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January 1, 2021International journal of exercise scienceOpen Access

Does Resistance Training with Blood Flow Restriction Affect Blood Pressure and Cardiac Autonomic Modulation in Older Adults?

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Key result

Low-intensity resistance training with blood flow restriction reduced resting systolic blood pressure (Δ = -7.9 mmHg; p=0.002) in older adults, while autonomic modulation remained unchanged.

Why the study?

Training-related effects of resistance training with blood flow restriction on blood pressure and cardiac autonomic modulation in the elderly remain unclear.

Does low-intensity resistance training with blood flow restriction reduce resting blood pressure and alter cardiac autonomic modulation in physically inactive older adults?

Comparison

Low-intensity RT with BFR vs high-intensity RT without BFR vs low-intensity RT without BFR

Design

Three-group comparative intervention study

Follow-up

12 weeks

Authors

KLKarynne Grutter LopesUniversidade do Estado do Rio de JaneiroPFPaulo FarinattiPreventive CardiologyDBDaniel BottinoPrivatklinik Meiringen

Discussion

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Member takes

Overview

May support BFR-augmented training for BP reduction in older adults; leaves open confirmation in larger randomized trials.

Study Design

Type

RCT (n=32)

Structured PICO

Does low-intensity resistance training with blood flow restriction reduce resting blood pressure and alter cardiac autonomic modulation in physically inactive older adults?

P
Population
32 physically inactive older adults (mean age 72 years) assigned to 12 weeks of resistance training with or without blood flow restriction.
I
Intervention
Low-intensity resistance training (30% of 1 repetition maximum) with soft blood flow restriction (50% of arterial occlusion pressure) for upper and lower limbs, 50-min sessions, 3 times/week for 12 weeks
C
Comparator
High-intensity resistance training (70% of 1RM without BFR) and low-intensity resistance training (30% of 1RM without BFR)
O
Outcome
Resting blood pressure (systolic, diastolic, mean arterial pressure) and heart rate variability (HRV) indices at rest in the supine position before and after 12-week interventionsurrogate

Main Result

Standardized Mean Difference: 0.62

p-value: p=0.002

A 12-week program of low-intensity resistance training with blood flow restriction substantially reduces resting blood pressure in older adults compared to traditional resistance training, without altering cardiac autonomic modulation.

Cite This Study

Lopes et al. (2021) conducted an RCT in Physical inactivity in older adults (n=32). Low-intensity resistance training with soft blood flow restriction (BFR) vs. High-intensity (70% 1RM) and low-intensity (30% 1RM) resistance training without BFR was evaluated on Systolic blood pressure (effect size = 0.62, p=0.002). Low-intensity resistance training with blood flow restriction reduced resting systolic blood pressure (Δ = -7.9 mmHg; p=0.002) in older adults, while autonomic modulation remained unchanged.

synapsesocial.com/papers/6a930a3295d05f7cc27f54c8https://doi.org/10.70252/oxxf4710
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exercise with blood flow restriction improves muscle strength and mass while preserving the vascular and microvascular function and structure of older adults2022 · 18 citations
  2. 2Acute Effects of Resistance Exercise With Blood Flow Restriction in Elderly Women: A Pilot Study2020 · 12 citations
  3. 3Muscle size and arterial stiffness after blood flow‐restricted low‐intensity resistance training in older adults2013 · 143 citations
  4. 4The effect of acute blood-flow-restricted resistance exercise on postexercise blood pressure2011 · 56 citations
  5. 5Cardiovascular Responses to a Full Resistance Training Session Performed with and Without Blood Flow Restriction2025