PMID- 36281415 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221026 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 8 IP - 10 DP - 2022 Oct TI - Acute effects of low load resistance training with blood flow restriction on serum growth hormone, insulin-like growth factor-1, and testosterone in patients with mild to moderate unilateral knee osteoarthritis. PG - e11051 LID - 10.1016/j.heliyon.2022.e11051 [doi] LID - e11051 AB - OBJECTIVE: To investigate the acute effects of blood flow restriction (BFR) with single-leg low load resistance exercise and high load resistance exercise on serum insulin-like growth factor-1 (IGF-1), growth hormone (GH), and testosterone in patients with unilateral knee osteoarthritis (OA). METHODS: This study recruited 18 postmenopausal female patients with mild to moderate unilateral knee OA, which was then followed by randomly conducting three resistance exercise protocols by drawing lots: 1. A 30% 1-repetition maximum (1-RM) resistance exercise with BFR of 70% arterial occlusive pressure (AOP) (BFR group); 2. A 70% 1-RM resistance exercise without BFR (RES group); 3. A 30% 1-RM resistance exercise without BFR (CON group). Blood lactate (BLA) and muscle growth related hormone levels were tested at 4-time points: before exercise, immediately after exercise, 15 min after exercise, and 30 min after exercise. RESULTS: There was no statistical difference between the indexes in each group before exercise, but the different exercise had different effects on each index and also an interactive effect (P < 0.05). The increase of rating of perceived exertion in the BFR and RES groups, which were of similar magnitude, was greater compared to the levels in the CON group (P < 0.05). Post-exercise BLA levels were lower in the CON group in comparison to the BFR and RES groups (P < 0.05). Rather than the RES group, GH levels of the BFR group were also significantly higher than the CON group (P < 0.05) at 15 min post-exercise. At post- and 15 min after exercise, the CON group recorded significantly lower IGF-1 levels compared to the BFR and RES groups (P < 0.05). At post- and 15 min after exercise, the CON group (P < 0.05) reflected the lowest testosterone levels, followed by the RES group (P < 0.05), and the highest in the BFR group (P < 0.05). CONCLUSIONS: Myogenesis-related hormones in women with unilateral knee OA could be increased by high load resistance exercise and low load resistance exercise with BFR on unaffected limb. CI - (c) 2022 The Authors. FAU - Chen, Yangguang AU - Chen Y AD - College of Physical Education, Zhengzhou Shengda University, Zhengzhou, Henan, China. FAU - Wang, Junguo AU - Wang J AD - Center for Osteoarticular and Trauma Surgery, Qingdao Hospital of Traditional Chinese Medicine (Qingdao Hiser Hospital), Qingdao, Shandong, China. FAU - Li, Shuoqi AU - Li S AD - College of Physical Education, Yangzhou University, Yangzhou, Zhejiang, China. FAU - Li, Yinghao AU - Li Y AD - College of Physical Education, Zhengzhou Shengda University, Zhengzhou, Henan, China. LA - eng PT - Journal Article DEP - 20221014 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC9586906 OTO - NOTNLM OT - Blood flow restriction exercise OT - Knee osteoarthritis OT - Myogenic hormones COIS- The authors declare no conflict of interest. EDAT- 2022/10/26 06:00 MHDA- 2022/10/26 06:01 PMCR- 2022/10/14 CRDT- 2022/10/25 01:48 PHST- 2022/05/13 00:00 [received] PHST- 2022/09/05 00:00 [revised] PHST- 2022/10/07 00:00 [accepted] PHST- 2022/10/25 01:48 [entrez] PHST- 2022/10/26 06:00 [pubmed] PHST- 2022/10/26 06:01 [medline] PHST- 2022/10/14 00:00 [pmc-release] AID - S2405-8440(22)02339-8 [pii] AID - e11051 [pii] AID - 10.1016/j.heliyon.2022.e11051 [doi] PST - epublish SO - Heliyon. 2022 Oct 14;8(10):e11051. doi: 10.1016/j.heliyon.2022.e11051. eCollection 2022 Oct.