Clinical trial NCT06724458: Resistance Exercise Blood Flow Restriction
Official title: Skeletal Muscle Endurance Responses to Various Relative Loads of Dynamic Resistance Exercise with and Without Peripheral Blood Flow Occlusion
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Skeletal Muscle Endurance
Lead sponsor: University of British Columbia
Sponsor class: OTHER
First posted: 2024-12-09
Enrollment: 29
Sex: ALL
Minimum age (years): 19
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: BASIC_SCIENCE

Brief summary: The number of repetitions able to be performed during resistance exercise is impacted by the load an individual is working against. Heavier loads lead to less repetitions being performed and lighter loads lead to more repetitions being performed. As the load gets progressively lighter, it is hypothesized that oxygen availability becomes an important factor for performance of maximum repetitions. Peripheral blood flow occlusion using exercise specific blood flow occlusion cuffs can allow for oxygen availability to be controlled by altering the amount of blood able to get to working muscles. To date, no study has examined the effect of varying exercise loads, from heavy to light, on maximum repetitions able to be performed with and without blood flow occlusion.

Detailed description: The study aims to assess the difference in maximum repetitions performed at varying percentages of participants maximum strength and the impact peripheral blood flow occlusion has on performance

The study will take three weeks to complete with a total of six visits. The entire time commitment will be seven hours. During week 1 participants will visit the lab twice to perform baseline assessments of strength, endurance, muscle size and will also receive a resting thighs muscle biopsy. During weeks 2 and 3 participants will visit the lab twice per week to complete three out of twelve randomized exercise interventions per visit. The interventions are maximum repetitions at 80/40/30/25/20/15% of knee-extension one-repetition maximum as well as 90/70/60/55/50/45% of barbell curl one-repetition maximum; all of the listed conditions will be tested in a free-flow and blood flow occluded state (i.e., 12 total exercise interventions for the knee extension and 12 total exercise interventions for the barbell curl).

Eligibility criteria: Inclusion Criteria:

1. Able to understand and communicate in English
2. 19-30 years of age
3. All "No" answers on the Canadian Society for Exercise Physiology Get Active questionnaire or doctors' approval to participate
4. Untrained participants: no structured resistance and/or endurance training over the past 12-months (i.e., \>2 hours per week of structured/periodized training)
5. Resistance trained participants: structured resistance training over the past 12-months (i.e., \>2 hours per week of structured/periodized resistance training)
6. Endurance trained participants: structured resistance training over the past 12-months (i.e., \>2 hours per week of structured/periodized endurance training)

Exclusion Criteria:

1. BMI lower than 18 or greater than 30
2. Current use of cigarettes or other nicotine devices
3. Any major uncontrolled cardiovascular, muscular, metabolic, and/or neurological disorders
4. Any medical condition impacting the ability to participate in maximal exercise
5. Type one or type two diabetes
6. Diagnosis of cancer or undergoing cancer treatment in the past 12 months
7. Taking blood-thinning medication or the presence of a bleeding disorder
8. Drug therapy with any drugs that alter skeletal muscle metabolism (i.e., Metformin, Benzodiazepines)
9. Lowest calculated exercise testing load is less than the lightest weight able to be provided by the lab gymnasium equipment (i.e., 36 pounds for the knee extension, and/or 33 pounds for the barbell curl)

Primary outcomes:
measure: Maximum knee extension repetitions
timeFrame: From weeks two to three in the study
Secondary outcomes:
measure: Maximum barbell curl repetitions
timeFrame: From weeks two to three in the study
measure: Change in vastus lateralis oxygen saturation
timeFrame: From weeks two to three in the study
measure: Correlation of muscle fiber size/type/distribution to maximum knee extension repetitions at 20% 1RM
timeFrame: From weeks two to three in the study
measure: Correlation of mitochondrial content to maximum knee extension repetitions at 20% 1RM
timeFrame: From weeks two to three in the study
measure: Correlation of capillary density to maximum knee extension repetitions at 20% 1RM
timeFrame: From weeks two to three in the study
measure: Comparison of muscle fiber size/type/distribution, mitochondrial function, mitochondrial density, capillary density, absolute muscle size ,and VO2 max between participants of different training statuses
timeFrame: Week 3
measure: Correlation of absolute muscle size to maximum knee extension repetitions at 20% 1RM/barbell curl repetitions at 45% 1RM
timeFrame: Weeks 1, 2, and 3
measure: Correlation of absolute muscle size to maximum knee extension repetitions at 20% 1RM/barbell curl repetitions at 45% 1RM
timeFrame: Week 1
measure: Correlation of absolute muscle size to maximum knee extension repetitions at 20% 1RM/barbell curl repetitions at 45% 1RM
timeFrame: Week 2
measure: Comparison of absolute muscle size between sexes
timeFrame: Week 3
measure: Comparison of capillary density between sexes
timeFrame: Week 3
measure: Comparison of mitochondrial density between sexes
timeFrame: Week 3
measure: Comparison of muscle fiber distribution between sexes
timeFrame: Week 3
measure: Comparison of muscle fiber size between sexes
timeFrame: Week 3
measure: Comparison of muscle fiber type between sexes
timeFrame: Week 3
measure: Comparison of mitochondrial function between sexes
timeFrame: Week 3
measure: Comparison of VO2 max between sexes
timeFrame: Week 3
measure: Correlation of VO2 max to maximum knee extension repetitions at 20% 1RM
timeFrame: Week 1
measure: Correlation of VO2 max to maximum knee extension repetitions at 20% 1RM
timeFrame: Week 2
measure: Correlation of VO2 max to maximum knee extension repetitions at 20% 1RM
timeFrame: Week 3
Other outcomes:
Locations:
city: Vancouver
country: Canada
facility: Chan Gunn Pavilion
state: British Columbia
Study officials:
References: