El preacondicionamiento isquémico local y remoto aumenta la fuerza isométrica y la resistencia muscular en individuos con entrenamiento recreativo (Remote and local ischemic preconditioning increases isometric strength and muscular endurance in recrea-tional trained individuals)

Autores/as

  • Luiz Guilherme da Silva Telles Federal University of Rio de Janeiro and Estácio de Sá University
  • Luís Leitão Superior School of Education of Polytechnic Institute of Setubal https://orcid.org/0000-0002-1981-6638
  • Gleisson da Silva Araújo Federal University of Rio de Janeiro and Estácio de Sá University
  • Rhodes Serra Federal University of Rio de Janeiro
  • Christian Geórgea Spithourakis Junqueira Volta Redonda University Center
  • Aline Aparecida de Souza Ribeiro Federal University of Juiz de Fora https://orcid.org/0000-0003-3816-9306
  • Michelle de Souza Ribeiro Federal University of Rio de Janeiro https://orcid.org/0000-0002-8923-1715
  • Estêvão Rios Monteiro Federal University of Rio de Janeiro, Augusto Motta University Centre, and IBMR University Centre https://orcid.org/0000-0003-1866-553X
  • Jeferson Macedo Vianna Federal University of Juiz de Fora https://orcid.org/0000-0003-1594-4429
  • Jefferson da Silva Novaes Federal University of Rio de Janeiro https://orcid.org/0000-0001-9304-6574

DOI:

https://doi.org/10.47197/retos.v47.93385

Palabras clave:

Ischemic preconditioning, Isometric strength, Muscle endurance

Resumen

El objetivo del presente estudio fue verificar el efecto agudo de la aplicación remota y local de IPC antes de las pruebas de fuerza isométrica, agarre manual lumbar y de miembros inferiores, y de resistencia muscular de miembros superiores y tronco en individuos entrenados recreativamente. Los voluntarios fueron 22 hombres (edad: 26,2 ± 6,9 años, peso: 83,4 ± 11,6 kg, altura: 175,4 ± 5,8 cm, IMC: 27,1 ± 3,5 kg.m-2) entrenados recreacionalmente (4,6 ± 3,3 años) en ejercicio de resistencia (ER) que realizó tres visitas en días no consecutivos (de tres a siete días de diferencia). Este fue un estudio cruzado y aleatorizado. En la primera visita se firmó el Consentimiento Informado según la Declaración de Helsinki y se cumplimentó el PAR-Q. Inmediatamente después, se evaluó la antropometría, seguida de la familiarización con las pruebas. En la segunda y tercera visita, los voluntarios fueron asignados aleatoriamente a los siguientes protocolos experimentales: a) protocolo IPC con 220 mmHg + pruebas de fuerza y resistencia muscular isométrica (IPC); b) protocolo de controle (CON) pruebas de fuerza isométrica y resistencia muscular. La fuerza de prensión manual isométrica fue significativamente mayor en IPC en comparación con CON (61,59 ± 10,18 frente a 58,95 ± 10,84, 4,47 %, p = 0,01). La fuerza isométrica lumbar fue significativamente mayor en IPC en comparación con CON (165,36±22,56 frente a 156,77±22,81, 5,48Δ%, p= 0,01) y la fuerza isométrica de miembros inferiores fue significativamente mayor en IPC en comparación con CON (163,09±22,92 frente a 154,86± 21,55, 5,31 %, p=0,01). Las repeticiones de flexiones fueron significativamente mayores en IPC en comparación con CON (43±12,80 frente a 38,91±13,03, 10,51Δ%, p=0,01). Las repeticiones de flexión del tronco fueron significativamente mayores en el IPC en comparación con el CON (46,05±13,28 frente a 40,23±11,18, 14,46Δ%, p=0,01). En conclusión, el IPC local aumentó significativamente la fuerza isométrica y la resistencia muscular de las extremidades superiores en comparación con el protocolo de control. De forma remota, IPC aumentó significativamente la fuerza isométrica de las extremidades inferiores, la resistencia muscular de flexión lumbar y del tronco en comparación con el protocolo de control.

Palabras clave: Preacondicionamiento isquémico, Fuerza isométrica, Resistencia muscular

Abstract. The aim of the present study was to verify the acute effect of remote and local IPC application before isometric strength, lumbar and lower limbs manual grip, and upper limbs and trunk muscle endurance tests in recreationally trained individuals. The volunteers were 22 men (age: 26.2 ± 6.9 years, weight: 83.4 ± 11.6 kg, height: 175.4 ± 5.8 cm, BMI: 27.1 ± 3.5 kg.m-2) recreationally trained (4.6 ± 3.3 years) in resistance exercise (RE) that performed three visits on non-consecutive days (three to seven days apart). This was a crossover and randomized study. In the first visit, the Informed Consent Form (ICF) was signed, according to the Declaration of Helsinki, and the PAR-Q was completed. Immediately after, anthropometrics was assessed, followed by familiarization with the tests. At the second and third visits, the volunteers were randomly assigning to the following experimental protocols: a) IPC protocol with 220 mmHg + isometric strength and muscular endurance tests (IPC); or b) control protocol (CON) isometric strength and muscular endurance tests. Isometric handgrip strength was significantly higher in IPC compared to CON (61.59±10.18 vs. 58.95±10.84, 4.47Δ%, p=0.01). Lumbar isometric strength was significantly higher in IPC compared to CON (165.36±22.56 vs. 156.77±22.81, 5.48Δ%, p= 0.01) and lower limbs isometric strength was significantly higher in IPC compared to CON (163.09±22.92 vs. 154.86±21.55, 5.31Δ%, p=0.01). Push-up repetitions were significantly higher in IPC compared to CON (43±12.80 vs. 38.91±13.03,10.51Δ%, p=0.01). The trunk flexion repetitions were significantly higher in the IPC compared to the CON (46.05±13.28 vs. 40.23±11.18, 14.46Δ%, p=0.01). In conclusion, local IPC significantly increased upper limb isometric strength and muscle endurance compared to the control protocol. Remotely, IPC significantly increased lower limb isometric strength, lumbar and trunk flexion muscular endurance compared to the control protocol.

Keywords: Ischemic preconditioning, Isometric strength, Muscular endurance

Biografía del autor/a

Luiz Guilherme da Silva Telles, Federal University of Rio de Janeiro and Estácio de Sá University

Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro (UFRJ), Rio de Janeiro, Brazil

Undergraduate Program in Physical Education, Estácio de Sá University (UNESA), Rio de Janeiro, Brazil.

Luís Leitão, Superior School of Education of Polytechnic Institute of Setubal

Sciences and Technology Department, Superior School of Education of Polytechnic Institute of Setubal, Setúbal, Portugal.

Gleisson da Silva Araújo, Federal University of Rio de Janeiro and Estácio de Sá University

Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro (UFRJ), Rio de Janeiro, Brazil

Undergraduate Program in Physical Education, Estácio de Sá University (UNESA), Rio de Janeiro, Brazil.

Rhodes Serra, Federal University of Rio de Janeiro

School of Physical Education and Sports, Federal University of Rio De Janeiro (UFRJ), Rio de Janeiro, Brazil

Christian Geórgea Spithourakis Junqueira, Volta Redonda University Center

Volta Redonda University Center, Volta Redonda, Brazil

Aline Aparecida de Souza Ribeiro, Federal University of Juiz de Fora

College of Physical Education and Sports, Federal University of Juiz de Fora, Minas Gerais, Brazil.

Michelle de Souza Ribeiro, Federal University of Rio de Janeiro

School of Physical Education and Sports, Federal University of Rio De Janeiro (UFRJ), Rio de Janeiro, Brazil

Estêvão Rios Monteiro, Federal University of Rio de Janeiro, Augusto Motta University Centre, and IBMR University Centre

Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro (UFRJ), Rio de Janeiro, Brazil

Undergraduate Program in Physical Education, Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.

Undergraduate Program in Physical Education, IBMR University Centre, Rio de Janeiro, Brazil.

Jeferson Macedo Vianna, Federal University of Juiz de Fora

College of Physical Education and Sports, Federal University of Juiz de Fora, Minas Gerais, Brazil.

Jefferson da Silva Novaes, Federal University of Rio de Janeiro

Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro (UFRJ), Rio de Janeiro, Brazil

Citas

American College of Sports Medicine’s guidelines for exercise testing and prescription, Guidelines for exercise testing and prescription Description: Tenth edition. | Philadelphia, PA: Wolters Kluwer Health, 2018.

Amann M, Proctor LT, Sebranek JJ, Pegelow DF, Dempsey JA. Opioid-mediated muscle afferents inhibit central motor drive and limit peripheral muscle fatigue development in humans. J Physiol. 2009 Jan 15;587(1):271-83. doi: 10.1113/jphysiol.2008.163303.

Barbosa TC, Machado AC, Braz ID, et al. Remote ischemic preconditioning delays fatigue development during handgrip exercise. Scand J Med Sci Sports 25: 356–364, 2014.

Bertor, W. R. R., de Araújo Fracaro, G., da Silva, L. I., Zilio, M., Aragão, F. A., & de Carvalho, A. R.. Subclassificação da lombalgia crônica e nível de incapacidade: efeito no desempenho funcional e força muscular. ConScientiae Saúde, 12(4), 563-571, 2013.

Carvalho L, Barroso R. Ischemic preconditioning improves strength endurance performance. J Strength Cond Res 33: 3332–3337, 2019.

Cerqueira, MS et al. Effects of ischemic preconditioning on indirect markers of exercise-induced muscle damage: protocol for a randomized placebo-controlled trial. Manual Therapy, Posturology & Rehabilitation Journal, 17:0-0, 2019.

Crisafulli A, Tangianu F, Tocco F, et al. Ischemic preconditioning of the muscle improves maximal exercise performance but not maximal oxygen uptake in humans. J Appl Physiol (1985) 111: 530–536, 2011.

Cronin, J., Lawton, T., Harris, N., Kilding, A., & McMaster, D. T. A brief review of handgrip strength and sport perfor-mance. The Journal of Strength & Conditioning Research, 31(11), 3187-3217, 2017.

da Silva Novaes J, da Silva Telles LG, Monteiro ER, da Silva Araujo G, Vingren JL, Silva Panza P, Reis VM, Laterza MC, Vianna JM. Ischemic Preconditioning Improves Resistance Training Session Performance. J Strength Cond Res. 2020 Mar 27. doi: 10.1519/JSC.0000000000003532.

da Mota GR, Willis SJ, Sobral NDS, Borrani F, Billaut F, Millet GP. Ischemic Preconditioning Maintains Performance on Two 5-km Time Trials in Hypoxia. Med Sci Sports Exerc. 2019 Nov;51(11):2309-2317. doi: 10.1249/MSS.0000000000002049.

de Almeida TN, Victorino JP, Bistafa Liu J, Tófoli Queiroz Campos D, Graf C, Jordani MC, Carneiro d'Albuquerque LA, Mendes KDS, Castro-E-Silva O. Effect of Hepatic Preconditioning with the Use of Methylene Blue on the Liver of Wistar Rats Submitted to Ischemia and Reperfusion. Transplant Proc. 2018 Apr;50(3):841-847. doi: 10.1016/j.transproceed.2018.02.002.

de Souza, H. L., Arriel, R. A., Hohl, R., da Mota, G. R., & Marocolo, M. Is ischemic preconditioning intervention occlusion-dependent to enhance resistance exercise performance. The Journal of Strength & Conditioning Research, 35(10), 2706-2712, 2021. doi: 10.1519/JSC.0000000000003224.

Dragasis S, Bassiakou E, Iacovidou N, Papadimitriou L, Andreas Steen P, Gulati A, Xanthos T. The role of opioid receptor agonists in ischemic preconditioning. Eur J Pharmacol. 2013 Nov 15;720(1-3):401-8. doi: 10.1016/j.ejphar.2013.10.001.

Franz A, Behringer M, Harmsen JF, Mayer C, Krauspe R, Zilkens C, Schumann M. Ischemic Preconditioning Blunts Muscle Damage Responses Induced by Eccentric Exercise. Med Sci Sports Exerc. 2018 Jan;50(1):109-115. doi: 10.1249/MSS.0000000000001406.

Halley SL, Marshall P, Siegler JC. The effect of ischaemic preconditioning on central and peripheral fatiguing mechanisms in humans following sustained maximal isometric exercise. Exp Physiol. 2018 Jul;103(7):976-984. doi: 10.1113/EP086981.

Heinen A, Behmenburg F, Aytulun A, Dierkes M, Zerbin L, Kaisers W, Schaefer M, Meyer-Treschan T, Feit S, Bauer I, Hollmann MW, Huhn R. The release of cardioprotective humoral factors after remote ischemic preconditioning in hu-mans is age- and sex-dependent. J Transl Med. 2018 Apr 27;16(1):112. doi: 10.1186/s12967-018-1480-0.

Hittinger EA, Maher JL, Nash MS, Perry AC, Signorile JF, Kressler J, Jacobs KA. Ischemic preconditioning does not im-prove peak exercise capacity at sea level or simulated high altitude in trained male cyclists. Appl Physiol Nutr Metab. 2015 Jan;40(1):65-71. doi: 10.1139/apnm-2014-0080.

Horiuchi M, Endo J, Thijssen DH. Impact of ischemic preconditioning on functional sympatholysis during handgrip exercise in humans. Physiol Rep. 2015 Feb 22;3(2):e12304. doi: 10.14814/phy2.12304.

Jeffries O, Waldron M, Pattison JR, Patterson SD. Enhanced Local Skeletal Muscle Oxidative Capacity and Microvascular Blood Flow Following 7-Day Ischemic Preconditioning in Healthy Humans. Front Physiol. 2018 May 9; 9:463. doi: 10.3389/fphys.2018.00463.

Kimura M, Ueda K, Goto C, et al. Repetition of ischemic preconditioning augments endothelium-dependent vasodilation in humans: Role of endothelium-derived nitric oxide and endothelial progenitor cells. Arterioscler Thromb Vasc Biol 27: 1403–1410, 2007.

Kjeld T, Rasmussen MR, Jattu T, Nielsen HB, Secher NH. Ischemic preconditioning of one forearm enhances static and dynamic apnea. Med Sci Sports Exerc. 2014 Jan;46(1):151-5. doi: 10.1249/MSS.0b013e3182a4090a.

Laaksonen MS, Kalliokoski KK, Kyro¨ la¨ inen H, et al. Skeletal muscle blood flowand flowheterogeneity during dynamic and isometric exercise in humans. Am J Physiol Heart Circ Physiol 284: H979–H986, 2003.

Lange TH, Eijken M, Baan C, Petersen MS, Bibby BM, Jespersen B, Møller BK. Early Immunological Effects of Ischemia-Reperfusion Injury: No Modulation by Ischemic Preconditioning in a Randomised Crossover Trial in Healthy Humans. Int J Mol Sci. 2019 Jun 13;20(12):2877. doi: 10.3390/ijms20122877.

Lang JA, Kim J, Franke WD, Vianna LC. Seven consecutive days of remote ischaemic preconditioning improves cutaneous vasodilatory capacity in young adults. J Physiol. 2019 Feb;597(3):757-765. doi: 10.1113/JP277185.

Li XD, Cheng YT, Yang YJ, et al. PKA-mediated eNOS phosphorylation in the protection of ischemic preconditioning against no-reflow. Microvasc Res 84: 44–54, 2012.

Libonati JR, Cox M, Incanno N, et al. Brief periods of occlusion and reperfusion increase skeletal muscle force output in humans. Cardiologia 43: 1355–1360, 1998.

Marocolo M, Willardson JM, Marocolo IC, et al. Ischemic preconditioning and placebo intervention improves resistance exercise performance. J Strength Cond Res 30: 1462–1469, 2016.

Marocolo M, Marocolo IC, Da Mota GR, et al. Beneficial effects of ischemic preconditioning in resistance exercise fade over time. Int J Sports Med 37: 819–824, 2016.

Murry, CE, Jennings, RB, Reimer, KA. Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardi-um. Circulation, 1986; 74(5):1124-1136. Doi: 10.1161/01.cir.74.5.1124

Panza P, Novaes J, Telles LG, Campos Y, Araújo G, Neto N, Raider L, Novaes G, Leitão L, Vianna J. Ischemic Precondi-tioning Promotes Post-Exercise Hypotension in a Session of Resistance Exercise in Normotensive Trained Individuals. Int J Environ Res Public Health. 2019 Dec 20;17(1):78. doi: 10.3390/ijerph17010078.

Paradis-Deschˆenes P, Joanisse DR, Billaut F. Ischemic preconditioning increases muscle perfusion, oxygen uptake, and force in strength-trained athletes. Appl Physiol Nutr Metab 41: 938–944, 2016.

Paradis-Deschˆenes P, Joanisse DR, and Billaut F. Sex-Specific impact of ischemic preconditioning on tissue oxygenation and maximal concentric force. Front Physiol 7: 674, 2017.

Paull EJ, Van Guilder GP. Remote ischemic preconditioning increases accumulated oxygen deficit in middle-distance run-ners. J Appl Physiol (1985). 2019 May 1;126(5):1193-1203. doi: 10.1152/japplphysiol.00585.2018. Epub 2019 Jan 17. PMID: 30653416

Przyklenk K, Bauer B, Ovize M, Kloner RA, Whittaker P. Regional ischemic 'preconditioning' protects remote virgin myo-cardium from subsequent sustained coronary occlusion. Circulation. 1993 Mar;87(3):893-9. doi: 10.1161/01.cir.87.3.893.

Ribeiro, AS et al. Acute Effect of Ischemic Preconditioning on the Performance and on the Hemodynamic Responses of High-Performance Male Judo Athletes. Journal of Professional Exercise Physiology, 16(3), 2019.

Shephard, RJ. PAR-Q, Canadian Home Fitness Test and exercise screening alternatives. Sports Med, 1988; 5(3):185-195. Doi: 10.2165/00007256-198805030-00005

Surkar SM, Bland MD, Mattlage AE, Chen L, Gidday JM, Lee J-M, et al. Effects of remote limb ischemic conditioning on muscle strength in healthy young adults: A randomized controlled trial. PLoS ONE 15(2): e0227263, 2020.

Tanaka D, Suga T, Tanaka T, et al. Ischemic preconditioning enhances muscle endurance during sustained isometric exer-cise. Int J Sports Med 37: 614–618, 2016.

Telles LGS, Carelli LC, Dutra Bráz I, Junqueira C, Rios Monteiro E, Machado Reis V, Macedo Vianna J, da Silva Novaes J. Effects of Ischemic Preconditioning as a Warm-Up on Leg Press and Bench Press Performance. J Hum Kinet. 2020 Oct 31;75:267-277. doi: 10.2478/hukin-2020-0055.

Valenzuela PL, Martín-Candilejo R, Sánchez-Martínez G, et al. Ischemic Preconditioning and Muscle Force Capabilities. Journal of Strength and Conditioning Research. 2019 Mar. DOI: 10.1519/jsc.0000000000003104.

Williams, N, Russell, M, Cook, CJ, Kilduff, LP. The Effect of Ischemic Preconditioning on Maximal Swimming Perfor-mance. J Strength Cond Res, 2018; [Epub ahead of print]. Doi: 10.1519/JSC.0000000000002485

Yang J, Christophi CA, Farioli A, Baur DM, Moffatt S, Zollinger TW, Kales SN. Association Between Push-up Exercise Capacity and Future Cardiovascular Events Among Active Adult Men. JAMA Netw Open. 2019 Feb 1;2(2):e188341. doi: 10.1001/jamanetworkopen.2018.8341.

Descargas

Publicado

2023-01-02

Cómo citar

da Silva Telles, L. G., Leitão, L., da Silva Araújo, G., Serra, R., Junqueira, C. G. S., Ribeiro, A. A. de S., Ribeiro, M. de S., Monteiro, E. R., Vianna, J. M., & Novaes, J. da S. (2023). El preacondicionamiento isquémico local y remoto aumenta la fuerza isométrica y la resistencia muscular en individuos con entrenamiento recreativo (Remote and local ischemic preconditioning increases isometric strength and muscular endurance in recrea-tional trained individuals). Retos, 47, 941–947. https://doi.org/10.47197/retos.v47.93385

Número

Sección

Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas

Artículos más leídos del mismo autor/a