The effect and mechanism of blood flow restriction on improving visceral fat in obese young people

ISRCTN ISRCTN18251258
DOI https://doi.org/10.1186/ISRCTN18251258
Secondary identifying numbers OUC-HM-2023005
Submission date
22/01/2025
Registration date
28/01/2025
Last edited
28/01/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Obesity, especially the increase in visceral fat, is a major health concern worldwide. Exercise is known to improve body composition and metabolic health. Traditional moderate-intensity continuous training (MICT) helps reduce visceral fat in obese youths, but its effectiveness depends on the amount of exercise. Blood flow restriction (BFR) training, which uses a compression device to restrict blood flow, may offer a more time-effective exercise option. This study aims to explore the effects of combining low-intensity MICT with BFR on abdominal visceral fat in obese young adults.

Who can participate?
-Individuals aged 18-25 years
-Body fat percentage greater than 30%
-No long-term medication, smoking, or excessive drinking habits
-No exercise-related contraindications (e.g., cardiovascular, cerebrovascular, or respiratory diseases)

What does the study involve?
Participants will be randomly assigned to one of three groups: a no-intervention control group, a MICT intervention group, or a MICT combined with BFR intervention group. Fasting blood samples will be collected before and after the intervention to analyze plasma metabolomics and proteomics data. Participants' aerobic capacity, body composition, and abdominal fat areas will also be evaluated. Daily dietary intake and physical activity will be recorded for three weeks before the intervention and during the 12-week intervention period.

What are the possible benefits and risks of participating?
Participants may lose weight and receive a personalized exercise prescription. The main risk is delayed muscle soreness after exercise. Researchers will ensure the safety of all participants.

Where is the study run from?
The study is conducted at Ocean University of China.

When is the study starting and how long is it expected to run for?
April 2023 to December 2025

Who is funding the study?
The study is initiated and funded by the investigator.

Who is the main contact?
Prof. Shiming Li, haiyanglishiming@163.com

Contact information

Prof Shiming Li
Public, Scientific, Principal Investigator

No.238 Songling Road
Qingdao
266100
China

ORCiD logoORCID ID 0000-0002-7149-5800
Phone +86 15731114483
Email haiyanglishiming@163.com

Study information

Study designSingle-blind randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Fitness/sport facility, Laboratory, University/medical school/dental school
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleEffect of blood flow restriction training on improving visceral fat in obese youth based on multi-omics study
Study objectivesThe effect of aerobic exercise combined with blood flow restriction is better than that without combined reduction of visceral fat.
Ethics approval(s)

Approved 01/06/2023, Ocean University of China (No.238 Songling Road, Qingdao, 266100, China; +86 15231509262; 21211913076@ouc.edu.cn), ref: OUC-HM-2023005

Health condition(s) or problem(s) studiedExercise and weight loss for obese youth
InterventionParticipants were randomly assigned to two experimental groups (M and B) and one control group (C) by drawing lots.The intervention period lasted for a total of 12 weeks, with three sessions per week. Researchers monitored the heart rate (HR) and blood oxygen saturation during exercise to ensure the safety of participants. Initially, participants were required to perform a 10-minute warm-up activity at an intensity of 50W on an aerobic power bike. Following the warm-up, participants in all exercise groups engaged in continuous exercise at 60% of their maximal oxygen uptake (VO2max) intensity, maintaining a speed of 60±5 revolutions per minute (RPM), until they overcame a mechanical work of 200kj. A 10-minute cool-down activity was required after the exercise. B group was required to apply a 60% limb occlusive pressure (LOP) using an inflatable cuff (Ariband, Australia) at the proximal inguinal region of both legs based on the exercise protocol of M group. During exercise, the participants' subjective perceived exertion (RPE) and heart rate (HR) were recorded every 5 minutes. The C group did not receive any exercise intervention throughout the entire intervention period.
Intervention typeBehavioural
Primary outcome measureMeasured at baseline and after the intervention:
1. Plasma non-targeted metabolomics data is measured using liquid chromatography-mass spectrometry (LC-MS).
2. Plasma proteomics data is measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS).
3. Aerobic capacity is measured using cardiopulmonary exercise testing (CPET), typically with a cycle ergometer, to determine VO₂ max (maximal oxygen uptake).
4. Body composition is measured using bioelectrical impedance analysis (BIA).
5. Abdominal subcutaneous fat area is measured using computed tomography (CT) scans.
6. Visceral fat area is measured using computed tomography (CT) scans.
Secondary outcome measuresMeasured 3 weeks before the start of the intervention and during the 12-week intervention period:
1. Daily dietary intake measured using questionnaire every weekend.
2. Physical activity measured using questionnaire every weekend.
Overall study start date01/04/2023
Completion date01/12/2025

Eligibility

Participant type(s)Learner/student
Age groupAdult
Lower age limit18 Years
Upper age limit26 Years
SexBoth
Target number of participants36
Total final enrolment36
Key inclusion criteria1.Age: 18-25 years old
2. Body fat percentage greater than 30%
3. No long-term medication, smoking, or excessive drinking habits
4. No exercise-related contraindications, such as cardiovascular and cerebrovascular diseases, respiratory system diseases, etc.
Key exclusion criteriaSuffering from any illness that is not suitable for participating in sports.
Date of first enrolment15/04/2023
Date of final enrolment15/06/2023

Locations

Countries of recruitment

  • China

Study participating centre

Ocean university of China
No.238 Songling Road
Qingdao
266100
China

Sponsor information

Ocean University of China
University/education

No.238 Songling Road
Qingdao
266100
China

Phone +86 18203218267
Email yuwenbing@ouc.edu.cn
Website https://www.ouc.edu.cn
ROR logo "ROR" https://ror.org/04rdtx186

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date25/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planPlanned publication in a peer-reviewed journal.
IPD sharing planThe datasets generated and analysed during the current study will be published as a supplement to the results publication.

Editorial Notes

22/01/2025: Trial's existence confirmed by Ocean University of China.