Skip to content

"How Blood Flow Restriction Exercise Affects Muscle Oxygenation and Lactate in Elite Athletes"

The Effect of Blood Flow Restriction Exercise on Muscle Oxygenation and Lactate Levels in Elite Athletes: A Comparative Study

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06918314
Enrollment
46
Registered
2025-04-09
Start date
2024-07-01
Completion date
2025-03-19
Last updated
2026-07-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Blood Flow Restriction Training, Muscle Oxygenation, Physiological Adaptations

Keywords

elite athletes, moxy, bfr, aerobic exercise, treadmill, Blood Lactate Levels

Brief summary

This study investigates the effects of blood flow restriction (BFR) training combined with low-intensity aerobic exercise on muscle oxygenation, total hemoglobin (THb), and blood lactate levels in elite athletes, comparing them with healthy sedentary individuals. BFR training, which partially restricts arterial and fully restricts venous blood flow using a pneumatic cuff, creates a hypoxic environment, leading to muscle strength and endurance improvements with lower-intensity exercise. The study aims to determine whether BFR-induced occlusion enhances muscle adaptation and how these physiological responses differ between elite athletes and sedentary individuals.

Detailed description

This comparative cross-sectional study aims to examine the acute physiological responses to low-intensity aerobic exercise combined with blood flow restriction (BFR) training in elite male track and field athletes versus sedentary individuals. The primary focus is on changes in muscle oxygenation, total hemoglobin (THb), and blood lactate concentrations. BFR is applied via a pneumatic cuff that partially restricts arterial and fully restricts venous return, thereby creating a localized hypoxic environment. This method has been shown to induce strength and endurance adaptations comparable to high-intensity training, even when performed at low intensities. Near-infrared spectroscopy (NIRS) via the Moxy Muscle Oxygen Monitor will be used to assess muscle oxygenation parameters in real-time. Blood lactate levels will be measured through capillary sampling before and after exercise. Additional physiological parameters including heart rate, blood pressure, and respiratory rate will also be monitored. The study compares two groups with distinct physical activity backgrounds, intending to elucidate potential differences in physiological adaptation to BFR. All measurements will be carried out in a controlled lab environment using validated instruments. Statistical analyses will be performed using SPSS software, with appropriate parametric or non-parametric methods depending on data distribution. The results may contribute to a deeper understanding of BFR training mechanisms and guide tailored conditioning strategies for both athletic and sedentary populations.

Interventions

DEVICEBlood Flow Restriction Kaatsu Training Device

The Blood Flow Restriction (BFR) intervention uses a pneumatic cuff to partially restrict arterial and fully restrict venous blood flow, creating a hypoxic environment that enhances muscle activation and strength at low exercise intensities. In this study, BFR will be applied intermittently during low-intensity treadmill walking with controlled pressure adjustments. The Moxy Muscle Oxygen Monitor is a non-invasive NIRS device that measures muscle oxygen saturation (SmO₂) and total hemoglobin (THb). Placed on the quadriceps femoris muscle, it will track oxygenation changes before, during, and after BFR exercise, helping assess muscle metabolism and performance adaptations.

Sponsors

Eastern Mediterranean University
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)

Masking description

Healthy Sedentary Male Individuals: These participants are physically inactive or engage in minimal physical activity. They do not follow a structured exercise regimen and have no history of professional or competitive sports participation. They are in good general health, with no chronic diseases or musculoskeletal disorders that could affect the study outcomes. Healthy Elite Male Athletes: These participants are actively involved in elite-level athletics, following a structured and high-intensity training program. They have extensive experience in competitive sports, particularly in track and field disciplines. They are in optimal physical condition, with well-developed cardiovascular and musculoskeletal systems, and no history of major injuries or health conditions that could impact their performance.

Intervention model description

"This study aims to compare two distinct groups: healthy sedentary male individuals and healthy elite male athletes. The research will focus on various physiological and performance-related parameters to examine the differences between these groups in terms of muscle function, cardiovascular efficiency, metabolic responses, and overall physical fitness. By analyzing these factors, the study seeks to provide valuable insights into the impact of regular high-intensity training on physical health and performance, as well as how a sedentary lifestyle affects these parameters. The findings may contribute to a better understanding of training adaptations and the physiological characteristics distinguishing elite athletes from their sedentary counterparts."

Eligibility

Sex/Gender
MALE
Age
15 Years to 18 Years
Healthy volunteers
Yes

Inclusion criteria

Eligibility Criteria: Participants will be included or excluded based on the following conditions: Inclusion Criteria: Willingness to participate in the study Male individuals aged 15-18 years Sedentary status for control group participants (\<600 MET-min/week according to the International Physical Activity Questionnaire - Short Form) Body mass index (BMI) \<25 kg/m² Licensed track and field athlete for the study group At least 3 years of experience as a licensed sprint athlete No history of sports injury in the last 6 months

Exclusion criteria

Presence of open wounds or infection in the lower extremities Leg pain, varicose veins, or thrombophlebitis Diabetes or a history of cardiovascular disease Smoking and/or alcohol consumption Presence of respiratory distress Bilateral lower extremity pain and edema Incompatibility with the blood flow restriction (BFR) device Presence of diseases causing endothelial dysfunction (e.g., hypertension, cardiovascular diseases, neurological disorders, systemic inflammation, obesity, diabetes, atherosclerosis) History of deep vein thrombosis (DVT) or peripheral vascular disease Presence of acute infection History of cancer Surgical operation due to trauma within the last 6 months

Design outcomes

Primary

MeasureTime frameDescription
Change in muscle oxygenation (SmO₂) measured by Moxy Muscle Oxygen Monitor (Near-Infrared Spectroscopy - NIRS)Over a period of 2 monthsMuscle oxygenation (SmO₂) will be assessed using the Moxy Muscle Oxygen Monitor, a validated NIRS-based device placed on the vastus lateralis muscle. Measurements will be taken pre- and post-exercise across multiple sessions to observe acute and cumulative responses.Unit of Measure: Percentage (%)
Change in blood lactate concentration measured by portable lactate analyzer (e.g., Lactate Scout+)Immediately before and 3 minutes after each exercise session over a 2-month periodCapillary blood samples will be collected from the fingertip immediately before and 3 minutes after low-intensity aerobic exercise. Lactate levels will be analyzed using a validated point-of-care lactate analyzer to assess the metabolic response to BFR training.Unit of Measure: mmol/L
Change in body fat percentage measured by Bioelectrical Impedance Analysis (TANITA BIA device)Over a period of 2 monthsBody fat percentage will be assessed using a validated TANITA BIA device to evaluate changes in body composition.
Change in muscle mass measured by Bioelectrical Impedance Analysis (TANITA BIA device)Baseline and end of 2-month interventionMuscle mass will be assessed using a TANITA BIA device to track training-induced adaptations. Unit of Measure: Kilograms (kg)
Change in Body Mass Index (BMI) measured by Bioelectrical Impedance Analysis (TANITA BIA device)Baseline and end of 2-month interventionBMI will be calculated from height and weight data provided by the TANITA BIA device to observe general body composition trends. Unit of Measure: kg/m²

Countries

Turkey (Türkiye)

Contacts

STUDY_DIRECTORgulhan yılmaz gokmen, Assoc. Prof.

"Bandırma Onyedi Eylül University, Faculty of Health Sciences"

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 21, 2026