Effects of Walking with Blood Flow Restriction on Excess Post-exercise Oxygen Consumption

G. V. Mendonca; J. R. Vaz; P. Pezarat-Correia; B. Fernhall

doi:10.1055/s-0034-1395508

International Journal of Sports Medicine, Table of Contents

Int J Sports Med 2015; 36(03): e11-e18
DOI: 10.1055/s-0034-1395508

Physiology & Biochemistry

Effects of Walking with Blood Flow Restriction on Excess Post-exercise Oxygen Consumption

G. V. Mendonca

¹Laboratory of Motor Behavior, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal

,

J. R. Vaz

¹Laboratory of Motor Behavior, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal

,

P. Pezarat-Correia

²Laboratory of Motor Behavior, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal

,

B. Fernhall

³Kinesiology, Nutrition, and Rehabilitation, University of Illinois at Chicago, United States

› Author Affiliations

Abstract

This study determined the influence of walking with blood flow restriction (BFR) on the excess post-exercise oxygen consumption (EPOC) of healthy young men. 17 healthy young men (22.1±2.9 years) performed graded treadmill exercise to assess VO_2peak. In a randomized fashion, each participant performed 5 sets of 3-min treadmill exercise at their optimal walking speed with 1-min interval either with or without BFR. Participants were then seated in a chair and remained there for 30 min of recovery. Expired gases were continuously monitored during exercise and recovery. BFR increased the O₂ cost of walking as well as its relative intensity and cumulative O₂ deficit (p<0.05). The EPOC magnitude after walking with BFR was greater than in the non-BFR condition (p<0.05). No differences between conditions were seen for the duration of EPOC. The EPOC magnitude was no longer different between conditions after controlling for the differences in relative intensity and in the cumulative O₂ deficit (p>0.05). These data indicate that walking with BFR increases the magnitude of EPOC. Moreover, they also demonstrate that such increment in EPOC is likely explained by the effects of BFR on walking relative intensity and cumulative O₂ deficit.

Key words

vascular occlusion - exercise - recovery - oxygen uptake

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References

References
1 Abe T, Fujita S, Nakajima T, Sakamaki M, Ozaki H, Ogasawara R, Sugaya M, Kudo M, Kurano M, Yasuda T, Sato Y, Ohshima H, Mukai C, Ishii N. Effects of low-intensity cycle training with restricted leg blood flow on thigh muscle volume and VO_2MAX in young men. J Sports Sci Med 2010; 9: 452-458
2 Abe T, Kearns CF, Sato Y. Muscle size and strength are increased following walking training with restricted venous blood flow from the leg muscle, Kaatsu-walking training. J Appl Physiol 2006; 100: 1460-1466
3 ACSM . (ed.) ACSM’S guidelines for exercise testing and prescritpion. 8^th ed. Baltimore: Lippincott Williams & Wilkins; 2009
4 Bahr R. Excess postexercise oxygen consumption-magnitude, mechanisms and practical implications. Acta Physiol Scand Suppl 1992; 605: 1-70
5 Bahr R, Sejersted OM. Effect of intensity of exercise on excess postexercise O₂ consumption. Metabolism 1991; 40: 836-841
6 Bauer TA, Regensteiner JG, Brass EP, Hiatt WR. Oxygen uptake kinetics during exercise are slowed in patients with peripheral arterial disease. J Appl Physiol 1999; 87: 809-816
7 Berg KE. Comparison of energy expenditure in men and women at rest and during exercise recovery. J Sports Med Phys Fitness 1991; 31: 351-356
8 Bird S, Davidson R. Guidelines for Physiological Testing of Athletes: British Association of Sport and Exercise Sciences. Physiology Section 1997
9 Borsheim E, Bahr R. Effect of exercise intensity, duration and mode on post-exercise oxygen consumption. Clin Nutr 2003; 33: 1037-1060
10 Brockman L, Berg K, Latin R. Oxygen uptake during recovery from intense intermittent running and prolonged walking. J Sports Med Phys Fitness 1993; 33: 330-336
11 Coyle EF, Sidossis LS, Horowitz JF, Beltz JD. Cycling efficiency is related to the percentage of type I muscle fibers. Med Sci Sports Exerc 1992; 24: 782-788
12 Dawson B, Straton S, Randall N. Oxygen consumption during recovery from prolonged submaximal cycling below the anaerobic threshold. J Sports Med Phys Fitness 1996; 36: 77-84
13 Di Prampero PE, Davies CT, Cerretelli P, Margaria R. An analysis of O₂ debt contracted in submaximal exercise. Brain Behav Immun 1970; 29: 547-551
14 Engelen M, Porszasz J, Riley M, Wasserman K, Maehara K, Barstow TJ. Effects of hypoxic hypoxia on O₂ uptake and heart rate kinetics during heavy exercise. J Appl Physiol 1996; 81: 2500-2508
15 Gaesser GA, Brooks GA. Metabolic bases of excess post-exercise oxygen consumption: a review. Med Sci Sports Exerc 1984; 16: 29-43
16 Gillette CA, Bullough RC, Melby CL. Postexercise energy expenditure in response to acute aerobic or resistive exercise. Int J Sport Nutr 1994; 4: 347-360
17 Gore CJ, Withers RT. Effect of exercise intensity and duration on postexercise metabolism. J Appl Physiol 1990; 68: 2362-2368
18 Gore CJ, Withers RT. The effect of exercise intensity and duration on the oxygen deficit and excess post-exercise oxygen consumption. Eur J Appl Physiol 1990; 60: 169-174
19 Harriss DJ, Atkinson G. Ethical standards in sports and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
20 Hughson RL. Alterations in the oxygen deficit-oxygen debt relationships with beta-adrenergic receptor blockade in man. J Physiol 1984; 349: 375-387
21 Hughson RL, Shoemaker JK, Tschakovsky ME, Kowalchuk JM. Dependence of muscle VO₂ on blood flow dynamics at onset of forearm exercise. J Appl Physiol 1996; 81: 1619-1626
22 James EG, Karabulut M. Vascular restriction decreases EMG regularity during walking. Hum Mov Sci 2013; 32: 389-399
23 Kacin A, Strazar K. Frequent low-load ischemic resistance exercise to failure enhances muscle oxygen delivery and endurance capacity. Can Med Ass J 2011; 21: e231-e241
24 Karabulut M, Cramer JT, Abe T, Sato Y, Bemben MG. Neuromuscular fatigue following low-intensity dynamic exercise with externally applied vascular restriction. J Electromyogr Kinesiol 2010; 20: 440-447
25 Kuo AD. A simple model of bipedal walking predicts the preferred speed-step length relationship. J Biomech Eng 2001; 123: 264-269
26 LaForgia J, Withers RT, Gore CJ. Effects of exercise intensity and duration on the excess post-exercise oxygen consumption. J Sports Sci 2006; 24: 1247-1264
27 Lee YS, Ha MS, Lee YJ. The effects of various intensities and durations of exercise with and without glucose in milk ingestion on postexercise oxygen consumption. J Sports Med Phys Fitness 1999; 39: 341-347
28 Loenneke JP, Fahs CA, Rossow LM, Sherk VD, Thiebaud RS, Abe T, Bemben DA, Bemben MG. Effects of cuff width on arterial occlusion: implications for blood flow restricted exercise. Eur J Appl Physiol 2012; 112: 2903-2912
29 Loenneke JP, Fahs CA, Rossow LM, Thiebaud RS, Mattocks KT, Abe T, Bemben MG. Blood flow restriction pressure recommendations: a tale of two cuffs. Front Physiol 2013; 4: 249
30 Loenneke JP, Pujol TJ. The use of occlusion training to produce muscle hypertrophy. Strength Cond J 2009; 31: 77-84
31 Loenneke JP, Thrower AD, Balapur A, Barnes JT, Pujol TJ. The energy requirement of walking with restricted blood flow. Sport Sci 2011; 2: 7-11
32 Loenneke JP, Thrower AD, Balapur A, Barnes JT, Pujol TJ. Blood flow-restricted walking does not result in an accumulation of metabolites. Clin Physiol Funct Imaging 2012; 32: 80-82
33 Loenneke JP, Wilson JM, Marin PJ, Zourdos MC, Bemben MG. Low intensity blood flow restriction training: a meta-analysis. Eur J Appl Physiol 2012; 112: 1849-1859
34 Matsuo T, Saitoh S, Suzuki M. Effects of the menstrual cycle on excess postexercise oxygen consumption in healthy young women. Metabolism 1999; 48: 275-277
35 McGarvey W, Jones R, Petersen S. Excess post-exercise oxygen consumption following continuous and cycling exercise. Int J Sport Nutr Exerc Metabol 2005; 14: 28-37
36 Mendonca GV, Vaz JR, Teixeira MS, Gracio T, Pezarat-Correia P. Metabolic cost of locomotion during treadmill walking with blood flow restriction. Clin Physiol Funct Imaging 2013; 34: 308-316
37 Ogawa M, Loenneke JP, Yasuda T, Fahs CA, Rossow LM, Thiebaud RS, Bemben MG, Abe T. Time course changes in muscle size and fatigue during walking with restricted leg blood flow in young men. J Phys Educ Sports Manag 2012; 3: 14-19
38 Ozaki H, Kakigi R, Kobayashi H, Loenneke JP, Abe T, Naito H. Effects of walking combined with restricted leg blood flow on mTOR and MAPK signaling in young men. Acta Physiol (Oxf) 2014; 211: 97-106
39 Ozaki H, Sakamaki M, Yasuda T, Fujita S, Ogasawara R, Sugaya M, Nakajima T, Abe T. Increases in thigh muscle volume and strength by walking training with leg blood flow reduction in older participants. J Gerontol A Biol Sci Med Sci 2010; 66: 257-263
40 Park S, Kim JK, Choi HM, Kim HG, Beekley MD, Nho H. Increase in maximal oxygen uptake following 2-week walking training with blood flow occlusion in athletes. Eur J Appl Physiol 2010; 109: 591-600
41 Patterson SD, Ferguson RA. Increase in calf post-occlusive blood flow and strength following short-term resistance exercise training with blood flow restriction in young women. Eur J Appl Physiol 2010; 108: 1025-1033
42 Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ. Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension 2005; 45: 142-161
43 Renzi CP, Tanaka H, Sugawara J. Effects of leg blood flow restriction during walking on cardiovascular function. Med Sci Sports Exerc 2010; 42: 726-732
44 Saibene F, Minetti AE. Biomechanical and physiological aspects of legged locomotion in humans. Eur J Appl Physiol 2003; 88: 297-316
45 Sakamaki-Sunaga M, Loenneke JP, Thiebaud R, Abe T. Onset of blood lactate accumulation and peak oxygen uptake during graded walking test combined with and without restricted leg blood flow. Comp Exerc Physiol 2012; 8: 117-122
46 Sedlock DA, Lee MG, Flynn MG, Park KS, Kamimori GH. Excess postexercise oxygen consumption after aerobic exercise training. Int J Sport Nutr Exerc Metab 2010; 20: 336-349
47 Short KR, Sedlock DA. Excess postexercise oxygen consumption and recovery rate in trained and untrained subjects. J Appl Physiol 1997; 83: 153-159
48 Smith J, Mc Naughton L. The effects of intensity of exercise on excess postexercise oxygen consumption and energy expenditure in moderately trained men and women. Eur J Appl Physiol Occup Physiol 1993; 67: 420-425
49 Solomon SJ, Kurzer MS, Calloway DH. Menstrual cycle and basal metabolic rate in women. Am J Clin Nutr 1982; 36: 611-616
50 Takano H, Morita T, Iida H, Asada K, Kato M, Uno K, Hirose K, Matsumoto A, Takenaka K, Hirata Y, Eto F, Nagai R, Sato Y, Nakajima T. Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. Eur J Appl Physiol 2005; 95: 65-73
51 Takarada Y, Takazawa H, Sato Y, Takebayashi S, Tanaka Y, Ishii N. Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans. J Appl Physiol 2000; 88: 2097-2106
52 Tomlin DL, Wenger HA. The relationship between aerobic fitness and recovery from high intensity intermittent exercise. Sports Med 2001; 31: 1-11
53 Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol 1949; 109: 1-9
54 Yasuda T, Abe T, Brechue WF, Iida H, Takano H, Meguro K, Kurano M, Fujita S, Nakajima T. Venous blood gas and metabolite response to low-intensity muscle contractions with external limb compression. Metabolism 2010; 59: 1510-1519
55 Yasuda T, Fujita S, Miyagi Y, Kubota Y, Sato Y, Nakajima T, Bemben MG, Abe T. Electromyographic responses of arm and chest muscle during bench press exercise with and without KAATSU. Int J KAATSU Training Res 2006; 2: 15-18