Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling

Abstract We evaluated whether a short-term cycling intervention in hypoxia, with blood flow restriction, or eccentric cycling induces greater health benefits than traditional cycling in older adults. Fifty-five individuals (68 ± 4 year, 25 females) performed supervised moderate-intensity intermitten...

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Main Authors: Tom Citherlet, Gustavo R. Mota, Marco Carletta, Kevin Hayoz, Daniel Silva Pereira, Grégoire P. Millet
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-10550-9
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author Tom Citherlet
Gustavo R. Mota
Marco Carletta
Kevin Hayoz
Daniel Silva Pereira
Grégoire P. Millet
author_facet Tom Citherlet
Gustavo R. Mota
Marco Carletta
Kevin Hayoz
Daniel Silva Pereira
Grégoire P. Millet
author_sort Tom Citherlet
collection DOAJ
description Abstract We evaluated whether a short-term cycling intervention in hypoxia, with blood flow restriction, or eccentric cycling induces greater health benefits than traditional cycling in older adults. Fifty-five individuals (68 ± 4 year, 25 females) performed supervised moderate-intensity intermittent training (MIIT) three times weekly for 4 weeks, assigned to one of four groups: HYP (hypoxic chamber, FiO₂ 14%), BFR (thigh cuffs at ≈ 350 mmHg, deflated between sets), ECC (eccentric ergocycle), or CON (traditional ergocycle). Pre- and post-training assessments covered cardiovascular function, quality of life, cognition, aerobic fitness, skeletal muscle oxidative capacity, knee extensors and flexors strength, and thigh volume. Training interventions improved the 6-min cycling test average power output (9 ± 15%, P < 0.001), isokinetic at different speeds (10 ± 16 to 20 ± 26%, all P < 0.001) and isometric peak torques (14 ± 15%, P < 0.001), thigh circumference (1 ± 2%, P = 0.008), diastolic pressure (−3 ± 8%, P = 0.021), resting heart rate (−3 ± 7%, P = 0.004), digit span (9 ± 21%, P = 0.031) and TMT-B performance (−1 ± 51%, P = 0.045) in all groups. However, no significant differences were observed between groups. These results confirm the efficacy of MIIT in older adults and suggest that exercise per se is more important than the specific modalities. Short-term (4-week) MIIT programs promote healthy aging, regardless of the training modality, which may encourage older adults to take action.
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spelling doaj-art-7e732cfe0267449ba3ec84a2fb99b9022025-08-20T03:46:08ZengNature PortfolioScientific Reports2045-23222025-07-0115111410.1038/s41598-025-10550-9Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cyclingTom Citherlet0Gustavo R. Mota1Marco Carletta2Kevin Hayoz3Daniel Silva Pereira4Grégoire P. Millet5Institute of Sport Sciences, University of LausanneInstitute of Sport Sciences, University of LausanneInstitute of Sport Sciences, University of LausanneInstitute of Sport Sciences, University of LausanneInstitute of Sport Sciences, University of LausanneInstitute of Sport Sciences, University of LausanneAbstract We evaluated whether a short-term cycling intervention in hypoxia, with blood flow restriction, or eccentric cycling induces greater health benefits than traditional cycling in older adults. Fifty-five individuals (68 ± 4 year, 25 females) performed supervised moderate-intensity intermittent training (MIIT) three times weekly for 4 weeks, assigned to one of four groups: HYP (hypoxic chamber, FiO₂ 14%), BFR (thigh cuffs at ≈ 350 mmHg, deflated between sets), ECC (eccentric ergocycle), or CON (traditional ergocycle). Pre- and post-training assessments covered cardiovascular function, quality of life, cognition, aerobic fitness, skeletal muscle oxidative capacity, knee extensors and flexors strength, and thigh volume. Training interventions improved the 6-min cycling test average power output (9 ± 15%, P < 0.001), isokinetic at different speeds (10 ± 16 to 20 ± 26%, all P < 0.001) and isometric peak torques (14 ± 15%, P < 0.001), thigh circumference (1 ± 2%, P = 0.008), diastolic pressure (−3 ± 8%, P = 0.021), resting heart rate (−3 ± 7%, P = 0.004), digit span (9 ± 21%, P = 0.031) and TMT-B performance (−1 ± 51%, P = 0.045) in all groups. However, no significant differences were observed between groups. These results confirm the efficacy of MIIT in older adults and suggest that exercise per se is more important than the specific modalities. Short-term (4-week) MIIT programs promote healthy aging, regardless of the training modality, which may encourage older adults to take action.https://doi.org/10.1038/s41598-025-10550-9AgeElderlyEnduranceOldPhysical activity
spellingShingle Tom Citherlet
Gustavo R. Mota
Marco Carletta
Kevin Hayoz
Daniel Silva Pereira
Grégoire P. Millet
Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling
Scientific Reports
Age
Elderly
Endurance
Old
Physical activity
title Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling
title_full Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling
title_fullStr Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling
title_full_unstemmed Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling
title_short Effectiveness of short-term cycling interventions in older adults: a randomized trial of hypoxic, blood flow restriction, and eccentric cycling
title_sort effectiveness of short term cycling interventions in older adults a randomized trial of hypoxic blood flow restriction and eccentric cycling
topic Age
Elderly
Endurance
Old
Physical activity
url https://doi.org/10.1038/s41598-025-10550-9
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