To analyze the effect of 8 weeks of resistance training with blood flow restriction on muscle strength, clinical parameters, biochemical biomarkers, and perceived exertion in adults with obesity.
Resistance training has been demonstrated to be an effective intervention for improving muscular strength and metabolic profile. According to the available evidence, a moderate-to-high intensity level (60-90% of one-repetition maximum \[1RM\]) is required to achieve optimal outcomes in healthy adults. Blood flow restriction (BFR) training, in turn, has emerged as an innovative strategy that promotes gains comparable or similar to those achieved with moderate-to-high intensity resistance training. It has been proposed as an efficient and safe training alternative in both clinical and non-clinical settings . Current findings identify BFR as a promising, versatile, accessible, and particularly useful tool when moderate-to-high intensity resistance training must be limited or contraindicated. Therefore, the present study aims to evaluate the effects of 8 weeks of resistance training combined with blood flow restriction on muscular strength, clinical parameters, biochemical biomarkers, and perceived exertion in adults with obesity, providing evidence regarding a potentially safe and effective intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
The BFR group will perform machine-based quadriceps extension exercises and dumbbell biceps curls involving both lower limbs and both upper limbs. Each exercise will consist of 4 sets of 12 repetitions. Quadriceps extensions will be performed at an intensity of 40% of one-repetition maximum (1RM), and biceps curls at 20% of 1RM. The execution cadence will be standardized to 1 second for the concentric phase and 2 seconds for the eccentric phase. Inter-set rest intervals will be 1 minute. For vascular occlusion, a Carbafix cuff (8 cm width × 68 cm length for the upper limb; 10.5 cm width × 106.0 cm length for the lower limb) will be applied directly to the skin at the most proximal portion of the arm or thigh. The cuff will be inflated to 20 mmHg above resting brachial systolic blood pressure. To ensure partial vascular occlusion, pulse and oxygen saturation will be assessed using a pulse oximeter at the end of each set. Cuff pressure will be released during the inter-set rest periods.
The control group will perform quadriceps extensions and biceps curls, completing 4 sets of 10 repetitions at an intensity of 70% of one-repetition maximum (1RM). The execution tempo will be standardized to 1 second for the concentric phase and 2 seconds for the eccentric phase, with 2-minute inter-set rest intervals. The protocol will adhere to the resistance training guidelines established by the American College of Sports Medicine (ACSM)
Centro Universitario de Tlajomulco
Tlajomulco de Zúñiga, Jalisco, Mexico
Muscle strength
Muscle strength (kg): Change from baseline to 8 weeks of intervention. Muscle strength will be assessed using dynamometry
Time frame: Baseline and after 8 weeks
Dynamic muscle strength
Dynamic muscle strength (kg): Change from baseline to 8 weeks of intervention.
Time frame: Baseline and after 8 weeks
Arm circumference
Arm circumference (cm): Change from baseline to 8 weeks of intervention. Measurements will be obtained using a non-elastic measuring tape in accordance with the International Society for the Advancement of Kinanthropometry (ISAK) protocol
Time frame: Baseline and after 8 weeks
Thigh circumference
Thigh circumference (cm): Change from baseline to 8 weeks of intervention. Measurements will be obtained using a non-elastic measuring tape in accordance with the International Society for the Advancement of Kinanthropometry (ISAK) protocol
Time frame: Baseline and after 8 weeks
Maximum oxygen uptake (VO₂max)
VO₂max (ml/min/kg): Change from Baseline at 8 weeks, measured using a submaximal exercise test based on the Åstrand-Ryhming protocol
Time frame: Baseline and after 8 weeks
Systolic blood pressure (SBP)
SBP (mmHg): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
Diastolic blood pressure (DBP)
DBP (mmHg): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
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Heart rate
Heart rate (bpm): Change from baseline to 8 weeks of intervention.
Time frame: Baseline and after 8 weeks
Glucose
Glucose (mg/dl): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
Triglycerides
Triglycerides (mg/dl): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
Total cholesterol
Total cholesterol (mg/dl): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
HDL cholesterol
HDL cholesterol (mg/dl): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
LDL cholesterol
LDL cholesterol (mg/dl): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
C-reactive protein (CRP)
CRP (mg/dl): Changes from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
Interleukin-6 (IL-6)
IL-6 (pg/mL):Change from baseline to 8 weeks of intervention.
Time frame: Baseline and after 8 weeks
Tumor Necrosis Factor Alpha (TNF-α)
TNF-α (pg/mL): Change from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
Weight
Weight (kg): Changes in weight from baseline to 8 weeks of intervention.
Time frame: Baseline and after 8 weeks
Height
Height (cm): Changes in height from baseline to 8 weeks of intervention
Time frame: Baseline and after 8 weeks
Body mass index (BMI)
BMI (kg/m\^2): Change from Baseline at 8 weeks, calculated by: weight (kg)/ height (m\^2).
Time frame: Baseline and after 8 weeks
Body fat percentage
Body fat percentage (%): Changes in body fat assessed by bioelectrical impedance analysis (BIA)
Time frame: Baseline and after 8 weeks
Muscle mass percentage
Muscle mass percentage (%): Changes in muscle mass measured using bioelectrical impedance analysis (BIA)
Time frame: Baseline and after 8 weeks
Perceived Exertion
Perceived exertion will be assessed using the Rating of Perceived Exertion Scale (RPE)
Time frame: Baseline and after 8 weeks
Exercise enjoyment
Exercise enjoyment will be assessed using the validated Physical Activity Enjoyment Scale Questionnaire (PACES)
Time frame: Baseline and after 8 weeks