2020, Número 3
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Revista Cubana de Salud Pública 2020; 46 (3)
Entrenamiento de fuerza con restricción parcial del flujo sanguíneo en adultos mayores con sarcopenia
Bahamondes-Ávila C, Ponce-Fuentes F, Chahin-Inostroza N, Bracho-Milic F, Navarrete-Hidalgo C
Idioma: Español
Referencias bibliográficas: 44
Paginas: 1-18
Archivo PDF: 532.13 Kb.
RESUMEN
Introducción:
El progresivo envejecimiento poblacional se estima a nivel mundial como un indicador de mejora de la salud. No obstante, al vivir más años se le asocian problemas sanitarios que se van posicionando en el tiempo, y uno de ellos es la sarcopenia, la que se considera una condición común en los adultos mayores y se asocia a la inactividad física, baja resistencia, baja velocidad de marcha y disminución de la movilidad. Estos factores contribuyen a un aumento del riesgo de caída y a una disminución de la funcionalidad y de la calidad de vida.
Objetivo:
Mostrar evidencia actualizada respecto a los resultados del entrenamiento de fuerza con restricción parcial del flujo sanguíneo en población adulto mayor con sarcopenia, como estrategia costo-efectiva para la dependencia asociada al envejecimiento.
Métodos:
Se realizó una búsqueda en bases de datos científicas EBSCOhost, ScienceDirect, Web of Science y en el buscador PubMed. Se utilizaron los siguientes términos de búsqueda: entrenamiento con restricción parcial del flujo sanguíneo, sarcopenia, adulto mayor. Los artículos analizados incluyeron revisiones y artículos de investigación, principalmente ensayos clínicos controlados y revisiones sistemáticas con metanálisis.
Conclusiones:
El entrenamiento con restricción parcial del flujo sanguíneo en el adulto mayor surge como una herramienta útil para intervenir en la sarcopenia asociada al envejecimiento, constituyendo una alternativa para inducir la ganancia de fuerza muscular, con la disminución de los riesgos del entrenamiento de alta intensidad. Además, es una técnica económica y fácil de implementar en centros de salud de asistencia masiva.
REFERENCIAS (EN ESTE ARTÍCULO)
MINSAL. Programa Nacional de Salud de las Personas Adultas Mayores. Chile: MINSAL; 2014 [acceso 02/12/2018] Disponible en: Disponible en: http://web.minsal.cl/sites/default/files/files/Borrador%20documento%20Programa%20Nacional%20de%20Personas%20Adultas%20Mayores-%2004-03_14.pdf
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56. DOI: 10.1093/gerona/56.3.m146
Organización Mundial de la Salud. Informe sobre el envejecimiento y la salud. Ginebra: OMS; 2015[acceso 04/12/2018]. Disponible en: Disponible en: https://apps.who.int/iris/bitstream/handle/10665/186466/9789240694873_spa.pdf?sequence=1
Cadore EL, Pinto RS, Bottaro M, Izquierdo M. Strength and endurance training prescription in healthy and frail elderly. Aging Dis. 2014;5(3):183-95. DOI: 10.14336/AD.2014.0500183
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. DOI: 10.1093/ageing/afy169
Shafiee G, Keshtkar A, Soltani A, Ahadi Z, Larijani B, Heshmat R. Prevalence of sarcopenia in the world: a systematic review and meta- analysis of general population studies. J Diabetes Metab Disord. 2017;16(1):21. DOI: 10.1186/s40200-017-0302-x
Drey M, Krieger B, Sieber CC, Bauer JM, Hettwer S, Bertsch T, et al. Motoneuron loss is associated with sarcopenia. J Am Med Dir Assoc. 2014;15(6):435-9. DOI: 10.1016/j.jamda.2014.02.002
Sakuma K, Aoi W, Yamaguchi A. Current understanding of sarcopenia: possible candidates modulating muscle mass. Pflugers Arch. 2015;467(2):213-29. DOI: 10.1007/s00424-014-1527-x
Perkisas S, De Cock A, Verhoeven V, Vandewoude M. Physiological and architectural changes in the ageing muscle and their relation to strength and function in sarcopenia. Eur Geriatr Med. 2016;7(3):201-6. DOI: 10.1016/j.eurger.2015.12.016
Alchin DR. Sarcopenia: describing rather than defining a condition. J Cachexia Sarcopenia Muscle. 2014;5(4):265-8. DOI: 10.1007/s13539-014-0156-8
Clark BC, Taylor JL. Age-related changes in motor cortical properties and voluntary activation of skeletal muscle. Curr Aging Sci. 2011;4(3):192-9. DOI: 10.2174/1874609811104030192
Narici MV, Maffulli N. Sarcopenia: characteristics, mechanisms and functional significance. Br Med Bull. 2010;95(1):139-59. DOI: 10.1093/bmb/ldq008
Centner C, Wiegel P, Gollhofer A, König D. Effects of Blood Flow Restriction Training on Muscular Strength and Hypertrophy in Older Individuals: A Systematic Review and Meta-Analysis. Sports Med. 2019;49(1):95-108. DOI: 10.1007/s40279-018-0994-1
McEwen JA, Owens JG, Jeyasurya J. Why is it Crucial to Use Personalized Occlusion Pressures in Blood Flow Restriction (BFR) Rehabilitation? Journal of Medical and Biological Engineering. 2019;39(2):173-7. DOI: 10.1007/s40846-018-0397-7
Fry CS, Glynn EL, Drummond MJ, Timmerman KL, Fujita S, Abe T, et al. Blood flow restriction exercise stimulates mTORC1 signaling and muscle protein synthesis in older men. J Appl Physiol. 2010;108(5):1199-209. DOI: 10.1152/japplphysiol.01266.2009
Yasuda T, Fukumura K, Uchida Y, Koshi H, Iida H, Masamune K, et al. Effects of low-load, elastic band resistance training combined with blood flow restriction on muscle size and arterial stiffness in older adults. J Gerontol A Biol Sci Med Sci. 2015;70(8):950-8. DOI: 10.1093/gerona/glu084
Patterson SD, Leggate M, Nimmo MA, Ferguson RA. Circulating hormone and cytokine response to low-load resistance training with blood flow restriction in older men. Eur J Appl Physiol. 2013;113(3):713-9. DOI: 10.1007/s00421-012-2479-5
Manini TM, Clark BC. Blood Flow Restricted Exercise and Skeletal Muscle Health. Exerc Sport Sci Rev. 2009;37(2):78-85. DOI: 10.1097/JES.0b013e31819c2e5c
Brandner CR, May AK, Clarkson MJ, Warmington SA. Reported side-effects and safety considerations for the use of blood flow restriction during exercise in practice and research. Tech Orthop. 2018;33(2):114-21. DOI: 10.1097/BTO.0000000000000259
Yasuda T, Meguro M, Sato Y, Nakajima T. Use and safety of KAATSU training: Results of a national survey in 2016. Int J Kaatsu Training Res. 2017;13(1):1-9. https://doi.org/10.3806/ijktr.2.5
Ruaro MF, Santana JO, Gusmão N, De França E, Carvalho BN, Farinazo KB, et al. Effects of strength training with and without blood flow restriction on quality of life in elderly women. Eur J Phys Educ Sport. 2019;19:787-94. DOI: 10.7752/jpes.2019.01078
Slysz J, Stultz J, Burr JF. The efficacy of blood flow restricted exercise: A systematic review & meta-analysis. J Sci Med Sport. 2016;19(8):669-75. DOI: 10.1016/j.jsams.2015.09.005
Fahs CA, Loenneke JP, Rossow LM, Tiebaud RS, Bemben MG. Methodological considerations for blood flow restricted resistance exercise. J Trainol. 2012;1(1):14-22.
Martín Hernández J. Respuestas y adaptaciones de la función y estructura musculares al entrenamiento oclusivo con resistencias de baja intensidad [tesis doctoral Facultad de Ciencias de la Actividad Física y el Deporte]. [León, España]: Universidad de León; 2013. http://hdl.handle.net/10612/2883
Kwak CJ, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. J Phys Ther Sci. 2016;28(11):3189-96. DOI: 10.1589/jpts.28.3189
Thiebaud RS, Loenneke JP, Fahs CA, Rossow LM, Kim D, Abe T, et al. The effects of elastic band resistance training combined with blood flow restriction on strength, total bone-free lean body mass and muscle thickness in postmenopausal women. Clin Physiol Funct Imaging. 2013;33(5):344-52. DOI: 10.1111/cpf.12033
Yasuda T, Fukumura K, Iida H, Nakajima T. Effects of detraining after blood flow-restricted low-load elastic band training on muscle size and arterial stiffness in older women. Springerplus. 2015;4:348. DOI: 10.1186/s40064-015-1132-2
Klika B, Jordan C. High-intensity circuit training using body weight: Maximum results with minimal investment. ACSM´s Health Fit J. 2013;17(3):8-13. DOI: 10.1249/FIT.0b013e31828cb1e8
Romero-Arenas S, Martínez-Pascual M, Alcaraz PE. Impact of resistance circuit training on neuromuscular, cardiorespiratory and body composition adaptations in the elderly. Aging Dis. 2014;4(5):256-63. DOI: 10.14336/AD.2013.0400256
Yokokawa Y, Hongo M, Urayama H, Nishimura T, Kai I. Effects of low-intensity resistance exercise with vascular occlusion on physical function in healthy elderly people. Biosci Trends. 2008;2(3):117-23.
Patterson SD, Hughes L, Warmington S, Burr J, Scott BR, Owens J, et al. Blood Flow Restriction Exercise Position Stand: Considerations of Methodology, Application, and Safety. Front Physiol. 2019;10(533). DOI: 10.3389/fphys.2019.00533
Jessee MB, Buckner SL, Dankel SJ, Counts BR, Abe T, Loenneke JP. The influence of cuff width, sex, and race on arterial occlusion: implications for blood flow restriction research. Sports Med. 2016:1-9. DOI: 10.1007/s40279-016-0473-5
Libardi C, Chacon-Mikahil M, Cavaglieri C, Tricoli V, Roschel H, Vechin F, et al. Effect of concurrent training with blood flow restriction in the elderly. Int J Sports Med. 2015;36(5):395-9. DOI: 10.1055/s-0034-1390496
Staunton CA, May AK, Brandner CR, Warmington SA. Haemodynamics of aerobic and resistance blood flow restriction exercise in young and older adults. Eur J Appl Physiol. 2015;115(11):2293-302. DOI: 10.1007/s00421-015-3213-x
Pinto RR, Karabulut M, Poton R, Polito MD. Acute resistance exercise with blood flow restriction in elderly hypertensive women: haemodynamic, rating of perceived exertion and blood lactate. Clin Physiol Funct Imaging. 2018;38(1):17-24. DOI: 10.1111/cpf.12376
Cook SB, LaRoche DP, Villa MR, Barile H, Manini TM. Blood flow restricted resistance training in older adults at risk of mobility limitations. Exp Gerontol. 2017;99:138-45. DOI: 10.1016/j.exger.2017.10.004
Clarkson MJ, Conway L, Warmington SA. Blood flow restriction walking and physical function in older adults: A randomized control trial. J Sci Med Sport. 2017;20(12):1041-1046. DOI: 10.1016/j.jsams.2017.04.012
Shimizu R, Hotta K, Yamamoto S, Matsumoto T, Kamiya K, Kato M, et al. Low-intensity resistance training with blood flow restriction improves vascular endothelial function and peripheral blood circulation in healthy elderly people. Eur J Appl Physiol. 2016;116(4):749-57. DOI: 10.1007/s00421-016-3328-8
Buford TW, Fillingim RB, Manini TM, Sibille KT, Vincent KR, Wu SS. Kaatsu training to enhance physical function of older adults with knee osteoarthritis: Design of a randomized controlled trial. Contemp Clin Trials. 2015;43:217-22. DOI: 10.1016/j.cct.2015.06.016
Adhanom Ghebreyesus A. Global strategy and action plan on ageing and health. World Health Organization: Geneva: WHO; 2017. Disponible en: https://www.who.int/ageing/WHO-GSAP-2017.pdf?ua=1
Ruegsegger GN, Booth FW. Health Benefits of Exercise. Cold Spring Harb Perspect Med. 2018;8(7). DOI: 10.1101/cshperspect.a029694
Scott BR, Loenneke JP, Slattery KM, Dascombe BJ. Blood flow restricted exercise for athletes: A review of available evidence. J Sci Med Sport. 2016;19(5):360-7. DOI: 10.1016/j.jsams.2015.04.014
Bowman EN, Elshaar R, Milligan H, Jue G, Mohr K, Brown P, et al. Proximal, Distal, and Contralateral Effects of Blood Flow Restriction Training on the Lower Extremities: A Randomized Controlled Trial. Sports Health. 2019;11(2):149-56. DOI: 10.1177/1941738118821929
Vechin FC, Libardi CA, Conceicao MS, Damas FR, Lixandrao ME, Berton RP, et al. Comparisons between low-intensity resistance training with blood flow restriction and high-intensity resistance training on quadriceps muscle mass and strength in elderly. J Strength Cond Res. 2015;29(4):1071-6. DOI: 10.1519/JSC.0000000000000703