血液流量受限阻力运动中的心血管反应:一个系统性审查与元分析
Yashveer Singh1, Leslie A Avila2, Marty Spranger3
1Department of Physiology, Michigan State University, East Lansing, Michigan, USA.
BMJ open sport & exercise medicine
|March 16, 2026
概括
与低强度阻力运动 (LI-RE) 相比,血流受限制的阻力运动 (BFR-RE) 显著增加了静缩和静缩血压. 然而,BFR-RE显示了与高强度抵抗运动 (HI-RE) 相似的心血管反应.
科学领域:
- 运动生理学 运动生理学
- 心血管生理学心血管生理学
- 康复科学 康复科学 康复科学
背景情况:
- 血流受限制的阻力运动 (BFR-RE) 在低负荷下提供增大和强度的好处,吸引临床使用.
- 对心血管反应过度的担忧需要了解BFR-RE的血液动力学影响.
研究的目的:
- 为了比较急性心血管反应,包括静缩血压 (SBP),静缩血压 (DBP) 和心率 (HR).
- 为了评估这些响应在低强度BFR-RE (LI-BFR) 与低强度RE (LI-RE) 和高强度RE (HI-RE) 之间.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE等) 中进行系统搜索. 这项研究一直持续到2025年2月.
- 包括随机对照试验,比较健康成年人LI-BFR与LI-RE和/或HI-RE期间的心血管反应.
- 对四项试验 (LI-BFR与LI-RE) 和三项试验 (LI-BFR与HI-RE) 的数据进行了随机效应元分析.
主要成果:
- 与LI-RE相比,LI-BFR显著增加了SBP (MD=14.06 mmHg) 和DBP (MD=11.18 mmHg) 的水平.
- 在LI-BFR和LI-RE之间没有观察到HR的显著差异.
- 在对SBP,DBP或HR的影响方面,LI-BFR和HI-RE没有显著差异.
- 偏差风险和证据确定性分析表明确定性低至中等.
结论:
- 与LI-RE相比,LI-BFR期间的动脉血压反应在LI-BFR期间更高.
- 目前关于BFR-RE期间实时心血管反应的数据有限.
- 未来的研究应该专注于在BFR-RE期间准确测量血液动力学参数.
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