Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Low Intensity Combined Exercise Training with Blood Flow Restriction on Body Composition and Cardiovascular Responses in Elderly Females

저강도 혈류제한 복합운동이 여성노인들의 신체조성과 심혈관 요인들에 미치는 영향

  • Kim, Daeyeol (Department of Physical Education, Chonnam National University) ;
  • Kuk, Doohong (Division of Liberal Arts and Science Mokpo National Maritime University) ;
  • Park, Hyeok (Department of Physical Education, Chonnam National University)
  • 김대열 (전남대학교 체육교육과) ;
  • 국두홍 (목포해양대학교 교양과정부) ;
  • 박혁 (전남대학교 체육교육과)
  • Received : 2018.11.20
  • Accepted : 2019.01.04
  • Published : 2019.01.31
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Abstract

This study was conducted to investigate effects of 12 weeks of combined exercise training with blood flow restriction (BFR) on body composition (weight, %body fat, lean body mass, body mass index (BMI)) and cardiovascular responses (brachial-ankle pulse wave velocity (ba PWV) and ankle-brachial index (ABI)) in elderly women. Participants (N = 43, Females) were randomly assigned into a combined exercise with BFR (n = 14, BFR), only combined exercise (n =14, EX) or non-exercise control group (n = 15, CON). Two-way repeated measures ANOVA with contrast testing was utilized for data analysis. Alpha was set at p < 0.05. Body composition (weight, %body fat, BMI) in BFR was significantly changed, and %body fat in EX was significantly decreased, but there was no change in the CON. In addition, the right and left ba PWV values in the BFR were significantly decreased, while only the left side ba PWV in EX was significantly decreased and there was no change in the CON. Moreover, the % change and effect size of most variables in the BFR were higher than the EX. Taken together, the results indicate that even though BFR and EX groups performed the same combined exercise training, BFR had additional stimulations of the sympathetic nerve system due to blood flow restriction. Thus, BFR training is more beneficial and has greater effects on body composition and cardiovascular responses in elderly females.

이 연구는 12주간 여성노인 실험참가자들의 혈류제한 복합운동 프로그램 참가 여부가 신체조성(몸무게, 체지방률, 근육량, 신체질량지수)와 심혈관인자(맥파속도와 혈관협착도)에 어떠한 영향을 미치는가에 대하여 연구 하고자 총 43명의 실험참가자가 혈류제한 복합운동(14명), 일반복합운동(14명)과 통제집단(15명)으로 무선할당 배분되어 본 연구를 참여하였다. 본 연구는 반복측정분산분석(Repeated Measure ANOVA)과 대비검증(contrast)을 이용하여 통계를 분석하였고, 모든 자료의 유의수준은 ${\alpha}=0.5$로 설정하였다. 연구결과 혈류제한 복합운동 집단의 신체조성(몸무게, 체지방률, BMI)에 통계적으로 유의한 변화가 나타났고, 일반복합운동 집단의 체지방률만 통계적으로 유의하게 감소하였다. 그리고 혈류제한 복합운동 집단의 오른쪽과 왼쪽의 맥파속도가 통계적으로 유의하게 감소하였고, 일반 복합운동 집단의 왼쪽 맥파속도만 통계적으로 유의하게 감소되었다. 또한 혈류제한 복합운동 집단의 사전과 사후 변화량($%{\Delta}$)과 효과크기(effect size)가 높이나왔다. 이는 동일한 운동(복합운동)을 수행하였지만 혈류제한 방법을 추가한 집단이 더욱 교감신경이 활성화된 운동을 실시하게 되어 여성노인들에게 신체조성과 심혈관 요인에 일반 복합운동 보다 더욱 긍정적인 영향을 미쳤음을 나타내고 있다.

Keywords

Table 1. Subject Characteristics

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Table 2. Combined Exercise Training Program

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Table. 3 Resting Heart Rate and Maximal Heart Rate in Each Week

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Table. 4 Body Composition in Each Group

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Table. 5 Cardiovascular Responses in Each Group

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References

  1. A. S. Khan, D. C. Sane, T. Wannenburg, W. E. Sonntag, Growth hormone, insulin-like growth factor-1 and the aging cardiovascular system. Cardiovascular research, Vol. 54, no. 1, pp. 25-35, 2002. https://doi.org/10.1016/S0008-6363(01)00533-8
  2. K. J. Stewart, A. C. Bacher, K. L. Turner, J. L. Fleg, P. S. Hees, E. P. Shapiro, M. Tayback, P. Ouyang, Effect of exercise on blood pressure in older persons: a randomized controlled trial. Archives of internal medicine, Vol. 165, no. 7, pp. 756-762, 2005. DOI: https://dx.doi.org/10.1001/archinte.165.7.756
  3. J. R. Sattelmair, J. H. Pertman, D. E. Forman, Effects of physical activity on cardiovascular and noncardiovascular outcomes in older adults. Clinics in geriatric medicine, Vol. 25, no. 4, pp. 677-702, 2009. DOI: https://dx.doi.org/10.1016/j.cger.2009.07.004
  4. J. Steppan, V. Barodka, D. E. Berkowitz, D. Nyhan, Vascular stiffness and increased pulse pressure in the aging cardiovascular system. Cardiology research and practice, 2011. DOI: https://dx.doi.org/10.4061/2011/263585
  5. H. Y. Lee, B. H. Oh, Aging and arterial stiffness. Circulation Journal, Vol. 74, no. 11, pp. 2257-2262, 2010. https://doi.org/10.1253/circj.CJ-10-0910
  6. N. Takeshima, M. E. Rogers, M. M. Islam, T. Yamauchi, E. Watanabe, A. Okada, Effect of concurrent aerobic and resistance circuit exercise training on fitness in older adults. European journal of applied physiology, Vol. 93, no. 1-2 pp. 173-182, 2004. DOI: https://dx.doi.org/10.1007/s00421-004-1193-3
  7. A. Figueroa, S. Y. Park, D. Y. Seo, M. A. Sanchez-Gonzalez, Y. H. Baek, Combined resistance and endurance exercise training improves arterial stiffness, blood pressure, and muscle strength in postmenopausal women. Menopause, Vol. 18, no. 9, pp. 980-984, 2011. DOI: https://dx.doi.org/10.1097/gme.0b013e3182135442
  8. Y. Sato, The history and future of KAATSU Training. International Journal of KAATSU Training Research, Vol. 1, no. 1, pp. 1 - 5, 2005. https://doi.org/10.3806/ijktr.1.1
  9. K. Kumagai, K. Kurobe, H. Zhong, J. P. Loenneke, R. S. Thiebaud, F. Ogita, T. Abe, Cardiovascular drift during low intensity exercise with leg blood flow restriction. Acta physiologica Hungarica, Vol. 99, no. 4, pp. 392-399, 2012. DOI: https://dx.doi.org/10.1556/APhysiol.99.2012.4.3
  10. W. J. Kraemer, N. A. Ratamess, Fundamentals of resistance training: progression and exercise prescription. Medicine and science in sports and exercise, Vol. 36, no. 4, pp. 674-688, 2004. https://doi.org/10.1249/01.MSS.0000121945.36635.61
  11. T M. Manini, B. C. Clark, Blood flow restricted exercise and skeletal muscle health. Exercise and sport sciences reviews, Vol. 37, no. 2, pp. 78-85, 2009. DOI: https://dx.doi.org/10.1097/JES.0b013e31819c2e5c
  12. M. Karabulut, T. Abe, Y. Sato, M. G. Bemben, The effects of low-intensity resistance training with vascular restriction on leg muscle strength in older men. European journal of applied physiology, Vol. 108, no. 1, pp. 147-155, 2010. DOI: https://dx.doi.org/10.1007/s00421-009-1204-5
  13. Y. Takarada, Y. Sato, N. Ishii, Effects of resistance exercise combined with vascular occlusion on muscle function in athletes. European journal of applied physiology, Vol. 86, no. 4, pp. 308-314, 2002. https://doi.org/10.1007/s00421-001-0561-5
  14. T. Abe, S. Fujita, T. Nakajima, M. Sakamaki, H. Ozaki, R. Ogasawara, M. Sugaya, M. Kudo, M. Kurano, T. Yasuda, Y. Sato, H. Ohshima, C. Mukai, N. Ishii, Effects of Low-Intensity Cycle Training with Restricted Leg Blood Flow on Thigh Muscle Volume and VO2MAX in Young Men. Journal of sports science & medicine, Vol. 9, no. 3, pp. 452-458, 2010a.
  15. S. Park, J. K. Kim, H. M. Choi, H. G. Kim, M D. Beekley, H. Nho, Increase in maximal oxygen uptake following 2-week walk training with blood flow occlusion in athletes. European journal of applied physiology, Vol. 109, no. 4, pp. 591-600, 2010. DOI: 10.1007/s00421-010-1377-y
  16. H. Ozaki, M. Miyachi, T. Nakajima, T. Abe, Effects of 10 weeks walk training with leg blood flow reduction on carotid arterial compliance and muscle size in the elderly adults. Angiology, Vol. 62, no. 1, pp 81-86, 2011. DOI: https://dx.doi.org/10.1177/0003319710375942
  17. H. Takano, T. Morita, H. Iida, K. Asada, M. Kato, K. Uno, K. Hirose, A. Matsumoto, K. Takenaka, Y. Hirata, F. Eto, R. Nagai, Y. Sato, T. Nakajima, Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. European journal of applied physiology, Vol. 95, no. 1, pp. 65-73, 2005. https://doi.org/10.1007/s00421-005-1389-1
  18. C. Evans, S. Vance, M. Brown, Short-term resistance training with blood flow restriction enhances microvascular filtration capacity of human calf muscles. Journal of sports sciences, Vol. 28, no. 9, pp. 999-1007, 2010. DOI: https://dx.doi.org/10.1080/02640414.2010.485647
  19. G. A. Borg, Psychophysical bases of perceived exertion. Medicine & Science in Sports & Exercise, Vol. 14, no. 5, pp. 377-381, 1982.
  20. H. Park, Effects of Combined Exercise Training on Prevention for Falls and Atherosclerosis Factors in Elderly Women, Unpublished doctoral dissertation, Chonnam National University, 2016.
  21. Wang, R., Blackburn, G., Desai, M., Phelan, D., Gillinov, L., Houghtaling, P., & Gillinov, M. (2017). Accuracy of wrist-worn heart rate monitors. Jama cardiology, 2(1), 104-106. DOI: https://dx.doi.org/10.1001/jamacardio.2016.3340
  22. J. P. Loenneke, T. J. Pujol, The use of occlusion training to produce muscle hypertrophy. Strength Conditioning Journal, Vol. 31, no. 3, pp. 77-84, 2009. DOI: https://dx.doi.org/10.1519/SSC.0b013e3181a5a352
  23. H. Park, D. Y. Kim, Effects of elastic band resistance training on body composition, arterial compliance and risks of falling index in elderly females. Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, no. 3, pp. 199-208, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.7.140
  24. E. J. Kim. The effects of the aerobic exercise training with resistance exercise on body composition and inflammation response in the elderly women, The Korean Journal of Physical Education, Vol. 4, no. 6, pp. 41-451, 2005.
  25. D. Y. Kim, Effects of rhythm exercise training on body composition and arterial compliance in elderly females. Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, no. 5, pp. 243-250, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.5.243
  26. Y. H. Jang, S. K. Shin, Effects of a long term low-intensity combined exercise program on functional fitness, gait speed, and body composition in elderly women. The Korea Journal of Sports Science. Vol. 26, no. 3, pp. 1191-1203, 2017. https://doi.org/10.35159/kjss.2017.06.26.3.1191
  27. Y. S. Ji, H. Kim and J. H. Yoon, Effects of Walking Exercise on Pulse Wave Velocity and Blood flow Velocity of Middle Cerebral Artery in Obese Women University Students. Korea Society for Wellness, Vol. 3, no. 3, pp. 287-298, 2011.
  28. K. H. Kim and H. J. Lee, Effects of Aqua and Land Aerobic Exercises on Upper and Lower Pulse Wave Velocity of Women with Metabolic Syndrome. The Korea Journal of Sports Science, Vol 22, no. 6, pp. 1369-1379, 2013.
  29. K. M. Ahn, Y. S. Kim and W. H. Park, Relationship between changes of cardiopulmonary function test and CRP and PWV in Korean elderly men. Hanyang University Journal of Aging Society, Vol. 3, no. 1, pp. 95-108, 2012.
  30. R. Alan, Q. Ehtasham, B. Mara, R. Georhe, P. Giora, A. Georhe. Peripheral arterial responses to treadmill exercise among healthy subjects and atherosclerotic patients. Circulation, Vol. 106, pp. 2084-2089, 2001
  31. N. Nualnim, J. N. Barnes, T. Tarumi, C. P. Renzi, H. Tanaka. Comparison of central artery elasticity in swimmers, runners, and the sedentary. The American Journal of Cardiology, Vol. 107, no. 5, pp. 783-787, 2011. DOI: https://dx.doi.org/10.1016/j.amjcard.2010.10.062
  32. Seals, D. R., DeSouza, C. A., Donato, A. J., & Tanaka, H, Habitual exercise and arterial aging. Journal of Applied Physiology, Vol. 105, no. 4, pp. 1323-1332, 2008. DOI: https://dx.doi.org/10.1152/japplphysiol.90553.2008
  33. S. S. Kim, Pulse Wave Velocity. Dong-A Pharmaceutical Co., Ltd: Seoul, 2004.
  34. ACSM, ACSM's Guidelines for Exercise Testing and Prescription (8th). Philadelphia, PA: Lippincott Williams & Wilkins, (2013).