Skip to main content

Table 1 Acute resistance exercise with BFR in older adults

From: Effects of blood flow restriction (BFR) with resistance exercise on musculoskeletal health in older adults: a narrative review

Article

Subject characteristics

Exercise protocol

BFR method

Side effects

Research outcomes

[92]

14♀, (45 ± 9.9 yo)

Hypertensive & sedentary

30% 1RM, bilateral knee extension

3 × 15 reps

45 sec rest between sets

80% of arterial pressure occlusion

Not mentioned

SBP up to 60 min post-exercise 13.2% ↓

HR ↔

DBP ↔

[28]

7♂, (70 ± 2 yo)

Healthy, nonclinical

Physically active but no structured training

20% 1RM, bilateral knee extension

30, 15,15, 15 reps

30 sec rest between sets

200 mmHg

Reported discomfort comparable to high-intensity resistance exercise.

No side effects reported up to 1-week post-exercise

Leg circumference 52% ↑

Blood markers

Blood lactate 175% ↑ 15 min post-exercise, back to baseline 60 min post-exercise.

Cortisol ~ 1100% ↑ post-exercise, back to baseline 3 hr. post-exercise

GH ~ 400% ↑ 15 min post-exercise, back to baseline 45 min post-exercise

IL-6 ↔

IGF-I ↔

D-dimer ↔

Blood glucose ↔

Intramuscular

Muscle protein synthesis ~ 50% ↑

mTOR Ser2448 ~ 30% ↑ 3 hr. post-exercise

S6K1 Thr389 ~ 300% ↑ 3 hr. post-exercise

S6 Ser235/235 ~ 1000% ↑ & 1800% ↑, 1 & 3 hr. post-exercise

S6 Ser 240/244 ~ 500% ↑ 3 hr. post-exercise

MnK1 Thr197/202 ~ 200% ↑ 1 hr. post-exercise

AKT Thr308 ~ 72% ↑ 3 hr. post-exercise

4E-BP1, eEF2, eIF2Bε ↔

REDD1 gene expression 41% ↓ 3 hr. post-exercise

REDD2 gene expression 42% ↓ 3 hr. post-exercise

REDD1 protein ↔

AMPKα Thr172 ↔

HSP70 ↔

FAK Tyr576/577 ↔

FOXO3a Ser253 ↔

[38]

7♂, (71.0 ± 6.5 yo)

Healthy, nonclinical

Performs regular aerobic exercise, but not resistance exercise

20% 1RM, unilateral knee extension

5 sets (30, 9, 6, 5, 4 reps)

30 sec rest between sets

~ 110 mmHg

Not mentioned

GH ~ 220% ↑ 30 min post-exercise

Vascular endothelial growth factor ~ 250% ↑ up to 2 hour post-exercise

IL-6 ~ 15% ↑ 1- & 2-hour post-exercise

Cortisol ↔

IGF-1 ↔

[42]

18♀, (67.0 ± 1.7 yo)

Hypertensive & sedentary

20% 1RM, bilateral knee extension

3 × 10 reps

1 min rest between sets

80% of arterial pressure occlusion

Not mentioned

During exercise

SBP ~ 60.0% ↑

DBP ~ 62.6% ↑

HR ~ 22.1% ↑

SVR ~ 66.5% ↑

SV ↔

CO ↔

Post-exercise

SBP ~ 2.2% ↓

DBP ~ 2.4% ↓

HR ~ 8.1% ↓

SVR ↔

SV ~ 30.7% ↓

CO ~ 27.9% ↓

Lactate ~ 28.6% ↑

[101]

12♀, (57 ± 7 yo)

Hypertensive & sedentary

20% 1RM, leg press

3 × 15 reps

30 sec rest between sets

100% of arterial pressure occlusion

Not mentioned

During exercise

SBP ~ 62.2% ↑

DBP ~ 69.6% ↑

HR ~ 58.3% ↑

CO ~ 20% ↑

SVR only in 2nd & 3rd set ~ 42.0% ↑

During rest intervals

SBP ~ 35.9% ↑

DBP ~ 15.1% ↑

HR ~ 14.5% ↑

CO ~ 17.8% ↓

SVR ~ 54.6% ↑

[43]

13♂, (70 ± 5 yo)

Healthy, nonclinical & sedentary

20% 1RM, leg press

30, 15, 15, 15 reps

1 min rest between sets

2 sec concentric,

2 sec eccentric

60% of arterial pressure occlusion

Not mentioned

Leg press trial

MAP & SBP ↑

Lactate ↑ *BFR and non-BFR trial performed on same day with 20–40 min rest between exercises.

  1. ↑Indicates significantly increased
  2. ↓Indicates significantly decreased
  3. ↔Indicates no significant difference
  4. 4E-BP1: 4E binding protein 1; AKT: protein kinase B; AMPKα: 5′ adenosine monophosphate-activated protein kinase; eEF2: Eukaryotic elongation factor 2; eIF2Bε: eukaryotic translation initiation factor 4E; ERK/MAPK: extra-cellular signal-regulated kinase; FAK: Focal adhesion kinase; FOXO3a: Forkhead box transcription factors; HSP70: Heat stress protein 70; IGF-I: insulin-like growth factor 1; IRS: insulin receptor substrate; MnK1: mitogen-activated protein kinase-interacting kinase 1; mTORC1/2: mammalian target of rapamycin complex 1/2; PI3K: phosphatidylinositol-3 kinase; PIP3: phosphatidylinositol-3,4,5-triphosphate; REDD1: regulated in development and DNA damage responses 1; Rheb: ras-homolog enriched in brain; rpS6: ribosomal protein S6 (S6); S6K1; ribosomal protein S6 kinase beta-1 (p70S6 kinase 1); TSC: tuberous sclerosis complex; CO: Cardiac output; DBP: diastolic blood pressure; GH: growth hormone; HR: heart rate; IL-6: interleukin-6; MAP: mean arterial pressure SBP: systolic blood pressure; SV: stroke volume; SVR: systemic vascular resistance