Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis

Blood flow restriction training (BFRT) is an effective, scientific and safe training method, but its effect on the overall quality of athletes remains unclear. The aim of this systematic review with meta-analysis was to clarify the effects of BFRT on the physical fitness among athletes. Based on the...

Full description

Bibliographic Details
Main Authors: Yang, Kun, Chee, Chen Soon, Abdul Kahar, Johan, Tengku Kamalden, Tengku Fadilah, Li, Rui, Qian, Shaowen
Format: Article
Language:English
Published: Nature Research 2024
Online Access:http://psasir.upm.edu.my/id/eprint/113594/
http://psasir.upm.edu.my/id/eprint/113594/1/113594.pdf
_version_ 1848866269336436736
author Yang, Kun
Chee, Chen Soon
Abdul Kahar, Johan
Tengku Kamalden, Tengku Fadilah
Li, Rui
Qian, Shaowen
author_facet Yang, Kun
Chee, Chen Soon
Abdul Kahar, Johan
Tengku Kamalden, Tengku Fadilah
Li, Rui
Qian, Shaowen
author_sort Yang, Kun
building UPM Institutional Repository
collection Online Access
description Blood flow restriction training (BFRT) is an effective, scientific and safe training method, but its effect on the overall quality of athletes remains unclear. The aim of this systematic review with meta-analysis was to clarify the effects of BFRT on the physical fitness among athletes. Based on the PRISMA guidelines, searches were performed in PubMed, Web of Science, SPORTDiscus, and SCOUPS, the Cochrane bias risk assessment tool was used to assess methodological quality, and RevMan 5.4 and STATA 15.0 software were used to analyze the data. A meta-analysis of 28 studies with a total sample size of 542 athletes aged 14–26 years and assessed as low risk for quality was performed. Our results revealed that the BFRT intervention had small to large improvements in the athletes' strength (ES = 0.74–1.03), power (ES = 0.46), speed (ES = 0.54), endurance (ES = 1.39–1.40), body composition (ES = 0.28–1.23), while there was no significant effect on body mass (p > 0.05). Subgroup analyses revealed that moderator variables (training duration, frequency, load, cuff pressure, and pressurization time) also had varying degrees of effect on athletes' physical fitness parameters. In conclusion, BFRT had a positive effect on the physical fitness parameters of the athletes, with significantly improved strength, power, speed, endurance and body composition, but not body mass parameters. When the training frequency ≥ 3 times/week, cuff pressure ≥ 160 mmHg, and pressurization time ≥ 10 min, the BFRT group was more favorable for the improvement of physical fitness parameters.
first_indexed 2025-11-15T14:17:55Z
format Article
id upm-113594
institution Universiti Putra Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T14:17:55Z
publishDate 2024
publisher Nature Research
recordtype eprints
repository_type Digital Repository
spelling upm-1135942024-11-14T03:54:43Z http://psasir.upm.edu.my/id/eprint/113594/ Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis Yang, Kun Chee, Chen Soon Abdul Kahar, Johan Tengku Kamalden, Tengku Fadilah Li, Rui Qian, Shaowen Blood flow restriction training (BFRT) is an effective, scientific and safe training method, but its effect on the overall quality of athletes remains unclear. The aim of this systematic review with meta-analysis was to clarify the effects of BFRT on the physical fitness among athletes. Based on the PRISMA guidelines, searches were performed in PubMed, Web of Science, SPORTDiscus, and SCOUPS, the Cochrane bias risk assessment tool was used to assess methodological quality, and RevMan 5.4 and STATA 15.0 software were used to analyze the data. A meta-analysis of 28 studies with a total sample size of 542 athletes aged 14–26 years and assessed as low risk for quality was performed. Our results revealed that the BFRT intervention had small to large improvements in the athletes' strength (ES = 0.74–1.03), power (ES = 0.46), speed (ES = 0.54), endurance (ES = 1.39–1.40), body composition (ES = 0.28–1.23), while there was no significant effect on body mass (p > 0.05). Subgroup analyses revealed that moderator variables (training duration, frequency, load, cuff pressure, and pressurization time) also had varying degrees of effect on athletes' physical fitness parameters. In conclusion, BFRT had a positive effect on the physical fitness parameters of the athletes, with significantly improved strength, power, speed, endurance and body composition, but not body mass parameters. When the training frequency ≥ 3 times/week, cuff pressure ≥ 160 mmHg, and pressurization time ≥ 10 min, the BFRT group was more favorable for the improvement of physical fitness parameters. Nature Research 2024 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/113594/1/113594.pdf Yang, Kun and Chee, Chen Soon and Abdul Kahar, Johan and Tengku Kamalden, Tengku Fadilah and Li, Rui and Qian, Shaowen (2024) Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis. Scientific Reports, 14 (1). art. no. 16615. pp. 1-16. ISSN 2045-2322 https://doi.org/10.1038/s41598-024-67181-9 10.1038/s41598-024-67181-9
spellingShingle Yang, Kun
Chee, Chen Soon
Abdul Kahar, Johan
Tengku Kamalden, Tengku Fadilah
Li, Rui
Qian, Shaowen
Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
title Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
title_full Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
title_fullStr Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
title_full_unstemmed Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
title_short Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
title_sort effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis
url http://psasir.upm.edu.my/id/eprint/113594/
http://psasir.upm.edu.my/id/eprint/113594/
http://psasir.upm.edu.my/id/eprint/113594/
http://psasir.upm.edu.my/id/eprint/113594/1/113594.pdf