Evidence map›Paper›PMID 41359275›Full record

Trial reportEuropean journal of applied physiology2026

Arterio-venous metabolite and electrolyte responses to low-load training with and without blood flow restriction versus high-load training to failure.

Sanghyeon Ji, Michaela Vicas, Alexander Franz, Tobias Boemer, Michael Behringer, Patrick Wahl

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sanghyeon JiSection Exercise Physiology, German Sport University Cologne, Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany. s.ji@dshs-koeln.de.ORCID http://orcid.org/0000-0003-4787-4699
Michaela VicasDepartment of Adult Reconstruction, ATOS Orthoparc Clinic Cologne, Cologne, Germany.
Alexander FranzDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Tobias BoemerSection Exercise Physiology, German Sport University Cologne, Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
Michael BehringerDepartment of Sports Sciences, Goethe University Frankfurt, Frankfurt, Germany.
Patrick WahlSection Exercise Physiology, German Sport University Cologne, Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLow-load resistance training with blood flow restriction (BFR) has gained popularity for eliciting muscular adaptations comparable to high-load resistance training. However, its acute metabolic and electrolyte responses within the exercising limb, particularly under exhaustive conditions, remain insufficiently characterized. This study aimed to assess these responses using simultaneous arterial and venous blood sampling during unilateral elbow flexion to volitional failure under three conditions: low-load (LL-RT, 30%1RM), low-load with BFR (LL-BFR-RT, 30%1RM, 50%LOP), and high-load (HL-RT, 75%1RM).

methodsTen healthy men (26.8 ± 4.6 years) completed all exercise conditions in a randomized cross-over design. Catheters were placed in the radial artery and antecubital vein of the exercising arm. Serum creatine kinase (CK) and lactate dehydrogenase (LDH) were assessed as indirect muscle damage markers.

resultsLL-RT produced the highest total workload (692 ± 251 kg), exceeding both LL-BFR-RT (378 ± 58.7 kg) and HL-RT (327 ± 65.1 kg, p < 0.001). Muscle pain perception assessed using a visual analog scale increased during exercise, with a highest level in LL-BFR-RT (p < 0.01). LL-BFR-RT also induced the most pronounced venous perturbations (e.g., reduced pH and sO

conclusionThese findings suggest that LL-BFR-RT to failure induces substantial local metabolic and ionic stress within the exercising limb despite reduced mechanical loading. The marked venous disturbances, alongside minimal increases in systemic damage markers, support its use as a metabolically potent yet mechanically efficient training modality when applied with care.

Indexed as

Blood Flow Restriction TherapyElectrolytesMuscle, SkeletalResistance TrainingAdaptation, PhysiologicalAdultCreatine KinaseCross-Over StudiesHumansL-Lactate DehydrogenaseMaleRegional Blood FlowVeinsCreatine KinaseElectrolytesL-Lactate DehydrogenaseArterial-venous blood analysisHyperkalemiaMechanical stressMetabolic stressOcclusion training

Identifiers

PMID41359275
PMCPMC13236828

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.