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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCRISTINA-OLIVEIRA, Michelle
dc.contributor.authorMEIRELES, Kamila
dc.contributor.authorSPRANGER, Marty D.
dc.contributor.authorO'LEARY, Donal S.
dc.contributor.authorROSCHEL, Hamilton
dc.contributor.authorPECANHA, Tiago
dc.description.abstractBlood flow restriction training (BFRT) is an increasingly widespread method of exercise that involves imposed restriction of blood flow to the exercising muscle. Blood flow restriction is achieved by inflating a pneumatic pressure cuff (or a tourniquet) positioned proximal to the exercising muscle before, and during, the bout of exercise (i.e., ischemic exercise). Low-intensity BFRT with resistance training promotes comparable increases in muscle mass and strength observed during high-intensity exercise without blood flow restriction. BFRT has expanded into the clinical research setting as a potential therapeutic approach to treat functionally impaired individuals, such as the elderly, and patients with orthopedic and cardiovascular disease/conditions. However, questions regarding the safety of BFRT must be fully examined and addressed before the implementation of this exercise methodology in the clinical setting. In this respect, there is a general concern that BFRT may generate abnormal reflex-mediated cardiovascular responses. Indeed, the muscle metaboreflex is an ischemia-induced, sympathoexcitatory pressor reflex originating in skeletal muscle, and the present review synthesizes evidence that BFRT may elicit abnormal cardiovascular responses resulting from increased metaboreflex activation. Importantly, abnormal cardiovascular responses are more clearly evidenced in populations with increased cardiovascular risk (e.g., elderly and individuals with cardiovascular disease). The evidence provided in the present review draws into question the cardiovascular safety of BFRT, which clearly needs to be further investigated in future studies. This information will be paramount for the consideration of BFRT exercise implementation in clinical populations.eng
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao PauloFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [FAPESP 2016/23319-0]
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e TecnologicoNational Council for Scientific and Technological Development (CNPq) [CNPq 406196/2018-4]
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior Grant CAPES-PROEX [001]
dc.relation.ispartofAmerican Journal of Physiology-Heart and Circulatory Physiology
dc.subjectautonomic nervous systemeng
dc.subjectblood flow restriction trainingeng
dc.subjectexercise pressor reflexeng
dc.subjectcardiac rehabilitationeng
dc.subjectKaatsu trainingeng
dc.subjectsympathetic nervous systemeng
dc.subject.otherheart-rate recoveryeng
dc.subject.othersympathetic-nerve activityeng
dc.subject.otherintensity resistance exerciseeng
dc.subject.othergroup-iv afferentseng
dc.subject.otherarterial baroreflexeng
dc.subject.otherinduced increaseseng
dc.subject.otherpressor reflexeng
dc.subject.otherstatic exerciseeng
dc.titleClinical safety of blood flow-restricted training? A comprehensive review of altered muscle metaboreflex in cardiovascular disease during ischemic exerciseeng
dc.rights.holderCopyright AMER PHYSIOLOGICAL SOCeng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.subject.wosPeripheral Vascular Diseaseeng
dc.type.versionpublishedVersioneng, Kamila:Univ Sao Paulo, Div Rheumatol, Appl Physiol & Nutr Res Grp, Sch Phys Educ & Sport,Fac Med, Sao Paulo, Brazil, Marty D.:Michigan State Univ, Dept Physiol, E Lansing, MI 48824 USA'LEARY, Donal S.:Wayne State Univ, Sch Med, Dept Physiol, Detroit, MI 48201 USA
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