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• W3003955922 abstract "Background: The vascular effects of training under blood flow restriction (BFR) in healthy persons can serve as a model for the exercise mechanism in lower extremity arterial disease (LEAD) patients. Both mechanisms are, inter alia, characterized by lower blood flow in the lower limbs. We aimed to describe and compare the underlying mechanism of exercise-induced effects of disease- and external application-BFR methods. Methods: We completed a narrative focus review after systematic literature research. We included only studies on healthy participants or those with LEAD. Both male and female adults were considered eligible. The target intervention was exercise with a reduced blood flow due to disease or external application. Results: We identified 416 publications. After the application of inclusion and exclusion criteria, 39 manuscripts were included in the vascular adaption part. Major mechanisms involving exercise-mediated benefits in treating LEAD included: inflammatory processes suppression, proinflammatory immune cells, improvement of endothelial function, remodeling of skeletal muscle, and additional vascularization (arteriogenesis). Mechanisms resulting from external BFR application included: increased release of anabolic growth factors, stimulated muscle protein synthesis, higher concentrations of heat shock proteins and nitric oxide synthase, lower levels in myostatin, and stimulation of S6K1. Conclusions: A main difference between the two comparators is the venous blood return, which is restricted in BFR but not in LEAD. Major similarities include the overall ischemic situation, the changes in microRNA (miRNA) expression, and the increased production of NOS with their associated arteriogenesis after training with BFR." @default.
• W3003955922 created "2020-02-07" @default.
• W3003955922 creator A5028140994 @default.
• W3003955922 creator A5038589044 @default.
• W3003955922 creator A5054450304 @default.
• W3003955922 creator A5084455256 @default.
• W3003955922 date "2020-01-31" @default.
• W3003955922 modified "2023-09-25" @default.
• W3003955922 title "Exercise-Induced Vascular Adaptations under Artificially Versus Pathologically Reduced Blood Flow: A Focus Review with Special Emphasis on Arteriogenesis" @default.
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• W3003955922 doi "https://doi.org/10.3390/cells9020333" @default.
• W3003955922 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7072401" @default.
• W3003955922 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32024023" @default.
• W3003955922 hasPublicationYear "2020" @default.
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