加压力量训练对下肢骨骼肌影响的Meta分析
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摘要
目的:运用Meta分析方法综合定量评价加压力量训练对下肢肌肉力量的影响,旨在为运动员和教练员进行加压力量训练提供理论依据。方法:建立纳入和排除标准并检索各大数据库,运用Revman 5.3软件对所有纳入文献的结局指标进行统计分析。结果:从1 774篇相关文章中通过5轮条件排除后共纳入研究文献14篇。研究共涉及161名受试者,均为男性。在研究中每一名受试者均进行了训练干预前和训练干预后各指标的两次测试。Meta分析结果显示,加压训练既可以显著性提升下肢伸肌最大力量(WMD=14.95,95%CI 10.07～19.83,P<0.01),同时也能显著增加股四头肌横截面积(WMD=4.07,95%CI 1.47～6.68,P<0.01)。通过敏感性分析表明本研究结果较稳定,进一步采用漏斗图分析提示本研究不存在明显的发表偏倚,说明研究结果可信度较高。结论:小强度加压力量训练不仅可以作为一种训练手段显著提高骨骼肌力量水平,还可以作为较为理想的辅助康复训练手段帮助运动性损伤的运动员早日重返赛场。
Objective: This study intends to use the meta-analysis method to evaluate the impact of KAATSU training on the strength of skeletal muscle comprehensively and quantitatively, so as to provide theoretical basis for athletes and coaches to effectively carry out pressure training.Methods: The inclusion and exclusion criteria were established and the major databases were searched. The Revman5.3 software was used to statistically analyze all outcomes included in the literature. Results: This study included 14 research papers from 1 774 related articles after 5 rounds of conditional exclusion. The study involved 161 male adult subjects. In the study, each subject underwent two tests of each indicator before and after the training intervention. The results of meta-analysis showed that the maximum strength of extensor muscles in the lower limbs could be significantly increased by KAATSU training(WMD=14.95, 95% CI 10.07～19.83, P<0.01),and the cross-sectional area of quadriceps femoris could also be signi?cantly increased(WMD=4.07,95% CI 1.47～6.68, P<0.01). Sensitivity analysis indicated that the results of this study were relatively stable, and further funnel plot analysis indicated that there was no obvious publication bias in this study, indicating that the results of this study were of high credibility. Conclusion:KAATSU training can not only be used as a training method to signi?cantly improve the level of skeletal muscle strength, but also as an ideal auxiliary rehabilitation training method for injured athletes who are recovering to return to the game.
Objective: This study intends to use the meta-analysis method to evaluate the impact of KAATSU training on the strength of skeletal muscle comprehensively and quantitatively, so as to provide theoretical basis for athletes and coaches to effectively carry out pressure training.Methods: The inclusion and exclusion criteria were established and the major databases were searched. The Revman5.3 software was used to statistically analyze all outcomes included in the literature. Results: This study included 14 research papers from 1 774 related articles after 5 rounds of conditional exclusion. The study involved 161 male adult subjects. In the study, each subject underwent two tests of each indicator before and after the training intervention. The results of meta-analysis showed that the maximum strength of extensor muscles in the lower limbs could be significantly increased by KAATSU training(WMD=14.95, 95% CI 10.07～19.83, P<0.01),and the cross-sectional area of quadriceps femoris could also be signi?cantly increased(WMD=4.07,95% CI 1.47～6.68, P<0.01). Sensitivity analysis indicated that the results of this study were relatively stable, and further funnel plot analysis indicated that there was no obvious publication bias in this study, indicating that the results of this study were of high credibility. Conclusion:KAATSU training can not only be used as a training method to signi?cantly improve the level of skeletal muscle strength, but also as an ideal auxiliary rehabilitation training method for injured athletes who are recovering to return to the game.
引文
ABE T,KAWAMOTO K,YASUDA T,et al.,2005a.Eight days KAAT-SU-resistance training improved sprint but not jump performance in collegiate male track and?eld athletes[J].Int J Kaatsu Training Res,1(1):19-23.
ABE T,YASUDA T,MIDORIKAWA T,et al.,2005b.Skeletal muscle size and circulating IGF-1 are increased after two weeks of twice daily“KAATSU”resistance training[J].Int J Kaatsu Training Res,1(1):6-12.
ACSM POSITION STAND,2009.Progression models in resistance training for healthy adults[J].Med Sci Sports Exe,41(3):687-708.
BARCELOS L C,NUNES P R P,DE SOUZA L R M F,et al.,2015.Low-load resistance training promotes muscular adaptation regardless of vascular occlusion,load,or volume[J].Eur J Appl Physiol,115(7):1159-1168.
BRENDAN R,SCOTT J P,LOENNEKE K M,et al.,2015.Blood?ow restricted exercise for athletes:A review of available evidence[J].JSci Med Sport,19(5):360-367.
CRENSHAW A G,HARGENS A R,GERSHUNI D H,et al.,1998.Wide tourniquet cuffs more effective at lower in?ation pressures[J].Acta Orthop Scand,59(4):447-451.
EHRMAN J K,DEJON A,SANDERSON B,et al.,2010.ACSM’s resourse manual for guidelines for exercise testing and prescription[M].6th Edition.Philadelphia:Lippincott Williams&Wilkins,332-348.
FUJITA T,BRECHUE W F,KURITA K,et al.,2008.Increased muscle volume and strength following six days of low-intensity resistance training with restricted muscle blood?ow[J].Int J KAATSU Training Res,4(1):1-8.
HAUSSINGER D,ROTH E,LANG F,et al.,1993.Cellular hydration state:An important determinant of protein catabolism in health and disease[J].Lancet,341(8856):1330-1332.
HERNáNDEZ J M,MARíN P J,MENéNDEZ H,et al.,2012.Muscular adaptations after two different volumes of blood?ow-restricted training[J].Scand J Med Sci Sports,23(2):114-120.
KACIN A,STRAZAR K,2011.Frequent low-load ischemic resistance exercise to failure enhances muscle oxygen delivery and endurance capacity[J].Scand J Med Sci Sports,21(6):231-241.
KELLER U,SZINNAL G,BILZ S,et al.,2003.Effects of changes in hydration on protein,glucose and lipid metabolism in man:impact on health[J].Eur J Clin Nutr,57(2):69-74.
KIM DAEYEOL,SINGH H,LOENNEKE J P,et al.,2016.Comparative effects of vigorous-intensity and low-intensity blood?ow restricted cycle training and detraining on muscle mass,strength,and aerobic capacity[J].J Strength Cond Res,30(5):1453-1461.
LAURENTINO G,UGRINOWITSCH C,AIHARA A Y,et al.,2008.Effects of strength training and vascular occlusion[J].Int J Sports Med,29(8):664-667.
LIXANDR?O M.E,UGRINOWITSCH C,LAURENTINO G,et al.,2015.Effects of exercise intensity and occlusion pressure after 12weeks of resistance training with blood-?ow restriction[J].Eur JAppl Physiol,115(12):2471-2480.
LOENNEKE J P,ABE T,WILSON J M,et al.,2012.Blood?ow restriction:an evidence based progressive model(Review)[J].Acta Physiol Hung,99(3):235-250.
LOENNEKE J P,FAHS C A,ROSSOW L M,et al.,2012.The anabolic bene?ts of venous blood?ow restriction training may be induced by muscle cell swelling[J].Med Hypotheses,78(1):151-154.
LOENNEKE J P,FAHS C A,ROSSOW L M,et al.,2011.Effects of cuff width on arterial occlusion:Implications for blood?ow restricted exercise[J].Eur J Appl Physiol,112(8):2903-2912.
LUEBBERS P E,FRY A C,KRILEY L M,et al.,2014.The effects of a 7-week practical blood flow restriction program on well-trained collegiate athletes[J].J Strength Cond Res,28(8):2270-2280.
LUEBBERS P E,WITTE E V,OSHEL J Q,2017.The effects of practical blood flow restriction training on adolescent lower body strength[J].DOI:10.1519/JSC.0000000000002302.
MADARAME H,NEYA M,OCHI E,et al.,2008.Cross-transfer effects of resistance training with blood?ow restriction[J].Med Sci Sports Exer,40(2):258-263.
MADARAME H,OCHI E,TOMIOKA Y,et al.,2011.Blood?ow-restricted training does not improve jump performance in untrained young men[J].Acta Physiol Hung,98(4):465-471.
MILLER R M,KEETER V M,FREITA E D S,et al.,2018.Effects of blood flow restriction combined with post-activation potentiation stimuli on jump performance in recreationally active males[J].JStrength Cond Res,32(7):1869-1874.
OHTA H,KUROSAWA H,IKEDA H,et al.,2003.Low-load resistance muscular training with moderate restriction of blood?ow after anterior cruciate ligament reconstruction[J].Acta Orthop Scand,74(1):62-68.
SUMIDE T,SAKURABA T,SAWAKI K,et al.,2009.Effect of resistance exercise training combined with relatively low vascular occlusion[J].J Sci Med Sport,12(1):107-112.
TAKARADA Y,TAKAZAWA H,ISHII N,2000.Applications of vascular occlusion diminish disuse atrophy of knee extensor muscles[J].Med Sci Sports Exer,32(12):2035-2039.
TAKARADA Y,TAKAZAWA H,SATO Y,et al.,2000.Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans[J].J Appl Physiol,88(6):2097-2106.
YAMANAKA T,FARLEY R S,CAPUTO J L,et al.,2012.Occlusion training increases muscular strength in division ia football players[J].J Strength Cond Res,26(9):2523-2529.
YASUDA T,FUJITA T,MIYAGI Y,et al.,2006.Electromyographic responses of arm and chest muscle during bench press exercise with and without KAATSU[J].Int J KAATSU Train Res,2(1):15-18.
YASUDA T,LOENNEKE J P,THIEBAUD R,et al.,2012.Effects of blood flow restricted low-intensity concentric or eccentric training on muscle size and strength[J].PLoS one,7(12):528-543.
ABE T,YASUDA T,MIDORIKAWA T,et al.,2005b.Skeletal muscle size and circulating IGF-1 are increased after two weeks of twice daily“KAATSU”resistance training[J].Int J Kaatsu Training Res,1(1):6-12.
ACSM POSITION STAND,2009.Progression models in resistance training for healthy adults[J].Med Sci Sports Exe,41(3):687-708.
BARCELOS L C,NUNES P R P,DE SOUZA L R M F,et al.,2015.Low-load resistance training promotes muscular adaptation regardless of vascular occlusion,load,or volume[J].Eur J Appl Physiol,115(7):1159-1168.
BRENDAN R,SCOTT J P,LOENNEKE K M,et al.,2015.Blood?ow restricted exercise for athletes:A review of available evidence[J].JSci Med Sport,19(5):360-367.
CRENSHAW A G,HARGENS A R,GERSHUNI D H,et al.,1998.Wide tourniquet cuffs more effective at lower in?ation pressures[J].Acta Orthop Scand,59(4):447-451.
EHRMAN J K,DEJON A,SANDERSON B,et al.,2010.ACSM’s resourse manual for guidelines for exercise testing and prescription[M].6th Edition.Philadelphia:Lippincott Williams&Wilkins,332-348.
FUJITA T,BRECHUE W F,KURITA K,et al.,2008.Increased muscle volume and strength following six days of low-intensity resistance training with restricted muscle blood?ow[J].Int J KAATSU Training Res,4(1):1-8.
HAUSSINGER D,ROTH E,LANG F,et al.,1993.Cellular hydration state:An important determinant of protein catabolism in health and disease[J].Lancet,341(8856):1330-1332.
HERNáNDEZ J M,MARíN P J,MENéNDEZ H,et al.,2012.Muscular adaptations after two different volumes of blood?ow-restricted training[J].Scand J Med Sci Sports,23(2):114-120.
KACIN A,STRAZAR K,2011.Frequent low-load ischemic resistance exercise to failure enhances muscle oxygen delivery and endurance capacity[J].Scand J Med Sci Sports,21(6):231-241.
KELLER U,SZINNAL G,BILZ S,et al.,2003.Effects of changes in hydration on protein,glucose and lipid metabolism in man:impact on health[J].Eur J Clin Nutr,57(2):69-74.
KIM DAEYEOL,SINGH H,LOENNEKE J P,et al.,2016.Comparative effects of vigorous-intensity and low-intensity blood?ow restricted cycle training and detraining on muscle mass,strength,and aerobic capacity[J].J Strength Cond Res,30(5):1453-1461.
LAURENTINO G,UGRINOWITSCH C,AIHARA A Y,et al.,2008.Effects of strength training and vascular occlusion[J].Int J Sports Med,29(8):664-667.
LIXANDR?O M.E,UGRINOWITSCH C,LAURENTINO G,et al.,2015.Effects of exercise intensity and occlusion pressure after 12weeks of resistance training with blood-?ow restriction[J].Eur JAppl Physiol,115(12):2471-2480.
LOENNEKE J P,ABE T,WILSON J M,et al.,2012.Blood?ow restriction:an evidence based progressive model(Review)[J].Acta Physiol Hung,99(3):235-250.
LOENNEKE J P,FAHS C A,ROSSOW L M,et al.,2012.The anabolic bene?ts of venous blood?ow restriction training may be induced by muscle cell swelling[J].Med Hypotheses,78(1):151-154.
LOENNEKE J P,FAHS C A,ROSSOW L M,et al.,2011.Effects of cuff width on arterial occlusion:Implications for blood?ow restricted exercise[J].Eur J Appl Physiol,112(8):2903-2912.
LUEBBERS P E,FRY A C,KRILEY L M,et al.,2014.The effects of a 7-week practical blood flow restriction program on well-trained collegiate athletes[J].J Strength Cond Res,28(8):2270-2280.
LUEBBERS P E,WITTE E V,OSHEL J Q,2017.The effects of practical blood flow restriction training on adolescent lower body strength[J].DOI:10.1519/JSC.0000000000002302.
MADARAME H,NEYA M,OCHI E,et al.,2008.Cross-transfer effects of resistance training with blood?ow restriction[J].Med Sci Sports Exer,40(2):258-263.
MADARAME H,OCHI E,TOMIOKA Y,et al.,2011.Blood?ow-restricted training does not improve jump performance in untrained young men[J].Acta Physiol Hung,98(4):465-471.
MILLER R M,KEETER V M,FREITA E D S,et al.,2018.Effects of blood flow restriction combined with post-activation potentiation stimuli on jump performance in recreationally active males[J].JStrength Cond Res,32(7):1869-1874.
OHTA H,KUROSAWA H,IKEDA H,et al.,2003.Low-load resistance muscular training with moderate restriction of blood?ow after anterior cruciate ligament reconstruction[J].Acta Orthop Scand,74(1):62-68.
SUMIDE T,SAKURABA T,SAWAKI K,et al.,2009.Effect of resistance exercise training combined with relatively low vascular occlusion[J].J Sci Med Sport,12(1):107-112.
TAKARADA Y,TAKAZAWA H,ISHII N,2000.Applications of vascular occlusion diminish disuse atrophy of knee extensor muscles[J].Med Sci Sports Exer,32(12):2035-2039.
TAKARADA Y,TAKAZAWA H,SATO Y,et al.,2000.Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans[J].J Appl Physiol,88(6):2097-2106.
YAMANAKA T,FARLEY R S,CAPUTO J L,et al.,2012.Occlusion training increases muscular strength in division ia football players[J].J Strength Cond Res,26(9):2523-2529.
YASUDA T,FUJITA T,MIYAGI Y,et al.,2006.Electromyographic responses of arm and chest muscle during bench press exercise with and without KAATSU[J].Int J KAATSU Train Res,2(1):15-18.
YASUDA T,LOENNEKE J P,THIEBAUD R,et al.,2012.Effects of blood flow restricted low-intensity concentric or eccentric training on muscle size and strength[J].PLoS one,7(12):528-543.