Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Ischemia-Reperfusion Intervention: From Enhancements in Exercise Performance to Accelerates Performance Recovery - A Systematic Review and Meta-Analysis

Version 1 : Received: 10 October 2020 / Approved: 12 October 2020 / Online: 12 October 2020 (10:42:36 CEST)

A peer-reviewed article of this Preprint also exists.

Arriel, R.A.; Rodrigues, J.F.; Souza, H.L.R.; Meireles, A.; Leitão, L.F.M.; Crisafulli, A.; Marocolo, M. Ischemia–Reperfusion Intervention: From Enhancements in Exercise Performance to Accelerated Performance Recovery—A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2020, 17, 8161. Arriel, R.A.; Rodrigues, J.F.; Souza, H.L.R.; Meireles, A.; Leitão, L.F.M.; Crisafulli, A.; Marocolo, M. Ischemia–Reperfusion Intervention: From Enhancements in Exercise Performance to Accelerated Performance Recovery—A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2020, 17, 8161.

Abstract

It has been demonstrated that brief cycles of ischemia followed by reperfusion (IR) applied before exercise can improve performance and, IR intervention, applied immediately after exercise (post-exercise ischemic conditioning – PEIC) exerts a potential ergogenic effect to accelerate recovery. Thus, the purpose of this systematic review with meta-analysis was to identify the effects of PEIC on exercise performance, recovery and the responses of associated physiological parameters, such as creatine kinase, perceived recovery and muscle soreness, over 24 h after its application. From 3281 studies, six involving 106 subjects fulfilled the inclusion criteria. Compared to sham (cuff administration with low pressure) and control interventions (no cuff administration), PEIC led to faster performance recovery (p=0.004; ES=-0.49) and lower increase in creatine kinase (p<0.001; ES=-0.71) and muscle soreness (p<0.001; ES=-0.89) over 24 h. The effectiveness of this intervention is more pronounced in subjects with low/moderate fitness level and at least a total time of 10 min of ischemia (e.g. 2 cycles of 5 min) is necessary to promote positive effects.

Keywords

Intermittent occlusion; Blood flow occlusion; Sports; Ergogenic; Ischemic postconditioning

Subject

Medicine and Pharmacology, Immunology and Allergy

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