Blood flow restriction does not alter the early hypertrophic signaling and short-term adaptive response to resistance...

Previous research supports that low-load resistance exercise with blood flow restriction (LL-BFR) acutely increases physiological responses and muscle mass accrual compared with low-load resistance exercise (LL-RE) alone. However, most studies have work-matched LL-BFR and LL-RE. Completing sets to similar perceived efforts, thereby allowing for a variable amount of work, may provide a more ecologically valid approach to compare LL-BFR and LL-RE. This study aimed to examine acute signaling and training responses following LL-RE or LL-BFR performed to task failure. Ten participants had each leg randomly assigned to perform LL-RE or LL-BFR. Muscle biopsies were obtained before and 2-h after the first exercise bout and after 6-wk of training for Western blot and immunohistochemistry analyses. Repeated measure ANOVA and intraclass coefficients (ICCs) were used to compare responses of each condition. After exercise, AKT^(T308) phosphorylation increased after LL-RE and LL-BFR (both ∼145% of baseline, P < 0.05) and trended for p70 S6K^(T389) (LL-RE: ∼158% and LL-BFR: ∼137%, P = 0.06). BFR did not alter these responses, resulting in fair-excellent ICCs for signaling proteins involved in anabolism (ICC_AKT(T308) = 0.889, P = 0.001; ICC_AKT(S473) = 0.519, P = 0.074; ICC_{p70 S6K(T389)} = 0.514, P = 0.105). After training, muscle fiber cross-sectional area and vastus lateralis whole muscle thickness were similar between conditions (ICC ≥ 0.637, P ≤ 0.031). Similar acute and chronic responses between conditions and high ICC values between legs suggest that both LL-BFR and LL-RE performed by the same person result in similar adaptations. These data support the concept that sufficient muscular exertion is a key factor for training-induced muscle hypertrophy with low-load resistance exercise independent of total work and blood flow.NEW & NOTEWORTHY The addition of blood flow restriction during low-load resistance exercise is considered to increase the signaling events and muscle growth responses to a greater extent than low-load resistance exercise alone. It remains unclear whether blood flow restriction accelerates or increases these adaptive responses, as most studies have each condition perform the same amount of work. Despite different amounts of work performed, we show similar signaling and muscle growth responses occur after low-load resistance exercise with and without blood flow restriction. Our work supports that blood flow restriction accelerates fatigue but does not increase the signaling events and muscle growth responses during low-load resistance exercise.