Skip to main content
Top
Published in: European Journal of Applied Physiology 3/2007

01-06-2007 | Original Article

Hemodynamic and neurohumoral responses to the restriction of femoral blood flow by KAATSU in healthy subjects

Authors: Haruko Iida, Miwa Kurano, Haruhito Takano, Nami Kubota, Toshihiro Morita, Kentaro Meguro, Yoshiaki Sato, Takashi Abe, Yoshihisa Yamazaki, Kansei Uno, Katsu Takenaka, Ken Hirose, Toshiaki Nakajima

Published in: European Journal of Applied Physiology | Issue 3/2007

Login to get access

Abstract

The application of an orthostatic stress such as lower body negative pressure (LBNP) has been proposed to minimize the effects of weightlessness on the cardiovascular system and subsequently to reduce the cardiovascular deconditioning. The KAATSU training is a novel method to induce muscle strength and hypertrophy with blood pooling in capacitance vessels by restricting venous return. Here, we studied the hemodynamic, autonomic nervous and hormonal responses to the restriction of femoral blood flow by KAATSU in healthy male subjects, using the ultrasonography and impedance cardiography. The pressurization on both thighs induced pooling of blood into the legs with pressure-dependent reduction of femoral arterial blood flow. The application of 200 mmHg KAATSU significantly decreased left ventricular diastolic dimension (LVDd), cardiac output (CO) and diameter of inferior vena cava (IVC). Similarly, 200 mmHg KAATSU also decreased stroke volume (SV), which was almost equal to the value in standing. Heart rate (HR) and total peripheral resistance (TPR) increased in a similar manner to standing with slight change of mean blood pressure (mBP). High-frequency power (HFRR) decreased during both 200 mmHg KAATSU and standing, while low-frequency/high-frequency power (LFRR/HFRR) increased significantly. During KAATSU and standing, the concentration of noradrenaline (NA) and vasopressin (ADH) and plasma renin activity (PRA) increased. These results indicate that KAATSU in supine subjects reproduces the effects of standing on HR, SV, TPR, etc., thus stimulating an orthostatic stimulus. And, KAATSU training appears to be a useful method for potential countermeasure like LBNP against orthostatic intolerance after spaceflight.
Literature
go back to reference Abe T, Yasuda T, Sato Y, Midorikawa T, Inoue K, Ryushi T, Kearns CF, Ishii N (2004) Muscle size and IGF-1 increased after two weeks of low-intensity “Kaatsu” resistance training. Med Sci Sports Exerc 36:S353 Abe T, Yasuda T, Sato Y, Midorikawa T, Inoue K, Ryushi T, Kearns CF, Ishii N (2004) Muscle size and IGF-1 increased after two weeks of low-intensity “Kaatsu” resistance training. Med Sci Sports Exerc 36:S353
go back to reference Abe T, Kearns CF, Sato Y (2006) Muscle size and strength are increased following walk training with restricted venous blood flow from the leg muscle, KAATSU-walk training. J Appl Physiol 100:1460–1466PubMedCrossRef Abe T, Kearns CF, Sato Y (2006) Muscle size and strength are increased following walk training with restricted venous blood flow from the leg muscle, KAATSU-walk training. J Appl Physiol 100:1460–1466PubMedCrossRef
go back to reference Arbeille P, Fomina G, Achaibou F, Pottier J, Kotovskaya A (1995) Cardiac and vascular adaptation to 0 g with and without thigh cuffs (Antares 14 and Altair 21 day Mir spaceflights). Acta Astronaut 36:8–12CrossRef Arbeille P, Fomina G, Achaibou F, Pottier J, Kotovskaya A (1995) Cardiac and vascular adaptation to 0 g with and without thigh cuffs (Antares 14 and Altair 21 day Mir spaceflights). Acta Astronaut 36:8–12CrossRef
go back to reference Arbeille P, Herault S, Fomina G, Roumy J, Alferova I, Gharib C (1999) Influences of thigh cuffs on the cardiovascular system during 7 day dead-down bed-rest. J Appl Physiol 87:2168–2176PubMed Arbeille P, Herault S, Fomina G, Roumy J, Alferova I, Gharib C (1999) Influences of thigh cuffs on the cardiovascular system during 7 day dead-down bed-rest. J Appl Physiol 87:2168–2176PubMed
go back to reference Bailey JJ, Pottala EW, Rasmussen KLR (1994) Techniques for enhancement of RR interval variability power spectrum in short epochs of simian monitor ECGs. In: Murray A, Aezbaecher R (eds) Computers in Cardiology. Los Alamitos, CA: IEEEE Computer Society Press, pp 557–560 Bailey JJ, Pottala EW, Rasmussen KLR (1994) Techniques for enhancement of RR interval variability power spectrum in short epochs of simian monitor ECGs. In: Murray A, Aezbaecher R (eds) Computers in Cardiology. Los Alamitos, CA: IEEEE Computer Society Press, pp 557–560
go back to reference Blomqvist CG, Buckey JC, Gaffney FA, Lane LD, Levine BD, Waterpaugh DE (1994) Mechanisms of post-flight orthostatic intolerance. J Gravit Physiol 1:122–124 Blomqvist CG, Buckey JC, Gaffney FA, Lane LD, Levine BD, Waterpaugh DE (1994) Mechanisms of post-flight orthostatic intolerance. J Gravit Physiol 1:122–124
go back to reference Bonde-Petersen F, Suzuki M, Christensen NJ (1984) Cardiovascular and hormonal responses to bicycle exercise during lower body negative pressure. Adv Space Rev 12:31–33CrossRef Bonde-Petersen F, Suzuki M, Christensen NJ (1984) Cardiovascular and hormonal responses to bicycle exercise during lower body negative pressure. Adv Space Rev 12:31–33CrossRef
go back to reference Brown CM, Hecht MJ, Neundörfer B, Hilz MJ (2003) Effects of lower body negative pressure on cardiac and vascular responses to carotid barorelex stimulation. Physol Res 52:637–645 Brown CM, Hecht MJ, Neundörfer B, Hilz MJ (2003) Effects of lower body negative pressure on cardiac and vascular responses to carotid barorelex stimulation. Physol Res 52:637–645
go back to reference Buckley JC, Lane LD, Levine BD, Watenpaugh DE, Wright SJ, Moore WE, Gaffney FA, Blomqvist CG (1996) Orthostatic intolerance after spaceflight. J Appl Physiol 81:7–18 Buckley JC, Lane LD, Levine BD, Watenpaugh DE, Wright SJ, Moore WE, Gaffney FA, Blomqvist CG (1996) Orthostatic intolerance after spaceflight. J Appl Physiol 81:7–18
go back to reference Burklow TR, Moak JP, Bailey JJ, Makhlouf FT (1999) Neurally mediated cardiac syncope: autonomic modulation after normal saline infusion. J Am Coll Cardiol 33:2059–2066PubMedCrossRef Burklow TR, Moak JP, Bailey JJ, Makhlouf FT (1999) Neurally mediated cardiac syncope: autonomic modulation after normal saline infusion. J Am Coll Cardiol 33:2059–2066PubMedCrossRef
go back to reference Convertino VA, Sandler H (1995) Exercise countermeasures for spaceflight. Acta Astronaut 35:253–270PubMedCrossRef Convertino VA, Sandler H (1995) Exercise countermeasures for spaceflight. Acta Astronaut 35:253–270PubMedCrossRef
go back to reference Fortin J, Habenbacher W, Gruellenberger R, Wach P, Skrabal F (1998) Real-time monitor for hemodynamic beat-to-beat parameters and power spectra analyses of the biosignals. In: Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 20, pp 360–363 Fortin J, Habenbacher W, Gruellenberger R, Wach P, Skrabal F (1998) Real-time monitor for hemodynamic beat-to-beat parameters and power spectra analyses of the biosignals. In: Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 20, pp 360–363
go back to reference Franke WD, Lee K, Graff SR, Flatau AB (2000) Effects of gender on the autonomic modulation of the cardiovascular responses to lower body negative pressure. Aviat Space Environ Med 71:626–631PubMed Franke WD, Lee K, Graff SR, Flatau AB (2000) Effects of gender on the autonomic modulation of the cardiovascular responses to lower body negative pressure. Aviat Space Environ Med 71:626–631PubMed
go back to reference Fritsch-Yelle JM, Whitson PA, Bondar RL, Brown TE (1996) Subnormal norepinephrine release relates to pre-syncope in astronauts after spaceflight. J Appl Physiol 81:2134–2141PubMed Fritsch-Yelle JM, Whitson PA, Bondar RL, Brown TE (1996) Subnormal norepinephrine release relates to pre-syncope in astronauts after spaceflight. J Appl Physiol 81:2134–2141PubMed
go back to reference Furlan R, JacobG, Palazzolo L, Rimoldi A, Diedrich A, Harris PA, Porta A, Malliani A, Mosqueda-Garcia R, Robertson D (2001) Sequential modulation of cardiac autonomic control induced by cardiopulmonary and arterial baroreflex mechanisms. Circulation 104:2932–2937PubMed Furlan R, JacobG, Palazzolo L, Rimoldi A, Diedrich A, Harris PA, Porta A, Malliani A, Mosqueda-Garcia R, Robertson D (2001) Sequential modulation of cardiac autonomic control induced by cardiopulmonary and arterial baroreflex mechanisms. Circulation 104:2932–2937PubMed
go back to reference Gratze G, Fortin J, Holler A, Grasenick K, Pfurscheller G, Wach P, Schonegger J, Katanko P, Skrabal F (1998) A software package for non-invasive, real-time beat-to-beat monitoring of total peripheral resistance and for assessment of autonomic function. Comput Biol Med 28:121–142PubMedCrossRef Gratze G, Fortin J, Holler A, Grasenick K, Pfurscheller G, Wach P, Schonegger J, Katanko P, Skrabal F (1998) A software package for non-invasive, real-time beat-to-beat monitoring of total peripheral resistance and for assessment of autonomic function. Comput Biol Med 28:121–142PubMedCrossRef
go back to reference Güell A, Braak L, Pavy Le Traon A, Gharib C (1990) Cardiovascular deconditioning during weightlessness stimulation and the use of lower body negative pressure as a contermeasure to orthoststic intolerance. Acta Astronaut 21:667–672PubMedCrossRef Güell A, Braak L, Pavy Le Traon A, Gharib C (1990) Cardiovascular deconditioning during weightlessness stimulation and the use of lower body negative pressure as a contermeasure to orthoststic intolerance. Acta Astronaut 21:667–672PubMedCrossRef
go back to reference Güell A, Cornac A, Faurat MM, Gauquelin G, Traon AP, harib CL (1992) Lower body negative pressure as countermeasure against orthostatic intolerance for long term space flight. Acta Astronaut 27:103–107PubMedCrossRef Güell A, Cornac A, Faurat MM, Gauquelin G, Traon AP, harib CL (1992) Lower body negative pressure as countermeasure against orthostatic intolerance for long term space flight. Acta Astronaut 27:103–107PubMedCrossRef
go back to reference Hargens AR (1994) Recent bed rest results and countermeasure development at NASA. Acta Physiol Scand 150:103–114CrossRef Hargens AR (1994) Recent bed rest results and countermeasure development at NASA. Acta Physiol Scand 150:103–114CrossRef
go back to reference Herault S, Fomina G, Alferova I, Kotovskaya A, Poliakov V, Arbeille P (2000) Cardiac, arterial and venous adaptation to wightlessness during 6-month MIR spaceflights with and without thigh cuffs (bracelets). Eur J Appl Physiol 81:384–390PubMedCrossRef Herault S, Fomina G, Alferova I, Kotovskaya A, Poliakov V, Arbeille P (2000) Cardiac, arterial and venous adaptation to wightlessness during 6-month MIR spaceflights with and without thigh cuffs (bracelets). Eur J Appl Physiol 81:384–390PubMedCrossRef
go back to reference Lathers CM, Charles JB (1993) Use of lower body negative pressure to counter symptoms of orthostatic intolerance in patients, bed rest subjects, and astronauts. J Clin Pharmacol 33:1071–1085PubMed Lathers CM, Charles JB (1993) Use of lower body negative pressure to counter symptoms of orthostatic intolerance in patients, bed rest subjects, and astronauts. J Clin Pharmacol 33:1071–1085PubMed
go back to reference Lee SMC, Bennett BS, Hargens AR, Watenpaugh DE, Ballard RE, MUrghy G, Ford SR, Fortney SM (1997) Upright exercise or supine LBNP exercise maintains exercise responses after bed rest. Med Sci Sports Exerc 29:892–900PubMed Lee SMC, Bennett BS, Hargens AR, Watenpaugh DE, Ballard RE, MUrghy G, Ford SR, Fortney SM (1997) Upright exercise or supine LBNP exercise maintains exercise responses after bed rest. Med Sci Sports Exerc 29:892–900PubMed
go back to reference Lindgren KN, Kraft D, Ballard RE, Tucker A, Hargens AR (1998) Venoconstriction thigh cuffs impede fluid shifts during simulated microgravity. Aviat Space Environ Med 69:1052–1058PubMed Lindgren KN, Kraft D, Ballard RE, Tucker A, Hargens AR (1998) Venoconstriction thigh cuffs impede fluid shifts during simulated microgravity. Aviat Space Environ Med 69:1052–1058PubMed
go back to reference Lucini D, Furlan R, Villa P, Mosqueda-Garcia R, Diedrich A, Robertson D, Mallaini A, Porta A, Pagani M. (2004) Altered profile of baroreflex and autonomic responses to lower body negative pressure in chronic orthostatic intolerance. J Hypertension 22:1535–1542CrossRef Lucini D, Furlan R, Villa P, Mosqueda-Garcia R, Diedrich A, Robertson D, Mallaini A, Porta A, Pagani M. (2004) Altered profile of baroreflex and autonomic responses to lower body negative pressure in chronic orthostatic intolerance. J Hypertension 22:1535–1542CrossRef
go back to reference Malliani A, Pagani M, Lombardi F, Cerutti S (1991) Cardiovascular neural regulation explored in the frequency domain. Circulation 84:482–492PubMed Malliani A, Pagani M, Lombardi F, Cerutti S (1991) Cardiovascular neural regulation explored in the frequency domain. Circulation 84:482–492PubMed
go back to reference Meck JV, Reyes CJ, Perez SA, Goldberger AL, Ziegler MG (2001) Marked exacerbation of orthoststic intolerance after long vs. short-duration spaceflight in veteran astronauts. Psychosom Med 63:865–873PubMed Meck JV, Reyes CJ, Perez SA, Goldberger AL, Ziegler MG (2001) Marked exacerbation of orthoststic intolerance after long vs. short-duration spaceflight in veteran astronauts. Psychosom Med 63:865–873PubMed
go back to reference Melchior FM, Srinivasan RS, Thullier PH, Clére JM (1994) Simulation of cardiovascular response to lower body negative pressure from 0 to −40 mmHg. J Appl Physiol 77:630–639PubMed Melchior FM, Srinivasan RS, Thullier PH, Clére JM (1994) Simulation of cardiovascular response to lower body negative pressure from 0 to −40 mmHg. J Appl Physiol 77:630–639PubMed
go back to reference Millet C, Custaud MA, Allevard Am, Gharib C, Gauquelin-Koch G, Fortrat JO (2000) Adaptations to a 7 day head-down bed rest with thigh cuffs. Med Sci Sports Exerc 32:1748–1756PubMedCrossRef Millet C, Custaud MA, Allevard Am, Gharib C, Gauquelin-Koch G, Fortrat JO (2000) Adaptations to a 7 day head-down bed rest with thigh cuffs. Med Sci Sports Exerc 32:1748–1756PubMedCrossRef
go back to reference Murthy G, Watenpaugh DE, Ballard RE, Hargens AR (1994) Exercise against lower body negative pressure as a countermeasure for cardiovascular and musculoskeletal deconditioning. Acta Astronaut 33:89–96PubMedCrossRef Murthy G, Watenpaugh DE, Ballard RE, Hargens AR (1994) Exercise against lower body negative pressure as a countermeasure for cardiovascular and musculoskeletal deconditioning. Acta Astronaut 33:89–96PubMedCrossRef
go back to reference Nicogossian A, Pool S, Sawin C (1995) Status and efficacy of countermeasures to physiological deconditioning from space flight. Acta Astronaut 36:393–398PubMedCrossRef Nicogossian A, Pool S, Sawin C (1995) Status and efficacy of countermeasures to physiological deconditioning from space flight. Acta Astronaut 36:393–398PubMedCrossRef
go back to reference Penaz J (1973) Photoelectric measurement of blood pressure, volume and flow in the finger. Digest of the 10th International Conference on Medical and Biological Engineering, Dresden Penaz J (1973) Photoelectric measurement of blood pressure, volume and flow in the finger. Digest of the 10th International Conference on Medical and Biological Engineering, Dresden
go back to reference Stevens PM, Lamb LE (1965) Effects of lower body negative pressure on the cardiovascular system. Am J Cardiol 16:506–515PubMedCrossRef Stevens PM, Lamb LE (1965) Effects of lower body negative pressure on the cardiovascular system. Am J Cardiol 16:506–515PubMedCrossRef
go back to reference Takarada Y, Nakamura Y, Aruga S, Onda T, Miyazaki S, Ishii N (2000a) Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion. J Appl Physiol 88:61–65 Takarada Y, Nakamura Y, Aruga S, Onda T, Miyazaki S, Ishii N (2000a) Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion. J Appl Physiol 88:61–65
go back to reference Takarada Y, Takazawa H, Sato Y, Takebayashi S, Tanaka Y, Ishii N (2000b) Effects of resistance exercise combined with moderate vascular occlusion on muscle function in humans. J Appl Physiol 88:2097–2106 Takarada Y, Takazawa H, Sato Y, Takebayashi S, Tanaka Y, Ishii N (2000b) Effects of resistance exercise combined with moderate vascular occlusion on muscle function in humans. J Appl Physiol 88:2097–2106
go back to reference Takarada Y, Takazawa H, Ishii N (2000c) Applications of vascular occlusion diminish disuse atrophy of knee extensor muscles. Med Sci Sports Exerc 32:2035–2039CrossRef Takarada Y, Takazawa H, Ishii N (2000c) Applications of vascular occlusion diminish disuse atrophy of knee extensor muscles. Med Sci Sports Exerc 32:2035–2039CrossRef
go back to reference Takarada Y, Sato Y, Ishii N (2002a) Effects of resistance exercise combined with vascular occlusion on muscle function in athletes. Eur J Appl Physiol 86:308–314CrossRef Takarada Y, Sato Y, Ishii N (2002a) Effects of resistance exercise combined with vascular occlusion on muscle function in athletes. Eur J Appl Physiol 86:308–314CrossRef
go back to reference Takarada Y, Ishii N (2002b) Effects of low-intensity resistance exercise with short interest rest period on muscular function in middle-aged women. J Strength Cond Res 16:123–128CrossRef Takarada Y, Ishii N (2002b) Effects of low-intensity resistance exercise with short interest rest period on muscular function in middle-aged women. J Strength Cond Res 16:123–128CrossRef
go back to reference Takano H, Morita T, Iida H, Asada K, Kato M, Uno K, Hirose K, Matsumoto A, Takenaka K, Hirata Y, Eto F, Nagai R, Sato Y, Nakajima T (2005) Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. Eur J Appl Physiol 95:65–73PubMedCrossRef Takano H, Morita T, Iida H, Asada K, Kato M, Uno K, Hirose K, Matsumoto A, Takenaka K, Hirata Y, Eto F, Nagai R, Sato Y, Nakajima T (2005) Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. Eur J Appl Physiol 95:65–73PubMedCrossRef
go back to reference Tomaselli CM, Frey MA, Kenney RA, Hoffler GW (1987) Hysteresis in response to descending and ascending lower-body negative pressure. J Appl Physiol 63:719–725PubMed Tomaselli CM, Frey MA, Kenney RA, Hoffler GW (1987) Hysteresis in response to descending and ascending lower-body negative pressure. J Appl Physiol 63:719–725PubMed
go back to reference Watenpaugh DE, Ballard RE, Schneider SM, Lee SMC, Ertl AC, William JM, Boda WL, Hutchinson KJ, Hargens AR (2000) Supine lower body negative pressure exercise during bed rest maintains upright exercise capacity. J Appl Physiol 89:218–227PubMed Watenpaugh DE, Ballard RE, Schneider SM, Lee SMC, Ertl AC, William JM, Boda WL, Hutchinson KJ, Hargens AR (2000) Supine lower body negative pressure exercise during bed rest maintains upright exercise capacity. J Appl Physiol 89:218–227PubMed
Metadata
Title
Hemodynamic and neurohumoral responses to the restriction of femoral blood flow by KAATSU in healthy subjects
Authors
Haruko Iida
Miwa Kurano
Haruhito Takano
Nami Kubota
Toshihiro Morita
Kentaro Meguro
Yoshiaki Sato
Takashi Abe
Yoshihisa Yamazaki
Kansei Uno
Katsu Takenaka
Ken Hirose
Toshiaki Nakajima
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
European Journal of Applied Physiology / Issue 3/2007
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-007-0430-y

Other articles of this Issue 3/2007

European Journal of Applied Physiology 3/2007 Go to the issue