Evidence map›Paper›PMID 20150565›Full record

Trial reportJournal of applied physiology (Bethesda, Md. : 1985)2010

Blood flow restriction exercise stimulates mTORC1 signaling and muscle protein synthesis in older men.

Christopher S Fry, Erin L Glynn, Micah J Drummond, Kyle L Timmerman, Satoshi Fujita, Takashi Abe, Shaheen Dhanani, Elena Volpi, Blake B Rasmussen

5 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of applied physiology (Bethesda, Md. : 1985), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 174 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
174citing papers in PubMed, 11 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00891696 phase1completednot on this map

Nutritional and Contractile Regulation of Muscle Growth (Cycle 2)

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2009 to 2015Enrolled144ConditionsSarcopeniaArmsRapamycin, Amino acid supplementation, Low-intensity resistance exercise, Sodium nitroprusside, Blood flow restriction cuff
NCT03087292 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Effect of Low Intensity Resistance Training With Vascular Occlusion on Muscle Hypertrophy, Neuromuscular Adaptations and Selected Cardiovascular Parameters in Patients With Coronary Heart Disease

TypeinterventionalSponsorUniversity Medical Centre LjubljanaRan2017 to 2017Enrolled30ConditionsCoronary Disease, Coronary Artery DiseaseArmsResistance training with vascular occlusion
NCT03272737 nacompletednot on this mapstarted 2018, after this paper: background citation

Effect of Low Intensity Strength Training Combined With Moderate Blood Flow Restriction on Muscle Vasodilatation and Arterial Stiffness in Elders With Low Gait Velocity.

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2018 to 2022Enrolled26ConditionsFrail Elderly SyndromeArms1RM Test, Speed gait test, Venous occlusion plethysmography protocol, Measurement of Arterial Stiffness - Pulse Wave Analysis and Velocity, Isometric handgrip exercise protocol
NCT04484961 nacompletednot on this mapstarted 2016, after this paper: background citation

Effects of Blood Flow Restriction Rehabilitation After Bone Patellar Tendon Bone Anterior Cruciate Ligament Reconstruction

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2016 to 2020Enrolled50ConditionsACL TearArmsBlood flow restriction (BFR)
NCT07309068 nacompletednot on this mapstarted 2025, after this paper: background citation

Acute Effects of Blood Flow Restriction Training on Balance and Proprioception: A Randomized Controlled Blinded StudyAcute BFR Training Effects on Balance and Proprioception

TypeinterventionalSponsorBiruni UniversityRan2025 to 2026Enrolled74ConditionsBlood Flow RestrictionArmsBFR, sham BFR, Proprioceptive Exercise Training
3 · Its place in the literature

Who cites it

174 citing papers in PubMed, 11 syntheses or guidelines pooled it, 384 citations in OpenAlex.

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  4. Effect of Blood Flow Restriction on Gait and Mobility in Older Adults: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2024
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  15. Low-Intensity Blood Flow-Restricted Multi-Joint Exercise Improves Muscle Function in Patients With Patellofemoral Pain Syndrome: A Randomized Trial.Medical science monitor : international medical journal of experimental and clinical research · 2026
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114 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Christopher S FryUniversity of Texas Medical Branch, Sealy Center on Aging, Department of Physical Therapy, Division of Rehabilitation Sciences, 301 Univ. Blvd., Galveston, TX 77555-1144, USA.
Erin L Glynn
Micah J Drummond
Kyle L Timmerman
Satoshi Fujita
Takashi Abe
Shaheen Dhanani
Elena Volpi
Blake B Rasmussen
The University of Texas Medical Branch at Galveston · USThe University of Tokyo · JP

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
UTMB CLINICAL AND TRANSLATIONAL SCIENCE AWARD: NASA BED REST STUDIESUL1RR029876 · NCRR · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2009 to 2011
$17.7M
Nutritional and Contractile Regulation of Muscle GrowthR01AR049877 · NIAMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI RASMUSSEN, BLAKE B · 2004 to 2012
$3.3M
Interdisciplinary Rehabilitation Research TrainingT32HD007539 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2001 to 2011
$1.1M
NCRR NIH HHS 1UL1RR029876-01NIAMS NIH HHS AR-049877NIAMS NIH HHS R01 AR049877NIA NIH HHS P30 AG024832NIA NIH HHS P30-AG-024832NICHD NIH HHS T32 HD007539NICHD NIH HHS T32-HD-07539
6 · The paper itself

Abstract

The loss of skeletal muscle mass during aging, sarcopenia, increases the risk for falls and dependence. Resistance exercise (RE) is an effective rehabilitation technique that can improve muscle mass and strength; however, older individuals are resistant to the stimulation of muscle protein synthesis (MPS) with traditional high-intensity RE. Recently, a novel rehabilitation exercise method, low-intensity RE, combined with blood flow restriction (BFR), has been shown to stimulate mammalian target of rapamycin complex 1 (mTORC1) signaling and MPS in young men. We hypothesized that low-intensity RE with BFR would be able to activate mTORC1 signaling and stimulate MPS in older men. We measured MPS and mTORC1-associated signaling proteins in seven older men (age 70+/-2 yr) before and after exercise. Subjects were studied identically on two occasions: during BFR exercise [bilateral leg extension exercise at 20% of 1-repetition maximum (1-RM) with pressure cuff placed proximally on both thighs and inflated at 200 mmHg] and during exercise without the pressure cuff (Ctrl). MPS and phosphorylation of signaling proteins were determined on successive muscle biopsies by stable isotopic techniques and immunoblotting, respectively. MPS increased 56% from baseline after BFR exercise (P<0.05), while no change was observed in the Ctrl group (P>0.05). Downstream of mTORC1, ribosomal S6 kinase 1 (S6K1) phosphorylation and ribosomal protein S6 (rpS6) phosphorylation increased only in the BFR group after exercise (P<0.05). We conclude that low-intensity RE in combination with BFR enhances mTORC1 signaling and MPS in older men. BFR exercise is a novel intervention that may enhance muscle rehabilitation to counteract sarcopenia.

Indexed as

Muscle ContractionResistance TrainingSignal TransductionAgedAge FactorsBiomarkersBiopsyBlotting, WesternFibrin Fibrinogen Degradation ProductsHormonesHumansInsulinMaleMechanistic Target of Rapamycin Complex 1Mitogen-Activated Protein KinasesMultiprotein ComplexesBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DHormonesInsulinMechanistic Target of Rapamycin Complex 1Mitogen-Activated Protein KinasesMultiprotein ComplexesMuscle ProteinsOxygenProteinsRibosomal Protein S6ribosomal protein S6 kinase, 70kD, polypeptide 1Ribosomal Protein S6 Kinases, 70-kDaTOR Serine-Threonine KinasesTranscription Factors

Identifiers

PMID20150565
PMCPMC2867530
OpenAlexW2168753337

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.