Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis

ObjectiveThis meta-analysis aims to evaluate the effects of blood flow restriction (BFR) training on cardiometabolic health and body composition in adults with overweight and obesity.MethodFollowing PRISMA guidelines, a systematic search of PubMed (MEDLINE), EMBASE, Web of Science, Cochrane, and Sco...

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Main Authors: Hao Kong, Yilin Zhang, Mingyue Yin, Kai Xu, QingGuo Sun, Yun Xie, Olivier Girard
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1521995/full
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author Hao Kong
Yilin Zhang
Mingyue Yin
Kai Xu
QingGuo Sun
Yun Xie
Olivier Girard
author_facet Hao Kong
Yilin Zhang
Mingyue Yin
Kai Xu
QingGuo Sun
Yun Xie
Olivier Girard
author_sort Hao Kong
collection DOAJ
description ObjectiveThis meta-analysis aims to evaluate the effects of blood flow restriction (BFR) training on cardiometabolic health and body composition in adults with overweight and obesity.MethodFollowing PRISMA guidelines, a systematic search of PubMed (MEDLINE), EMBASE, Web of Science, Cochrane, and Scopus databases was conducted on 15 March 2024. Pooled effects for each outcome were summarized using Hedge’s g (g) through meta-analysis-based random effects models, and subgroup analyses were used to explore moderators.ResultsA total of 11 studies with 242 participants (Age:32.6 ± 3.6, BMI:27.2 ± 3.5) were included. Regarding cardiometabolic health, BFR training significantly reduced systolic blood pressure (g = 0.62 [0.08, 1.16], p = 0.02), while no significant differences were observed in maximal oxygen uptake (g = 0.48 [-0.21, 1.17], p = 0.17) or diastolic blood pressure (g = 0.31 [-0.22, 0.84], p = 0.25). Regarding body composition, BFR training significantly reduced body fat percentage (g = 0.30 [0.01, 0.58]; p = 0.04), while no significant differences (p > 0.05) were observed in body weight (g = 0.14 [-0.14, 0.42]), body mass index (g = 0.08 [-0.21, 0.38]), waist circumference (g = 0.13 [-0.28, 0.53]), or waist-to-hip ratio (g = 0.48 [-0.19, 1.15]). Subgroup analysis revealed no significant difference in improving systolic blood pressure (g = 0.57 [-0.10, 1.24] vs. g = 0.70 [-0.18, 1.59]) and body fat percentage (g = 0.20 [-0.20, 0.61] vs. g = 0.45 [-0.05, 0.95]) between BFR resistance training and BFR aerobic training. In all selected studies, the overall risk of bias was categorized as “some concern”. The certainty of evidence for the BFR outcomes was low.ConclusionBFR training shows promise in improving cardiometabolic health and body composition, indicating that it may serve as a beneficial, individualized exercise prescription for improving cardiovascular disease risk and fat loss in adults with excess body weight and obesity.Systematic Review Registration:https://archive.org/details/osf-registrations-uv6jx-v1.
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spelling doaj-art-d6ff75ee34d54eb296d230efce91a9342025-01-17T06:51:04ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2025-01-011510.3389/fphys.2024.15219951521995Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysisHao Kong0Yilin Zhang1Mingyue Yin2Kai Xu3QingGuo Sun4Yun Xie5Olivier Girard6Athletic Training Institute, Tianjin University of Sport, Tianjin, ChinaAthletic Training Institute, Tianjin University of Sport, Tianjin, ChinaSchool of Athletic Performance, Shanghai University of Sport, Shanghai, ChinaSchool of Athletic Performance, Shanghai University of Sport, Shanghai, ChinaAthletic Training Institute, Tianjin University of Sport, Tianjin, ChinaAthletic Training Institute, Tianjin University of Sport, Tianjin, ChinaSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, AustraliaObjectiveThis meta-analysis aims to evaluate the effects of blood flow restriction (BFR) training on cardiometabolic health and body composition in adults with overweight and obesity.MethodFollowing PRISMA guidelines, a systematic search of PubMed (MEDLINE), EMBASE, Web of Science, Cochrane, and Scopus databases was conducted on 15 March 2024. Pooled effects for each outcome were summarized using Hedge’s g (g) through meta-analysis-based random effects models, and subgroup analyses were used to explore moderators.ResultsA total of 11 studies with 242 participants (Age:32.6 ± 3.6, BMI:27.2 ± 3.5) were included. Regarding cardiometabolic health, BFR training significantly reduced systolic blood pressure (g = 0.62 [0.08, 1.16], p = 0.02), while no significant differences were observed in maximal oxygen uptake (g = 0.48 [-0.21, 1.17], p = 0.17) or diastolic blood pressure (g = 0.31 [-0.22, 0.84], p = 0.25). Regarding body composition, BFR training significantly reduced body fat percentage (g = 0.30 [0.01, 0.58]; p = 0.04), while no significant differences (p > 0.05) were observed in body weight (g = 0.14 [-0.14, 0.42]), body mass index (g = 0.08 [-0.21, 0.38]), waist circumference (g = 0.13 [-0.28, 0.53]), or waist-to-hip ratio (g = 0.48 [-0.19, 1.15]). Subgroup analysis revealed no significant difference in improving systolic blood pressure (g = 0.57 [-0.10, 1.24] vs. g = 0.70 [-0.18, 1.59]) and body fat percentage (g = 0.20 [-0.20, 0.61] vs. g = 0.45 [-0.05, 0.95]) between BFR resistance training and BFR aerobic training. In all selected studies, the overall risk of bias was categorized as “some concern”. The certainty of evidence for the BFR outcomes was low.ConclusionBFR training shows promise in improving cardiometabolic health and body composition, indicating that it may serve as a beneficial, individualized exercise prescription for improving cardiovascular disease risk and fat loss in adults with excess body weight and obesity.Systematic Review Registration:https://archive.org/details/osf-registrations-uv6jx-v1.https://www.frontiersin.org/articles/10.3389/fphys.2024.1521995/fullvascular occlusionkaatsubody fat percentagesystolic blood pressureobesity
spellingShingle Hao Kong
Yilin Zhang
Mingyue Yin
Kai Xu
QingGuo Sun
Yun Xie
Olivier Girard
Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis
Frontiers in Physiology
vascular occlusion
kaatsu
body fat percentage
systolic blood pressure
obesity
title Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis
title_full Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis
title_fullStr Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis
title_full_unstemmed Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis
title_short Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis
title_sort effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity a meta analysis
topic vascular occlusion
kaatsu
body fat percentage
systolic blood pressure
obesity
url https://www.frontiersin.org/articles/10.3389/fphys.2024.1521995/full
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