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article 2025 10 pages

Effects of blood flow restriction training on aerobic capacity and performance in endurance athletes: a systematic review and meta-analysis

Zekai Zhang, Xuejiao Gao, Lang Gao

Journal
BMC Sports Science, Medicine and Rehabilitation
DOI
10.1186/s13102-025-01194-3
Publication type
Systematic Review
Population
endurance athletes
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Abstract

Background

Although blood flow restriction (BFR) training has been increasingly investigated for its potential to enhance aerobic capacity and performance in endurance athletes, its overall effectiveness remains inconclusive. This systematic review and meta-analysis aimed to evaluate the impact of BFR training on aerobic capacity, muscle strength, and endurance performance in endurance athletes compared to the same training without BFR.

Methodology

Databases searched included PubMed, Scopus, Web of Science, and SPORTDiscus through September 2024. The methodological quality of the included studies was assessed using the PEDro tool, with meta-analyses conducted using the R program.

Results

A total of 20 studies, involving 407 subjects, were included in the meta-analysis. The results revealed that BFR training had moderate effects on improving VO2max (ES = 0.465, 95% CI [0.222, 0.707], P 

Description

BFR training enhances aerobic capacity and performance in endurance athletes.