Background Low-intensity resistance training(LI-RT)combined with blood flow restriction(BFR)is an alternative to traditional moderate-high-intensity resistance training to increase strength and muscle mass.However,the...Background Low-intensity resistance training(LI-RT)combined with blood flow restriction(BFR)is an alternative to traditional moderate-high-intensity resistance training to increase strength and muscle mass.However,the evidence about the efficacy of this novel training method to increase strength and muscle mass in healthy and older adults with patholo-gies is limited.Furthermore,the possible risk and adverse effects with BFR training methodology in older adults should be considered.Objectives(1)To summarize the current evidence on training with BFR strategies in older adults aiming to improve strength and to increase muscle mass;and(2)to provide recommendations for resistance and aerobic training with BFR in older adults based on the studies reviewed.Methods Studies that investigated the chronic responses to resistance training or aerobic training with BFR related to strength and muscle mass changes in older adults were identified.Two independent researchers conducted the search in PubMed,Web of Science,and Google Scholar databases from their inception up to November 1,2018.Results Seventeen out of 35 studies,which performed resistance or aerobic training with BFR in older adults focused on strength and muscle mass outcomes,were included in this review.Studies performing resistance and aerobic train-ing with BFR found better improvements in strength and higher increase in muscle mass compared to non-BFR groups that performed the same training protocol.High-intensity resistance training(HI-RT)without BFR provided greater improvements in strength and a similar increase in muscle mass compared to light-intensity resistance training(LI-RT)with BFR.Conclusions Current evidence suggests that LI-RT and/or aerobic training with BFR improves strength and increases muscle mass in older people.Light-intensity training without BFR would normally not obtain such benefits.Therefore,LI-RT and aerobic training with BFR is an alternative to traditional methods to improve strength and by way of an increase in muscle mass,which are important in the elderly who have progressive muscle atrophy and are at higher risk of falls.展开更多
基金supported by a grant from the Spanish Ministry of Economy,Industry and Competitiveness(BES-2014-068829)supported by the Spanish Min istry of Education,Culture and Sport(FPU 16/02760,FPU15/02645,and FPU14/06837,respectively)+7 种基金supported by a grant from the Spanish Ministry of Science,Innovation and Universities(RYC-2011-09011)supported by a grant from the Alicia Kop lowitz Foundationsupported by the National Operational Programme on Youth EmploymentAdditional support was obtained from the Scientific Excellence Unit on Exercise and Health(UCEES)EXERNET Research Network on Exercise and Health in Spe-cial Populations(DEP2005-00046/ACTI)funded by the University of Granada,Research and Knowledge Transfer Fund 2016,Excellence actions:Scientific Units of Excel-lenceUnit of Excellence on Exercise and Health(UCEES)by the Andalusian Regional Government,Consejeria de Conocimiento,Investigacion y Universidades and European Regional Development Fund(ERDF),ref.SOMM17/6107/UGR.
文摘Background Low-intensity resistance training(LI-RT)combined with blood flow restriction(BFR)is an alternative to traditional moderate-high-intensity resistance training to increase strength and muscle mass.However,the evidence about the efficacy of this novel training method to increase strength and muscle mass in healthy and older adults with patholo-gies is limited.Furthermore,the possible risk and adverse effects with BFR training methodology in older adults should be considered.Objectives(1)To summarize the current evidence on training with BFR strategies in older adults aiming to improve strength and to increase muscle mass;and(2)to provide recommendations for resistance and aerobic training with BFR in older adults based on the studies reviewed.Methods Studies that investigated the chronic responses to resistance training or aerobic training with BFR related to strength and muscle mass changes in older adults were identified.Two independent researchers conducted the search in PubMed,Web of Science,and Google Scholar databases from their inception up to November 1,2018.Results Seventeen out of 35 studies,which performed resistance or aerobic training with BFR in older adults focused on strength and muscle mass outcomes,were included in this review.Studies performing resistance and aerobic train-ing with BFR found better improvements in strength and higher increase in muscle mass compared to non-BFR groups that performed the same training protocol.High-intensity resistance training(HI-RT)without BFR provided greater improvements in strength and a similar increase in muscle mass compared to light-intensity resistance training(LI-RT)with BFR.Conclusions Current evidence suggests that LI-RT and/or aerobic training with BFR improves strength and increases muscle mass in older people.Light-intensity training without BFR would normally not obtain such benefits.Therefore,LI-RT and aerobic training with BFR is an alternative to traditional methods to improve strength and by way of an increase in muscle mass,which are important in the elderly who have progressive muscle atrophy and are at higher risk of falls.
