Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?

BackgroundBlood flow restriction (BFR) training at lower exercise intensities has a range of applications, allowing subjects to achieve strength and hypertrophy gains matching those training at high intensity. However, there is no clear consensus on the percentage of limb occlusion pressure [%LOP, e...

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Main Authors: Arpan Das, Bruce Paton
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.838115/full
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author Arpan Das
Bruce Paton
author_facet Arpan Das
Bruce Paton
author_sort Arpan Das
collection DOAJ
description BackgroundBlood flow restriction (BFR) training at lower exercise intensities has a range of applications, allowing subjects to achieve strength and hypertrophy gains matching those training at high intensity. However, there is no clear consensus on the percentage of limb occlusion pressure [%LOP, expressed as a % of the pressure required to occlude systolic blood pressure (SBP)] and percentage of one repetition max weight (%1RM) required to achieve these results. This review aims to explore what the optimal and minimal combination of LOP and 1RM is for significant results using BFR.MethodA literature search using PubMed, Scopus, Wiley Online, Springer Link, and relevant citations from review papers was performed, and articles assessed for suitability. Original studies using BFR with a resistance training exercise intervention, who chose a set %LOP and %1RM and compared to a non-BFR control were included in this review.ResultTwenty-one studies met the inclusion criteria. %LOP ranged from 40 to 150%. %1RM used ranged from 15 to 80%. Training at 1RM ≤20%, or ≥ 80% did not produce significant strength results compared to controls. Applying %LOP of ≤50% and ≥ 80% did not produce significant strength improvement compared to controls. This may be due to a mechanism mediated by lactate accumulation, which is facilitated by increased training volume and a moderate exercise intensity.ConclusionTraining at a minimum of 30 %1RM with BFR is required for strength gains matching non-BFR high intensity training. Moderate intensity training (40–60%1RM) with BFR may produce results exceeding non-BFR high intensity however the literature is sparse. A %LOP of 50–80% is optimal for BFR training.
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spelling doaj.art-3daa798eeb284d13b69adca9d10adf142022-12-21T23:28:56ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-04-011310.3389/fphys.2022.838115838115Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?Arpan DasBruce PatonBackgroundBlood flow restriction (BFR) training at lower exercise intensities has a range of applications, allowing subjects to achieve strength and hypertrophy gains matching those training at high intensity. However, there is no clear consensus on the percentage of limb occlusion pressure [%LOP, expressed as a % of the pressure required to occlude systolic blood pressure (SBP)] and percentage of one repetition max weight (%1RM) required to achieve these results. This review aims to explore what the optimal and minimal combination of LOP and 1RM is for significant results using BFR.MethodA literature search using PubMed, Scopus, Wiley Online, Springer Link, and relevant citations from review papers was performed, and articles assessed for suitability. Original studies using BFR with a resistance training exercise intervention, who chose a set %LOP and %1RM and compared to a non-BFR control were included in this review.ResultTwenty-one studies met the inclusion criteria. %LOP ranged from 40 to 150%. %1RM used ranged from 15 to 80%. Training at 1RM ≤20%, or ≥ 80% did not produce significant strength results compared to controls. Applying %LOP of ≤50% and ≥ 80% did not produce significant strength improvement compared to controls. This may be due to a mechanism mediated by lactate accumulation, which is facilitated by increased training volume and a moderate exercise intensity.ConclusionTraining at a minimum of 30 %1RM with BFR is required for strength gains matching non-BFR high intensity training. Moderate intensity training (40–60%1RM) with BFR may produce results exceeding non-BFR high intensity however the literature is sparse. A %LOP of 50–80% is optimal for BFR training.https://www.frontiersin.org/articles/10.3389/fphys.2022.838115/fullBFRstrength trainingbloodflow restriction trainingrehabilitationkaatsu1RM
spellingShingle Arpan Das
Bruce Paton
Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?
Frontiers in Physiology
BFR
strength training
bloodflow restriction training
rehabilitation
kaatsu
1RM
title Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?
title_full Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?
title_fullStr Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?
title_full_unstemmed Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?
title_short Is There a Minimum Effective Dose for Vascular Occlusion During Blood Flow Restriction Training?
title_sort is there a minimum effective dose for vascular occlusion during blood flow restriction training
topic BFR
strength training
bloodflow restriction training
rehabilitation
kaatsu
1RM
url https://www.frontiersin.org/articles/10.3389/fphys.2022.838115/full
work_keys_str_mv AT arpandas isthereaminimumeffectivedoseforvascularocclusionduringbloodflowrestrictiontraining
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