rolnick, Nicholas</creator><creator>de Alcântara Varela, Phelipe Wilde</creator><creator>Cabral, Breno Guilherme de Araújo Tinôco</creator><creator>Silva Dantas, Paulo Moreira</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-4117-0295</orcidid></search><sort><creationdate>20221230</creationdate><title>Physiological adaptations and myocellular stress in short-term, high-frequency blood flow restriction training: A scoping review</title><author>de Queiros, Victor Sabino ; Rolnick, Nicholas ; de Alcântara Varela, Phelipe Wilde ; Cabral, Breno Guilherme de Araújo Tinôco ; Silva Dantas, Paulo Moreira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-23db3df1dfb2add37629be5a5cc8bd7388e3e67dab880ac541a36537f91c21d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adaptation</topic><topic>Adaptation, Physiological</topic><topic>Adaptations</topic><topic>Aerobics</topic><topic>Analysis</topic><topic>Atrophy</topic><topic>Biology and Life Sciences</topic><topic>Blood</topic><topic>Blood flow</topic><topic>Blood Flow Restriction Therapy</topic><topic>Engineering and Technology</topic><topic>Exercise</topic><topic>Failure</topic><topic>Female</topic><topic>Frequency analysis</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Influence</topic><topic>Intervention</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Muscle strength</topic><topic>Muscle Strength - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Queiros, Victor Sabino</au><au>Rolnick, Nicholas</au><au>de Alcântara Varela, Phelipe Wilde</au><au>Cabral, Breno Guilherme de Araújo Tinôco</au><au>Silva Dantas, Paulo Moreira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physiological adaptations and myocellular stress in short-term, high-frequency blood flow restriction training: A scoping review</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-12-30</date><risdate>2022</risdate><volume>17</volume><issue>12</issue><spage>e0279811</spage><epage>e0279811</epage><pages>e0279811-e0279811</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>High frequency (1-2 times per day) low-intensity blood flow restriction (BFR) training has been recommended as a prescription approach for short durations of time to maximize relevant physiological adaptations. However, some studies demonstrate negative physiological changes after short periods of high-frequency BFR training, including prolonged strength decline and muscle fiber atrophy.
To provide a comprehensive overview of short-term, high-frequency blood flow restriction training, including main adaptations, myocellular stress, limitations in the literature, and future perspectives.
A systematic search of electronic databases (Scopus, PubMed®, and Web of Science) was performed from the earliest record to April 23, 2022. Two independent reviewers selected experimental studies that analyzed physical training protocols (aerobic or resistance) of high weekly frequency (>4 days/week) and short durations (≤3 weeks).
In total, 22 studies were included in this review. The samples were composed exclusively of young predominantly male individuals. Muscle strength and hypertrophy were the main outcomes analyzed in the studies. In general, studies have demonstrated increases in strength and muscle size after short term (1-3 weeks), high-frequency low-intensity BFR training, non-failure, but not after control conditions (non-BFR; equalized training volume). Under failure conditions, some studies have demonstrated strength decline and muscle fiber atrophy after BFR conditions, accompanying increases in muscle damage markers. Significant limitations exist in the current HF-BFR literature due to large heterogeneities in methodologies.
The synthesis presented indicates that short-term, high-frequency BFR training programs can generate significant neuromuscular adaptations. However, in resistance training to failure, strength declines and muscle fiber atrophy were reported. Currently, there are no studies analyzing low-frequency vs. high-frequency in short-term BFR training. Comparisons between resistance exercises of similar intensities (e.g., combined effort) are lacking, limiting conclusions on whether the effect is a product of proximity to failure or a specific effect of BFR.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36584157</pmid><doi>10.1371/journal.pone.0279811</doi><tpages>e0279811</tpages><orcidid>https://orcid.org/0000-0003-4117-0295</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation Adaptation, Physiological Adaptations Aerobics Analysis Atrophy Biology and Life Sciences Blood Blood flow Blood Flow Restriction Therapy Engineering and Technology Exercise Failure Female Frequency analysis Humans Hypertrophy Influence Intervention Male Medicine and Health Sciences Muscle strength Muscle Strength - physiology Muscle, Skeletal - physiology Physical fitness Physical training Physiological aspects Physiology Reading Regional Blood Flow - physiology Research and Analysis Methods Resistance training Resistance Training - methods Strength training Stress (Physiology) Weight training |
title | Physiological adaptations and myocellular stress in short-term, high-frequency blood flow restriction training: A scoping review |
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