Document Type : Review Article

Authors

Tabriz University

10.22089/jehs.2024.15914.1075

Abstract

The purpose of this study was to determine the effect of two weeks of interval training with and without blood flow restriction on the serum levels of growth hormone, IGF-1 and lactate in active adolescent boys.
Materials and Methods
Twenty four active male adolescents (mean age of 17±83 years, height of 171±47 cm) were selected as the sample and randomly divided into two groups of training with (BFR) and without blood flow restriction (WFR). The training protocol was performed with an intensity of 60-75% of MHR, two sessions a week, three repetitions in the first week and four repetitions of 400 meters in the second week. The rest between repetitions was 60-80 seconds. The cuff pressure for thighs during exercise was between 140 and 180 mmHg. Blood samples were taken to measure IGF-1 and GH indices before exercise and 48 hours after the last exercise session and lactate immediately after. Sports activity was taken from the last session. To analyze the data, 2x2 ANOVA statistical test and independent t test were used at a significance level of 0.05.
Results
The findings showed a significant increase in the levels of blood lactate and GH in the BFR group (p = 0.001). However, there was no significant change in the IGF-1 levels for BFR or WFR groups (p = 0.099).
Conclusion
Accordingly, it can be said that performing interval trainings with BFR probably may be more effective in enhancing youths' growth and performance indicators when compare to training without blood flow restriction.

  1. Vilaça-Alves, J., Magalhães, P. S., Rosa, C. V., Reis, V. M., Garrido, N. D., Payan-Carreira, R., ... & Costa, P. B. (2022). Acute hormonal responses to multi-joint resistance exercises with blood flow restriction. Journal of Functional Morphology and Kinesiology, 8(1), 3.
  2. Sundari, L. P. R., & Ar, N. L. K. A. (2022). Regular Physical Exercise Increase of Growth Hormone (GH) and Insulin-Like Growth Factor-1 (IGF-1) Activity in Elderly Improve the Aging Process and Quality of Life: A Mini Review. Biomedical and Pharmacology Journal15(2), 883-890.
  3. Sharifi, S., Monazzami, A., Nikousefat, Z., Heyrani, A., & Yari, K. (2020). The acute and chronic effects of resistance training with blood flow restriction on hormonal responses in untrained young men: A comparison of frequency. Cellular and Molecular Biology66(1), 1-8.
  4. Haj-Ahmad, L. M., Mahmoud, M. M., Sweis, N. W., Bsisu, I., Alghrabli, A. M., Ibrahim, A. M., & Zayed, A. A. (2023). Serum IGF-1 to IGFBP-3 molar ratio: a promising diagnostic tool for growth hormone deficiency in children. The Journal of Clinical Endocrinology & Metabolism108(4), 986-994.
  5. Teixeira, EL, Barroso, R., Silva‐Batista, C., Laurentino, GC, Loenneke, JP, Roschel, H., ... & Tricoli, V. (2018). Blood flow restriction increases metabolic stress but decreases muscle activation during high-load resistance exercise. Muscle & nerve,
    57 (1), 107-111.
  6. Taylor, CW, Ingham, SA, & Ferguson, RA (2016). Acute and chronic effect of sprint interval training combined with postexercise blood-flow restriction in trained individuals. Experimental physiology, 101 (1), 143-154.
  7. Moore, DR, Burgomaster, KA, Schofield, LM, Gibala, MJ, Sale, DG, & Phillips, SM (2004). Neuromuscular adaptations in human muscle following low intensity resistance training with vascular occlusion. European journal of applied physiology, 92 (4-5), 399-406.
  8. Uchida, MC, Bacurau, RFP, Navarro, F., Pontes Jr, FL, Tessuti, VD, Moreau, RL, ... & Aoki, MS (2004). Alteration of testosterone: cortisol ratio induced by resistance training in women. Revista Brasileira de Medicina do Esporte , 10 (3), 165-168.
  9. Zaravar, L., Nemati, J., Rezaei, R., Jahromi, M. K., & Daryanoosh, F. (2021). Effect of eight weeks water exercise with blood flow restriction on growth hormone, insulin-like growth factor-1 and bone metabolism in elderly women. Sport Physiology13(51), 69-92.
  10. Reeves, GV, Kraemer, RR, Hollander, DB, Clavier, J., Thomas, C., Francois, M., & Castracane, VD (2006). Comparison of hormone responses following light resistance exercise with partial vascular occlusion and moderately difficult resistance exercise without occlusion. Journal of applied physiology, 101 (6), 1616-1622.
  11. Yinghao, L., Jing, Y., Yongqi, W., Jianming, Z., Zeng, G., Yiting, T., & Shuoqi, L. (2021). Effects of a blood flow restriction exercise under different pressures on testosterone, growth hormone, and insulin-like growth factor levels. Journal of International Medical Research49(9), 03000605211039564.
  12. Madarame, H., Sasaki, K., & Ishii, N. (2010). Endocrine responses to upper- and lower-limb resistance exercises with blood flow restriction. Acta Physiologica Hungarica , 97 (2), 192-200.
  13. Neto, GR, Novaes, JS, Dias, I., Brown, A., Vianna, J., & Cirilo‐Sousa, MS (2017). Effects of resistance training with blood flow restriction on hemodynamics: a systematic review. Clinical physiology and functional imaging , 37 (6), 567-574.
  14. Shimizu, R., Hotta, K., Yamamoto, S., Matsumoto, T., Kamiya, K., Kato, M., & Tanaka, S. (2016). Low-intensity resistance training with blood flow restriction improves vascular endothelial function and peripheral blood circulation in healthy elderly people. European journal of applied physiology, 116 (4), 749-757.
  15. , F. (2012). Acute response of lactate, GH and IGF-1 to two exercise protocols with blood flow restriction in adolescent men, Master's Thesis, Faculty of Physical Education and Sports Sciences, Ferdowsi University of Mashhad.
  16. Matin Homai et al. (2012). The effect of eight weeks of intermittent and continuous training on the resting levels and response to single-session activity of GH and IGF-1 in the serum of active adolescent men, master's thesis, Tehran Azad University, Faculty of Sports Sciences.
  17. Borland, R. L., Cameron, L. A., Tonge, B. J., & Gray, K. M. (2022). Effects of physical activity on behaviour and emotional problems, mental health and psychosocial well‐being in children and adolescents with intellectual disability: A systematic review.Journal of Applied Research in Intellectual Disabilities, 35(2), 399-420.
  18. basereh, a., ebrahim, kh, hovanloo, f., dehghan, p., & khoramipour, k. (2017). Effect of blood flow restriction deal during isometric exercise on growth hormone and testosterone active males.
  19. Takarada, Y., Nakamura, Y., Aruga, S., Onda, T., Miyazaki, S., & Ishii, N. (2000). Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion. Journal of Applied Physiology, 88 (1), 61-65.
  20. Christiansen, D., Eibye, K., Hostrup, M., & Bangsbo, J. (2021). The effect of blood‐flow‐restricted interval training on lactate and H+ dynamics during dynamic exercise in man.Acta Physiologica231(3), e13580.
  21. Sharifi, S., Monazzami, A., Nikousefat, Z., Heyrani, A., & Yari, K. (2020). The acute and chronic effects of resistance training with blood flow restriction on hormonal responses in untrained young men: A comparison of frequency. Cellular and Molecular Biology66(1), 1-8.
  22. Abe, T., Yasuda, T., Midorikawa, T., Sato, Y., Inoue, K., Koizumi, K., & Ishii, N. (2005). Skeletal muscle size and circulating IGF-1 are increased after two weeks of twice daily "KAATSU" resistance training. International Journal of KAATSU Training Research, 1 (1), 6-12.
  23. Takano, H., Morita, T., Iida, H., Asada, KI, Kato, M., Uno, K., & Eto, F. (2005). Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. European journal of applied physiology, 95 (1), 65-73.
  24. Sharifi, S., Monazzami, A., Nikousefat, Z., Heyrani, A., & Yari, K. (2020). The acute and chronic effects of resistance training with blood flow restriction on hormonal responses in untrained young men: A comparison of frequency. Cellular and Molecular Biology66(1), 1-8.
  25. Kraemer, WJ, Staron, RS, Hagerman, FC, Hikida, RS, Fry, AC, Gordon, SE, & Newton, RU (1998). The effects of short-term resistance training on endocrine function in men and women. European Journal of Applied Physiology and Occupational Physiology, 78 (1), 69-76.
  26. Correa-Silva, SR, & Lengyel, AMJ (2003). Influência dos glicocorticoids sobre o eixo somatotrófico. Arquivos Brasileiros de Endocrinologia & Metabologia .
  27. Takano, H., Morita, T., Iida, H., Kato, M., Uno, K., Hirose, K., & Eto, F. (2005). Effects of low-intensity "KAATSU" resistance exercise on hemodynamic and growth hormone responses. International Journal of KAATSU Training Research, 1 (1), 13-18.
  28. Takano, H., Morita, T., Iida, H., Asada, KI, Kato, M., Uno, K., & Eto, F. (2005). Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. European Journal of Applied Physiology and Occupational Physiology, 95 (1), 65-73.
  29. Ahtiainen, JP, Pakarinen, A., Kraemer, WJ, & Häkkinen, K. (2003). Acute hormonal and neuromuscular responses and recovery to forced vs. maximum repetitions multiple resistance exercises. International Journal of Sports Medicine, 24 (06), 410-418.
  30. 3 1. Wideman, L., Weltman, JY, Hartman, ML, Veldhuis, JD, & Weltman, A. (2002). Growth hormone release during acute and chronic aerobic and resistance exercise. Sports Medicine, 32 (15), 987-1004.
  31. Sato, Y., & Abe, T. (2005). KAATSU-walk training increases serum bone-specific alkaline phosphatase in young men. International Journal of KAATSU Training Research, 1 (2), 77-81.
  32. Abe, T., Kearns, CF, & Sato, Y. (2006). Muscle size and strength are increased following walk training with restricted venous blood flow from the leg muscle, Kaatsu-walk training. Journal of Applied Physiology, 100 (5), 1460-1466.
  33. Fujita, S., Abe, T., Drummond, MJ, Cadenas, JG, Dreyer, HC, Sato, Y., & Rasmussen, BB (2007). Blood flow restriction during low-intensity resistance exercise increases S6K1 phosphorylation and muscle protein synthesis. Journal of Applied Physiology, 103 (3), 903-910.
  34. Cuneo, RC, Salomon, FRANC, Wiles, CM, Hesp, R., & Sonksen, PH (1991). Growth hormone treatment in growth hormone-deficient adults. I. Effects on muscle mass and strength. Journal of Applied Physiology, 70 (2), 688-694.
  35. Hansen, S., Kvorning, T., Kjaer, M., & Sjøgaard, G. (2001). The effect of short-term strength training on human skeletal muscle: the importance of physiologically elevated hormone levels. Scandinavian Journal of Medicine & Science in Sports, 11 (6), 347-354.
  36. Reeves, GV, Kraemer, RR, Hollander, DB, Clavier, J., Thomas, C., Francois, M., & Castracane, VD (2006). Comparison of hormone responses following light resistance exercise with partial vascular occlusion and moderately difficult resistance exercise without occlusion. Journal of Applied Physiology, 101 (6), 1616-1622.