SECTION II - EXERCISE PHYSIOLOGY AND SPORTS MEDICINE / RESEARCH PAPER
Evaluating Local Muscle Oxygen Saturation:
Ischemic Preconditioning Protocols
and the Myth of Overcompensation
More details
Hide details
1
Department of Biophysics and Physiology, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
2
Department of Training and Exercise Science, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany.
3
Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland.
Submission date: 2024-06-26
Final revision date: 2024-07-19
Acceptance date: 2024-10-03
Online publication date: 2024-12-06
Corresponding author
Moacir Marocolo
Department of Biophysics and Physiology, Federal University of Juiz de Fora, Rua José Lourenço Kelmer s/n, 36036900, Juiz de Fora, Brazil
KEYWORDS
TOPICS
ABSTRACT
Ischemic preconditioning (IPC) is a promising strategy to enhance athletic performance and recovery by improving local muscle oxygen saturation. This study aimed to investigate the effects of different IPC protocols on muscle oxygenation in physically active healthy men. Thirty-four subjects were randomized into three groups and underwent four occlusion cycles of duration of three (IPC-3), five (IPC-5) or seven (IPC-7) min in only one limb. Near-infrared spectroscopy was used to assess oxygenated and deoxygenated hemoglobin levels, calculating total hemoglobin and oxygen saturation percentage (TSI%). Results showed significant improvements in muscle oxygenation following IPC, with variations in minimum, peak, and mean values across protocols. IPC-5 demonstrated the most consistent enhancements in oxygen saturation levels, with statistically significant differences observed in TSI% values during occlusion and reperfusion phases compared to IPC-3 (p < 0.05) and IPC-7 (p < 0.05), without supercompensation of TSI% during reperfusion phases compared to baseline. Specifically, IPC-5 induced the greatest increase in oxygenation in the contralateral limb compared to IPC-3 and IPC-7. These findings suggest that IPC, particularly the five-min protocol, effectively enhances local muscle oxygenation in non-occluded limbs, which may contribute to improved athletic performance and recovery, mainly under conditions where the exercise or testing does not directly involve cuffed limbs.
REFERENCES (40)
1.
Arriel, R. A., de Souza, H. L. R., da Mota, G. R., & Marocolo, M. (2018). Declines in exercise performance are prevented 24 hours after post-exercise ischemic conditioning in amateur cyclists. PLoS One, 13(11), e0207053.
https://doi.org/10.1371/journa....
2.
Arriel, R. A., Meireles, A., Hohl, R., & Marocolo, M. (2020a). Ischemic preconditioning improves performance and accelerates the heart rate recovery. Journal of Sports Medicine and Physical Fitness, 60(9), 1209–1215.
https://doi.org/10.23736/S0022....
3.
Arriel, R. A., Rodrigues, J. F., Souza, H. L. R., Meireles, A., Leitao, L. F. M., Crisafulli, A., & Marocolo, M. (2020b). Ischemia-Reperfusion Intervention: From Enhancements in Exercise Performance to Accelerated Performance Recovery-A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 17(21), 8161.
https://doi.org/10.3390/ijerph....
4.
Bailey, T. G., Birk, G. K., Cable, N. T., Atkinson, G., Green, D. J., Jones, H., & Thijssen, D. H. (2012). Remote ischemic preconditioning prevents reduction in brachial artery flow-mediated dilation after strenuous exercise. American Journal of Physiology-Heart and Circulatory Physiology, 303(5), H533–538.
https://doi.org/10.1152/ajphea....
5.
Barstow, T. J. (2019). Understanding near infrared spectroscopy and its application to skeletal muscle research. Journal of Applied Physiology (1985), 126(5), 1360–1376.
https://doi.org/10.1152/japplp....
6.
Batterham, A. M., & Hopkins, W. G. (2006). Making meaningful inferences about magnitudes. International Journal of Sports Physiology and Performance, 1(1), 50–57.
https://www.ncbi.nlm.nih.gov/p....
8.
Bielec, G., Makar, P., Laskowski, R., Olek, R. A. (2013). Kinematic variables and blood acid-base status in the analysis of collegiate swimmers' anaerobic capacity. Biology of Sport, 30 (3), 213-217.
https://doi.org/10.5604/208318....
9.
Bielec, G.; Gozdziejewska, A., Makar, P. (2021). Changes in Body Composition and Anthropomorphic Measurements in Children Participating in Swimming and Non-Swimming Activities. Children, 8 (7), 529.
https://doi.org/10.3390/childr....
10.
Bopp, C. M., Townsend, D. K., Warren, S., & Barstow, T. J. (2014). Relationship between brachial artery blood flow and total [hemoglobin+myoglobin] during post-occlusive reactive hyperemia. Microvascular Research, 91, 37–43.
https://doi.org/10.1016/j.mvr.....
11.
Cocking, S., Cable, N. T., Wilson, M. G., Green, D. J., Thijssen, D. H. J., & Jones, H. (2018). Conduit Artery Diameter During Exercise Is Enhanced After Local, but Not Remote, Ischemic Preconditioning. Frontiers in Physiology, 9, 435.
https://doi.org/10.3389/fphys.....
12.
Crisafulli, A., Tangianu, F., Tocco, F., Concu, A., Mameli, O., Mulliri, G., & Caria, M. A. (2011). Ischemic preconditioning of the muscle improves maximal exercise performance but not maximal oxygen uptake in humans. Journal of Applied Physiology (1985), 111(2), 530–536.
https://doi.org/10.1152/japplp....
13.
Crum, E. M., O'Connor, W. J., Van Loo, L., Valckx, M., & Stannard, S. R. (2017). Validity and reliability of the Moxy oxygen monitor during incremental cycling exercise. European Journal of Sport Science, 17(8), 1037–1043.
https://doi.org/10.1080/174613....
14.
de Groot, P. C., Thijssen, D. H., Sanchez, M., Ellenkamp, R., & Hopman, M. T. (2010). Ischemic preconditioning improves maximal performance in humans. European Journal of Applied Physiology, 108(1), 141–146.
https://doi.org/10.1007/s00421....
15.
de Oliveira, G. T., Souza, H. L. R., Prazeres, E. O., Bernardes, B. P., Patterson, S. D., Arriel, R. A., …Marocolo, M. (2024). A Practical Approach for Ischemic Preconditioning Intervention in Sports: A Pilot Study for Cuff Thigh Occlusion Pressure Estimation Based on Systolic Blood Pressure. Journal of Human Kinetics, 91, 157–164.
https://doi.org/10.5114/jhk/18....
16.
Enko, K., Nakamura, K., Yunoki, K., Miyoshi, T., Akagi, S., Yoshida, M.,…Ito, H. (2011). Intermittent arm ischemia induces vasodilatation of the contralateral upper limb. Journal of Physiological Sciences, 61(6), 507–513.
https://doi.org/10.1007/s12576....
17.
Feldmann, A., Schmitz, R., & Erlacher, D. (2019). Near-infrared spectroscopy-derived muscle oxygen saturation on a 0% to 100% scale: reliability and validity of the Moxy Monitor. Journal of Biomedical Optics, 24(11), 115001–11.
https://doi.org/10.1117/1.JBO.....
18.
Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity rating scales. Pain, 152(10), 2399–2404.
https://doi.org/10.1016/j.pain....
19.
Jackson, R. E., Lima, N. S., Sherman, S. R., & Clifford, P. S. (2023). Reduction in peripheral arterial stiffness after reactive hyperemia is dependent on increases in blood flow. Physiological Reports, 11(24), e15894.
https://doi.org/10.14814/phy2.....
20.
Jones, H., Hopkins, N., Bailey, T. G., Green, D. J., Cable, N. T., & Thijssen, D. H. (2014). Seven-day remote ischemic preconditioning improves local and systemic endothelial function and microcirculation in healthy humans. American Journal of Hypertension, 27(7), 918–925.
https://doi.org/10.1093/ajh/hp....
21.
Kido, K., Suga, T., Tanaka, D., Honjo, T., Homma, T., Fujita, S.,…Isaka, T. (2015). Ischemic preconditioning accelerates muscle deoxygenation dynamics and enhances exercise endurance during the work-to-work test. Physiological Reports, 3(5), e12395.
https://doi.org/10.14814/phy2.....
22.
Kjeld, T., Rasmussen, M. R., Jattu, T., Nielsen, H. B., & Secher, N. H. (2014). Ischemic preconditioning of one forearm enhances static and dynamic apnea. Medicine and Science in Sports and Exercise, 46(1), 151–155.
https://doi.org/10.1249/MSS.0b....
23.
Kooijman, M., Thijssen, D. H., de Groot, P. C., Bleeker, M. W., van Kuppevelt, H. J., Green, D. J.,…Hopman, M. T. (2008). Flow-mediated dilatation in the superficial femoral artery is nitric oxide mediated in humans. Journal of Physiology, 586(4), 1137–1145.
https://doi.org/10.1113/jphysi....
24.
Loenneke, J. P., Thiebaud, R. S., Fahs, C. A., Rossow, L. M., Abe, T., & Bemben, M. G. (2013). Effect of cuff type on arterial occlusion. Clinical Physiology and Functional Imaging, 33(4), 325–327.
https://doi.org/10.1111/cpf.12....
25.
Marocolo, M., Billaut, F., & da Mota, G. R. (2018). Ischemic Preconditioning and Exercise Performance: An Ergogenic Aid for Whom? Frontiers in Physiology, 9, 1874.
https://doi.org/10.3389/fphys.....
26.
Marocolo, M., Marocolo, I. C., da Mota, G. R., Simao, R., Maior, A. S., & Coriolano, H. J. (2016). Beneficial Effects of Ischemic Preconditioning in Resistance Exercise Fade Over Time. International Journal of Sports Medicine, 37(10), 819–824.
https://doi.org/10.1055/s-0042....
27.
Marocolo, M., Simim, M. A. M., Bernardino, A., Monteiro, I. R., Patterson, S. D., & da Mota, G. R. (2019). Ischemic preconditioning and exercise performance: shedding light through smallest worthwhile change. European Journal of Applied Physiology, 119(10), 2123–2149.
https://doi.org/10.1007/s00421....
28.
Meireles, A., Souza, H. L. R., Arriel, R. A., Ribeiro, G. G. S., Rodrigues, A. B., GT, D. E. O.,…Marocolo, M. (2023). Attenuation of Neuromuscular Fatigue by Ischemic Preconditioning with Moderate Cuff Pressure is Not Related to Muscle Oxygen Saturation in Men. International Journal of Exercise Science, 16(2), 1025–1037.
https://www.ncbi.nlm.nih.gov/p....
29.
Mota, G. R., Rightmire, Z. B., Martin, J. S., McDonald, J. R., Kavazis, A. N., Pascoe, D. D., & Gladden, L. B. (2020). Ischemic preconditioning has no effect on maximal arm cycling exercise in women. European Journal of Applied Physiology, 120(2), 369–380.
https://doi.org/10.1007/s00421....
30.
Oranchuk, D. J., Koral, J., da Mota, G. R., Wrightson, J. G., Soares, R., Twomey, R., & Millet, G. Y. (2020). Effect of blood flow occlusion on neuromuscular fatigue following sustained maximal isometric contraction. Applied Physiology Nutrition and Metabolism, 45(7), 698–706.
https://doi.org/10.1139/apnm-2....
31.
Rytter, N., Carter, H., Piil, P., Sorensen, H., Ehlers, T., Holmegaard, F.,…Hellsten, Y. (2020). Ischemic Preconditioning Improves Microvascular Endothelial Function in Remote Vasculature by Enhanced Prostacyclin Production. Journal of the American Heart Association, 9(15), e016017.
https://doi.org/10.1161/jaha.1....
32.
Sharma, V., Cunniffe, B., Verma, A. P., Cardinale, M., & Yellon, D. (2014). Characterization of acute ischemia-related physiological responses associated with remote ischemic preconditioning: a randomized controlled, crossover human study. Physiological Reports, 2(11), e12200.
https://doi.org/10.14814/phy2.....
33.
Stokfisz, K., Ledakowicz-Polak, A., Zagorski, M., & Zielinska, M. (2017). Ischaemic preconditioning - Current knowledge and potential future applications after 30 years of experience. Advances in Medical Sciences, 62(2), 307–316.
https://doi.org/10.1016/j.advm....
34.
Tanaka, D., Suga, T., Tanaka, T., Kido, K., Honjo, T., Fujita, S.,…Isaka, T. (2016). Ischemic Preconditioning Enhances Muscle Endurance during Sustained Isometric Exercise. International Journal of Sports Medicine, 37(8), 614–618.
https://doi.org/10.1055/s-0035....
35.
Teo, W., Newton, M. J., & McGuigan, M. R. (2011). Circadian rhythms in exercise performance: implications for hormonal and muscular adaptation. Journal of Sports Science and Medicine, 10(4), 600–606.
https://www.ncbi.nlm.nih.gov/p....
36.
Turnes, T., de Aguiar, R. A., de Oliveira Cruz, R. S., Salvador, A. F., Lisboa, F. D., Pereira, K. L.,…Caputo, F. (2018). Impact of ischaemia-reperfusion cycles during ischaemic preconditioning on 2000-m rowing ergometer performance. European Journal of Applied Physiology, 118(8), 1599–1607.
https://doi.org/10.1007/s00421....
37.
Vehrs, P. R., Richards, S., Allen, J., Barrett, R., Blazzard, C., Burbank, T.,…Fellingham, G. W. (2024). Measurements of Arterial Occlusion Pressure Using Hand-Held Devices. Journal of Strength and Conditioning Research, 38(5), 873–880.
https://doi.org/10.1519/JSC.00....
38.
Vehrs, P. R., Richards, S., Blazzard, C., Hart, H., Kasper, N., Lacey, R.,…Baker, L. (2023). Use of a handheld Doppler to measure brachial and femoral artery occlusion pressure. Frontiers in Physiology, 14, 1239582.
https://doi.org/10.3389/fphys.....
39.
Volga Fernandes, R., Tricoli, V., Garcia Soares, A., Haruka Miyabara, E., Saldanha Aoki, M., & Laurentino, G. (2022). Low-Load Resistance Exercise with Blood Flow Restriction Increases Hypoxia-Induced Angiogenic Genes Expression. Journal of Human Kinetics, 84, 82–91.
https://doi.org/10.2478/hukin-....
40.
Wang, X., Qin, X. M., Ji, S., & Dong, D. (2023). Effects of Resistance Training with Blood Flow Restriction on Explosive Power of Lower Limbs: A Systematic Review and Meta-Analysis. Journal of Human Kinetics, 89, 259–268.
https://doi.org/10.5114/jhk/16....