EFFECT OF STRENGTH TRAINING WITH BLOOD FLOW RESTRICTION ON BODY COMPOSITION, LIPID PROFILE AND SERUM IRISIN LEVELS IN ELDERLY WOMEN
DOI:
https://doi.org/10.66104/tjzd1a51Keywords:
Irisin, Resistance Training, Aging, Vascular Ischemia, Biochemical MarkersAbstract
Aging is accompanied by changes in body homeostasis, an increased risk of chronic non-communicable diseases, and a decline in functional capacity. To delay or reduce this decline, the elderly population can adhere to strength training (ST) programs, as they promote morphofunctional and metabolic adaptations, in addition to inducing the production of irisin, a myokine related to weight loss and body composition control. Its concentrations increase after performing exercises with high loads, but it is unclear whether ST with low loads associated with blood flow restriction (LLST+BFR) can alter body composition, lipid profile, and serum irisin levels in elderly women. The objective was to evaluate the effect of 16 weeks of LLST+BFR on body composition, lipid profile, and serum irisin levels in elderly women. Thirty-nine healthy elderly women, aged 60 to 77 years, were randomly distributed into the following groups: LLST+BFR; moderate load ST (MLST); Low-load ST (LLST) and control (CON) groups performed 4 exercises, consisting of 3 sets of 10 repetitions, in 3 weekly sessions. Only the LLST+BFR group showed a significant increase in muscle mass (MM) p=0.015 after the intervention, quantified by the InBody 570 Biospace®; the lipid profile, quantified by the automated CHEMWELL-T analyzer; and serum irisin levels, measured by ELISA, did not change p>0.05. It is concluded that LLST+BFR was effective in increasing MM, even though it was not effective in altering the lipid profile and serum irisin levels.
Downloads
References
ABE, T. et al. Effects of low-intensity cycle training with restricted leg blood flow on thigh muscle volume and vo2max in young men. Journal of Sports Science & Medicine, v. 9, n. 3, p. 452, 2010.
ABE, T. et al. Skeletal muscle size and circulating IGF-1 are increased after two weeks of twice daily “KAATSU” resistance training. International Journal of KAATSU Training Research, v. 1, n. 1, p. 6–12, 2005. DOI: https://doi.org/10.3806/ijktr.1.6
ABE, T.; KEARNS, C. F.; SATO, Y. Muscle size and strength are increased following walk training with restricted venous blood flow from the leg muscle, Kaatsu-walk training. Journal of Applied Physiology, v. 100, n. 5, p. 1460–1466, 2006. DOI: https://doi.org/10.1152/japplphysiol.01267.2005
AMERICAN COLLEGE OF SPORTS MEDICINE. ACSM’s guidelines for exercise testing and prescription. 10 ed. Philadelphia: Lippincott, Williams and Wilkins. 2017.
ARHIRE, L. I.; MIHALACHE, L.; COVASA, M. Irisin: a hope in understanding and managing obesity and metabolic sacsmyndrome. Frontiers in endocrinology, v. 10, p. 524, 2019. DOI: https://doi.org/10.3389/fendo.2019.00524
BEAUCHET, O. et al. Stops walking when talking: a predictor of falls in older adults? European journal of neurology, v. 16, n. 7, p. 786–795, 2009. DOI: https://doi.org/10.1111/j.1468-1331.2009.02612.x
BOSTRÖM, P. et al. A PGC1-α-dependent myokine that drives brown-fat-like development of white fat and thermogenesis. Nature, v. 481, n. 7382, p. 463–468, 2012. DOI: https://doi.org/10.1038/nature10777
CENTNER, C. et al. Effects of blood flow restriction training on muscular strength and hypertrophy in older individuals: A systematic review and meta-analysis. Sports Medicine, v. 49, n. 1, p. 95–108, 2019. DOI: https://doi.org/10.1007/s40279-018-0994-1
CHAN, A. W. et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ (Clinical research ed.), v. 346, p. 1–42, 2013. DOI: https://doi.org/10.1136/bmj.e7586
CHEN, L.-K. et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. Journal of the American Medical Directors Association, v. 15, n. 2, p. 95–101, 2014. DOI: https://doi.org/10.1016/j.jamda.2013.11.025
CHEN, N. et al. Irisin, an exercise‐induced myokine as a metabolic regulator: an updated narrative review. Diabetes/metabolism research and reviews, v. 32, n. 1, p. 51–59, 2016. DOI: https://doi.org/10.1002/dmrr.2660
COLAIANNI, G. et al. Irisin and musculoskeletal health. Annals of the New York Academy of Sciences, v. 1402, n. 1, p. 5–9, 2017. DOI: https://doi.org/10.1111/nyas.13345
COOK, S. B. et al. Blood flow restricted resistance training in older adults at risk of mobility limitations. Experimental Gerontology, v. 99, p. 138–145, 2017. DOI: https://doi.org/10.1016/j.exger.2017.10.004
COPELAND, J. L.; ESLIGER, D. W. Accelerometer assessment of physical activity in active, healthy older adults. Journal of Aging and Physical Activity, v. 17, n. 1, p. 17–30, 2009. DOI: https://doi.org/10.1123/japa.17.1.17
CORDINGLEY, D. M.; ANDERSON, J. E.; CORNISH, S. M. Myokine response to blood-flow restricted resistance exercise in younger and older males in an untrained and resistance-trained state: A pilot study. Journal of Science in Sport and Exercise, v. 5, n. 3, p. 203–217, 2023. DOI: https://doi.org/10.1007/s42978-022-00164-2
COSIO, P. L. et al. Effect of chronic resistance training on circulating irisin: Systematic review and meta-analysis of randomized controlled trials. International journal of environmental research and public health, v. 18, n. 5, p. 2476, 2021. DOI: https://doi.org/10.3390/ijerph18052476
DANTAS, P. A. M. et al. Effects of ischemic preconditioning on resistance exercise performance: a systematic review. REMUNOM, v. 13, n. 9, p. 1-24, 2026. DOI: 10.66104/af0s1t29. DOI: https://doi.org/10.66104/af0s1t29
FERNANDEZ-DEL-VALLE, M. et al. Effects of high-intensity resistance training on circulating levels of irisin in healthy adults: A randomized controlled trial. Asian Journal of Sports Medicine, v. 9, n. 2. p. e13025, 2018. DOI: https://doi.org/10.5812/asjsm.13025
FRIEDEWALD, W. T.; LEVY, R. I.; FREDRICKSON, D. S. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clinical chemistry, v. 18, n. 6, p. 499-502, 1972. DOI: https://doi.org/10.1093/clinchem/18.6.499
FU, J. et al. The emerging role of irisin in cardiovascular diseases. Journal of the American Heart Association, v. 10, n. 20, p. e022453, 2021. DOI: https://doi.org/10.1161/JAHA.121.022453
GARATACHEA, N.; LUQUE, G. T.; GALLEGO, J. G. Physical activity and energy expenditure measurements using accelerometers in older adults. Nutrición hospitalaria, v. 25, n. 2, p. 224–230, 2010.
GHANBARI-NIAKI, A. et al. The combination of exercise training and Zataria multiflora supplementation increase serum irisin levels in postmenopausal women. Integrative Medicine Research, v. 7, n. 1, p. 44–52, 2018. DOI: https://doi.org/10.1016/j.imr.2018.01.007
GOUNI-BERTHOLD, L. et al. Effects of lipid-lowering drugs on irisin in human subjects in vivo and in human skeletal muscle cells ex vivo. PloS one, v. 8, n. 9, p. e72858, 2013. DOI: https://doi.org/10.1371/journal.pone.0072858
GRECO, D. B. Emancipação na luta pela equidade em pesquisas com seres humanos. Revista Bioética, v. 21, p. 20–31, 2013. DOI: https://doi.org/10.1590/S1983-80422013000100003
HECKSTEDEN, A. et al. Irisin and exercise training in humans - Results from a randomized controlled training trial. BMC Medicine, v. 11, n. 1, p. 1–8, 2013. DOI: https://doi.org/10.1186/1741-7015-11-235
HUH, J. Y. et al. FNDC5 and irisin in humans: I. Predictors of circulating concentrations in serum and plasma and II. mRNA expression and circulating concentrations in response to weight loss and exercise. Metabolism: Clinical and Experimental, v. 61, n. 12, p. 1725–1738, 2012. DOI: https://doi.org/10.1016/j.metabol.2012.09.002
KIM, H. J. et al. Effect of aerobic training and resistance training on circulating irisin level and their association with change of body composition in overweight/obese adults: a pilot study. Physiological Research, v. 65, n. 2, p. 271–279, 2016. DOI: https://doi.org/10.33549/physiolres.932997
KIM, J.-S. et al. Exercise-induced myokines and their effect on prostate cancer. Nature Reviews Urology, v. 18, n. 9, p. 519–542, 2021. DOI: https://doi.org/10.1038/s41585-021-00476-y
KIM, S. et al. Roles of myokines in exercise-induced improvement of neuropsychiatric function. Pflügers Archiv-European Journal of Physiology, v. 471, p. 491–505, 2019. DOI: https://doi.org/10.1007/s00424-019-02253-8
KONG, J. et al. Comparison of blood flow restriction training and conventional resistance training for the improvement of sarcopenia in the older adults: A systematic review and meta-analysis. Sports Medicine and Health Science, v. 5, n. 4, p. 269-276, 2022. DOI: https://doi.org/10.1016/j.smhs.2022.12.002
KRAEMER, R. R. et al. Effects of partial vascular occlusion on irisin responses to loaded muscle contractions. Applied Physiology, Nutrition, and Metabolism, v. 41, n. 3, p. 332–334, 12, 2015. DOI: https://doi.org/10.1139/apnm-2015-0464
LABATA-LEZAUN, N. et al. Effectiveness of blood flow restriction training on muscle strength and physical performance in older adults: a systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, v. 103, n. 9, p. 1848–1857, 2022. DOI: https://doi.org/10.1016/j.apmr.2021.12.015
LIBARDI, C A et al. Effect of concurrent training with blood flow restriction in the elderly. International journal of sports medicine, v. 36, n. 05, p. 395–399, 2015. DOI: https://doi.org/10.1055/s-0034-1390496
LIU, J. J. et al. Lower circulating irisin is associated with type 2 diabetes mellitus. Journal of Diabetes and its Complications, v. 27, n. 4, p. 365-369, 2013. DOI: https://doi.org/10.1016/j.jdiacomp.2013.03.002
LIU, Y. et al. The neuroprotective effect of irisin in ischemic stroke. Frontiers in aging neuroscience, v. 12, p. 588958, 2020. DOI: https://doi.org/10.3389/fnagi.2020.588958
MA, J.; CHEN, K. The role of Irisin in multiorgan protection. Molecular Biology Reports, v. 48, n. 1, p. 763-772, 2021. DOI: https://doi.org/10.1007/s11033-020-06067-1
MA, Y. et al. Irisin promotes proliferation but inhibits differentiation in osteoclast precursor cells. The FASEB Journal, v. 32, n. 11, p. 5813–5823, 2018. DOI: https://doi.org/10.1096/fj.201700983RR
MAAK, S. et al. Progress and challenges in the biology of fndc5 and irisin. Endocrine reviews, v. 42, n. 4, p. 436–456, 2021. DOI: https://doi.org/10.1210/endrev/bnab003
MOHAMMADIYAN, M.; MOGHADDAM, M. G.; HAKKAKDOKHT, E. The effect of two different intensities of resistance training with blood flow restriction on muscle strength, body fat percentage and serum level of Irisin in overweight women. The Iranian Journal of Obstetrics, Gynecology and Infertility, v. 24, n. 3, p. 42–50, 2021.
OELMANN, S. et al. Circulating irisin concentrations are associated with a favourable lipid profile in the general population. PLoS ONE, v. 11, n. 4, p. 1–12, 2016. DOI: https://doi.org/10.1371/journal.pone.0154319
PAHLAVANI, H. A. Exercise therapy for people with sarcopenic obesity: myokines and adipokines as effective actors. Frontiers in Endocrinology, v. 13, p. 1–20, 2022. DOI: https://doi.org/10.3389/fendo.2022.811751
PANAGIOTOU, G. et al. Circulating irisin, omentin-1, and lipoprotein subparticles in adults at higher cardiovascular risk. Metabolism, v. 63, n. 10, p. 1265–1271, 2014. DOI: https://doi.org/10.1016/j.metabol.2014.06.001
PARK, H. S. et al. The novel myokine irisin: clinical implications and potential role as a biomarker for sarcopenia in postmenopausal women. Endocrine, v. 64, n. 2, p. 341–348, 2019. DOI: https://doi.org/10.1007/s12020-018-1814-y
PARK, K. H. et al. Circulating irisin in relation to insulin resistance and the metabolic syndrome. The journal of clinical endocrinology & metabolism, v. 98, n. 12, p. 4899-4907, 2013 DOI: https://doi.org/10.1210/jc.2013-2373
PAZOKIAN, F.; AMANI-SHALAMZARI, S.; RAJABI, H. Effects of functional training with blood occlusion on the irisin, follistatin, and myostatin myokines in elderly men. European Review of Aging and Physical Activity, v. 19, n. 1, p. 1–10, 2022. DOI: https://doi.org/10.1186/s11556-022-00303-2
PEREIRA, P. M. G. et al. Low-load resistance training and blood flow restriction improves strength, muscle mass and functional performance in postmenopausal women: a controlled randomized trial. Int Phys Med Rehabil J, v. 4, n. 2, p. 63–68, 2019. DOI: https://doi.org/10.15406/ipmrj.2019.04.00175
PLANELLA-FARRUGIA, C. et al. Circulating irisin and myostatin as markers of muscle strength and physical condition in elderly subjects. Frontiers in Physiology, v. 10, p. 871, 2019. DOI: https://doi.org/10.3389/fphys.2019.00871
PLUMMER‐D’AMATO, P. et al. Effects of once weekly dual‐task training in older adults: A pilot randomized controlled trial. Geriatrics & gerontology international, v. 12, n. 4, p. 622–629, 2012 DOI: https://doi.org/10.1111/j.1447-0594.2011.00825.x
POUTAFKAND, F.; MAREFATI, H.; TAHERICHADORNESHIN, H. A comparison of the effects of resistance and endurance training protocols on serum irisin level and alkaline phosphatase activity in sedentary obese women. Polish Journal of Sport and Tourism, v. 27, n. 4, p. 23–28, 2020. DOI: https://doi.org/10.2478/pjst-2020-0023
PRÉCOMA, D. B. et al. Atualização da diretriz de prevenção cardiovascular da Sociedade Brasileira de Cardiologia-2019. Arquivos Brasileiros de Cardiologia, v. 113, p. 787–891, 2019.
RESNICK, H. E. et al. Relationship of high and low ankle brachial index to all-cause and cardiovascular disease mortality: the strong heart study. Circulation, v. 109, n. 6, p. 733–739, 2004. DOI: https://doi.org/10.1161/01.CIR.0000112642.63927.54
RODRIGO-MALLORCA, D. et al. Resistance training with blood flow restriction compared to traditional resistance training on strength and muscle mass in non-active older adults: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, v. 18, n. 21, p. 11441, 2021. DOI: https://doi.org/10.3390/ijerph182111441
SCARPELLI, M. C. et al. Resistance training with partial blood flow restriction in a 99-year-old individual: a case report. Frontiers in Sports and Active Living, v. 3, p. 1–8, 2021. DOI: https://doi.org/10.3389/fspor.2021.671764
SCHARHAG-ROSENBERGER, F. et al. Irisin does not mediate resistance training-induced alterations in resting metabolic rate. Medicine and science in sports and exercise, v. 46, n. 9, p. 1736–1743, 2014. DOI: https://doi.org/10.1249/MSS.0000000000000286
SHABANI, R.; IZADDOUST, F. Effects of aerobic training, resistance training, or both on circulating irisin and myostatin in untrained women. Acta Gymnica, v. 48, n. 2, p. 47–55, 2018. DOI: https://doi.org/10.5507/ag.2018.007
DA SILVA, G. C.; CAVALCANTE NETO, J. L. Quality of life and functional capability of elderly Brazilian women. Work, v. 62, n. 1, p. 97–106, 2019. DOI: https://doi.org/10.3233/WOR-182844
SLYSZ, J.; STULTZ, J.; BURR, J. F. The efficacy of blood flow restricted exercise: A systematic review & meta-analysis. Journal of Science and Medicine in Sport, v. 19, n. 8, p. 669–675, 2016. DOI: https://doi.org/10.1016/j.jsams.2015.09.005
SUN, L. Effects of blood flow restriction training on anthropometric and blood lipids in overweight/obese adults: meta-analysis. Frontiers in Physiology, v. 13, p. 1–10, 2022. DOI: https://doi.org/10.3389/fphys.2022.1039591
TAKARADA, Y. et al. Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans. Journal of Applied Physiology, v. 88, n. 6, p. 2097–2106, 2000. DOI: https://doi.org/10.1152/jappl.2000.88.6.2097
TAKARADA, Y. et al. Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion. Journal of Applied Physiology, v. 88, n. 1, p. 61–65, 2000a. DOI: https://doi.org/10.1152/jappl.2000.88.1.61
THIEBAUD, R. S. 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. Clinical Physiology and Functional Imaging, v. 33, n. 5, p. 344–352, 2013. DOI: https://doi.org/10.1111/cpf.12033
TSIANI, E. et al. Current evidence of the role of the myokine irisin in cancer. Cancers, v. 13, n. 11, p. 2628, 2021. DOI: https://doi.org/10.3390/cancers13112628
VECHIN, F. C. 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. The Journal of Strength & Conditioning Research, v. 29, n. 4, p. 1071–1076, 2015. DOI: https://doi.org/10.1519/JSC.0000000000000703
WEN, M. S. et al. Decrease in Irisin in Patients with Chronic Kidney Disease. PLoS ONE, v. 8, n. 5, P. e64025, 2013. DOI: https://doi.org/10.1371/journal.pone.0064025
YASUDA, T. et al. Thigh muscle size and vascular function after blood flow-restricted elastic band training in older women. Oncotarget, v. 7, n. 23, p. 33595, 2016. DOI: https://doi.org/10.18632/oncotarget.9564
YOUNG, M. F.; VALARIS, S.; WRANN, C. D. A role for FNDC5/Irisin in the beneficial effects of exercise on the brain and in neurodegenerative diseases. Progress in cardiovascular diseases, v. 62, n. 2, p. 172–178, 2019. DOI: https://doi.org/10.1016/j.pcad.2019.02.007
ZHANG, C. et al. Lower irisin level in patients with type 2 diabetes mellitus: A case‐control study and meta‐analysis. Journal of diabetes, v. 8, n. 1, p. 56–62, 2016. DOI: https://doi.org/10.1111/1753-0407.12256
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Carlos Renato Paz, Joamira Pereira de Araújo, Natália Herculano Paz, Micheline Freire Donato, Mayron Diego Targino Paz, Adenilson Targino Araújo Júnior, Pedro Augusto Mariz Dantas, Pedro Henrique Marques Lucena, Clizaldo Luiz Maroja Di Pace França, Arthur Maroja Di Pace França, Maria do Socorro Cirilo-Sousa

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which permits the sharing of the work with proper acknowledgment of authorship and initial publication in this journal;
Authors are authorized to enter into separate, additional agreements for the non-exclusive distribution of the version of the work published in this journal (e.g., posting in an institutional repository or publishing it as a book chapter), provided that authorship and initial publication in this journal are properly acknowledged, and that the work is adapted to the template of the respective repository;
Authors are permitted and encouraged to post and distribute their work online (e.g., in institutional repositories or on their personal websites) at any point before or during the editorial process, as this may lead to productive exchanges and increase the impact and citation of the published work (see The Effect of Open Access);
Authors are responsible for correctly providing their personal information, including name, keywords, abstracts, and other relevant data, thereby defining how they wish to be cited. The journal’s editorial board is not responsible for any errors or inconsistencies in these records.
PRIVACY POLICY
The names and email addresses provided to this journal will be used exclusively for the purposes of this publication and will not be made available for any other purpose or to third parties.
Note: All content of the work is the sole responsibility of the author and the advisor.
