Does a resistance exercise session with continuous or intermittent blood flow restriction promote muscle damage and increase oxidative stress?

J Sports Sci. 2018 Jan;36(1):104-110. doi: 10.1080/02640414.2017.1283430. Epub 2017 Jan 31.

Abstract

The aim of this study was to compare the effect of low-load resistance exercise (LLRE) with continuous and intermittent blood flow restriction (BFR) on the creatine kinase (CK), lactate dehydrogenase (LDH), protein carbonyl (PC), thiobarbituric acid-reactive substance (TBARS) and uric acid (UA) levels in military men. The study included 10 recreationally trained men aged 19 ± 0.82 years who underwent the following experimental protocols in random order on separate days (72-96 h): 4 LLRE sessions at a 20% 1RM (one-repetition maximum [1RM]) with continuous BFR (LLRE + CBFR); 4 LLRE sessions at 20% 1RM with intermittent BFR (LLRE + IBFR) and 4 high-intensity resistance exercise (HIRE) sessions at 80% 1RM. The CK and LDH (markers of muscle damage) levels were measured before exercise (BE), 24 h post-exercise and 48 h post-exercise, and the PC, TBARS and UA (markers of oxidative stress) levels were measured BE and immediately after each exercise session. There was a significant increase in CK in the HIRE 24 post-exercise samples compared with the LLRE + CBFR and LLRE + IBFR (P = 0.035, P = 0.036, respectively), as well as between HIRE 48 post-exercise and LLRE + CBFR (P = 0.049). Additionally, there was a significant increase in CK in the LLRE + CBFR samples BE and immediately after each exercise (Δ = 21.9%) and in the HIRE samples BE and immediately after each exercise, BE and 24 post-exercise, and BE and 48 post-exercise (Δ values of 35%, 177.6%, and 177.6%, respectively). However, there were no significant changes in LDH, PC, TBARS, and UA between the protocols (P > 0.05). Therefore, a physical exercise session with continuous or intermittent BFR did not promote muscle damage; moreover, neither protocol seemed to affect the oxidative stress markers.

Keywords: Vascular occlusion; cellular data; kaatsu; resistance training.

MeSH terms

  • Biomarkers / blood
  • Creatine Kinase / blood
  • Humans
  • L-Lactate Dehydrogenase / blood
  • Male
  • Military Personnel
  • Muscle Strength / physiology
  • Muscle, Skeletal / blood supply*
  • Muscle, Skeletal / injuries*
  • Muscle, Skeletal / physiology
  • Oxidative Stress / physiology*
  • Protein Carbonylation
  • Regional Blood Flow / physiology*
  • Resistance Training / methods*
  • Thiobarbituric Acid Reactive Substances / metabolism
  • Uric Acid / blood
  • Young Adult

Substances

  • Biomarkers
  • Thiobarbituric Acid Reactive Substances
  • Uric Acid
  • L-Lactate Dehydrogenase
  • Creatine Kinase