Lower limb blood flow occlusion increases systemic pressor response without increasing brachial arterial blood flow redistribution in women

Abby R Fleming; Hayley V MacDonald; Samuel L Buckner; Lee J Winchester

doi:10.1111/cpf.12873

Lower limb blood flow occlusion increases systemic pressor response without increasing brachial arterial blood flow redistribution in women

Clin Physiol Funct Imaging. 2024 Feb 24. doi: 10.1111/cpf.12873. Online ahead of print.

Authors

Abby R Fleming¹, Hayley V MacDonald¹, Samuel L Buckner², Lee J Winchester¹

Affiliations

¹ Department of Kinesiology, University of Alabama, Tuscaloosa, Alabama, USA.
² Department of Educational and Psychological Studies, College of Education, University of South Florida, Tampa, Florida, USA.

PMID: 38402408
DOI: 10.1111/cpf.12873

Abstract

This study was conducted to investigate the systemic hemodynamic and vascular changes in women during and after two commonly used clinical blood flow restriction (BFR) pressures at rest. There are minimal data regarding the independent effects of BFR on hemodynamic and systemic vascular changes due to pressor response, particularly among women. Therefore, this study investigated BFR-induced alterations in pressor response and systemic flow redistribution at rest during two commonly used pressures (50% and 80% limb occlusion pressure [LOP]). Fifteen women (22.1 ± 4.2 years) completed two randomised sessions involving 8-min of bilateral, lower limb restriction at 50% or 80% LOP followed by 8-min of recovery post-deflation. Changes in vascular (arterial diameter [DIA], time-averaged mean velocity [TAMV], volume flow [VF], and area) and hemodynamic (heart rate [HR] and blood pressure) measures over time (pre-, during, post-occlusion) and by session (50% vs. 80% LOP) were tested using repeated measures analysis of variance. Repeated measures correlations (r_rm ) quantified common intraindividual associations between BFR-induced hemodynamic and vascular responses. HR increased from baseline during 50% LOP and remained elevated during recovery (p < 0.05). HR increased from baseline during 80% LOP, while tibial VF and TAMV decreased (p < 0.03 for all). HR and TAMV values returned to baseline during recovery, while brachial artery VF decreased (p < 0.05). Changes in HR, brachial VF, and brachial TAMV were similar between 50% and 80% LOP (r_rm = 0.32-0.70, p < 0.05 for all). At 80% LOP, changes in HR were positively correlated with brachial VF (r_rm = 0.38) and TAMV (r_rm = 0.43) and negatively correlated with tibial VF (r_rm = -0.36) and TAMV (r_rm = -0.30) (p < 0.05 for all). Results suggest that BFR at 80% LOP elicits an acute systemic pressor reflex without concomitant increases in brachial arterial flow, while 50% LOP elicits a subdued response.

Keywords: BFR; blood flow restriction; hemodynamics; resting BFR; volume flow.