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Effects of Blood Flow Restriction Combined with Low-Intensity Resistance Training on Lower-Limb Muscle Strength and Mass in Post-Middle-Aged Adults: A Systematic Review and Meta-Analysis

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  • Hualong Chang

    (College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua 321004, China)

  • Mengxing Yao

    (College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua 321004, China)

  • Biao Chen

    (College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua 321004, China)

  • Yongle Qi

    (College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua 321004, China)

  • Jianli Zhang

    (Institute of Human Movement and Sports Engineering, Zhejiang Normal University, Jinhua 321004, China)

Abstract

We studied the effect of blood flow restriction (BFR) combined with low-intensity resistance training (LIRT) on lower-limb muscle strength and mass in post-middle-aged adults. The PubMed, OVID, ProQuest, Cochrane Library, EMBASE, Web of Science, and Scopus databases were used to obtain randomized controlled trials, and the effects of BFR and LIRT (BFRt) on muscle strength and mass in adults were examined. The Cochrane risk of bias tool assessed bias in the included trials. The combined effects of BFR and LIRT (BFRt) were calculated by meta-analysis, the association between muscle strength/mass and interventions was determined by meta-regression, and beneficial variables of intervention were explored by subgroup analysis. A total of 11 articles were included in the meta-analysis. The combined effects showed that BFRt significantly improved lower extremity muscle strength but not muscle mass gain. Meta-regression analysis indicated that the effect of BFRt on changes in muscle strength was correlated with frequency of the intervention. Subgroup analysis revealed that BFRt achieved greater muscle strength gains than normal activity, LIRT, and similar muscle strength gains compared to high-intensity resistance training. The increased muscle strength after BFRt was noticed with a frequency of three times a week, but not with a frequency of two times a week, and the difference between these subgroups was statistically significant. Our findings indicate that BFRt can increase lower-limb muscle strength in post-middle-aged adults. Frequency of intervention is a key variable; particularly, a schedule of three times a week is effective in improving muscle strength.

Suggested Citation

  • Hualong Chang & Mengxing Yao & Biao Chen & Yongle Qi & Jianli Zhang, 2022. "Effects of Blood Flow Restriction Combined with Low-Intensity Resistance Training on Lower-Limb Muscle Strength and Mass in Post-Middle-Aged Adults: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15691-:d:984190
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    1. Darío Rodrigo-Mallorca & Andrés Felipe Loaiza-Betancur & Pablo Monteagudo & Cristina Blasco-Lafarga & Iván Chulvi-Medrano, 2021. "Resistance Training with Blood Flow Restriction Compared to Traditional Resistance Training on Strength and Muscle Mass in Non-Active Older Adults: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(21), pages 1-20, October.
    2. Linda Partridge & Joris Deelen & P. Eline Slagboom, 2018. "Facing up to the global challenges of ageing," Nature, Nature, vol. 561(7721), pages 45-56, September.
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