Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women

Purpose: Cognitive decline progresses more rapidly in women than in men, with a higher prevalence of neurodegenerative diseases observed in females. Exercise has been shown to enhance cognitive function through the upregulation of neurotrophic factors such as brain-derived neurotrophic factor (BDNF)...

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Main Authors: Dohyeon Lee, Kyeongho Byun, Sewon Lee
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Journal of Exercise Science & Fitness
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Online Access:http://www.sciencedirect.com/science/article/pii/S1728869X25000619
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author Dohyeon Lee
Kyeongho Byun
Sewon Lee
author_facet Dohyeon Lee
Kyeongho Byun
Sewon Lee
author_sort Dohyeon Lee
collection DOAJ
description Purpose: Cognitive decline progresses more rapidly in women than in men, with a higher prevalence of neurodegenerative diseases observed in females. Exercise has been shown to enhance cognitive function through the upregulation of neurotrophic factors such as brain-derived neurotrophic factor (BDNF), vascular endothelial growth factor (VEGF) and insulin-like growth factor-1 (IGF-1). However, high-load resistance exercise may not be suitable for all populations, particularly middle-aged women. Low-load resistance exercise with blood flow restriction (LLBFR) has emerged as an effective alternative. This study investigated the acute effects of LLBFR on neurotrophic factors and cognitive function in middle-aged women. Methods: Fifteen healthy middle-aged women completed a randomized crossover trial involving four conditions: control (CON), low-load resistance exercise (LLRE), LLBFR, and moderate-load resistance exercise (MLRE). Cognitive function was assessed before and after each session using the color-word matching Stroop task (CWST). Blood samples were analyzed for serum levels of BDNF, VEGF, and IGF-1, and lactate concentrations were measured to evaluate metabolic responses. Results: Only the LLBFR condition showed significant improvements in CWST reaction time (p = 0.002) with no changes in error rates, indicating enhanced cognitive performance. Serum BDNF and VEGF levels increased significantly following both LLBFR (p < 0.001, p = 0.014, respectively) and MLRE (p < 0.001, p = 0.004, respectively), whereas IGF-1 levels remained unchanged across conditions. Increases in lactate concentrations were positively correlated with changes in BDNF and VEGF (p < 0.001 for both), but not with IGF-1. Conclusion: A single session of LLBFR improved cognitive function and upregulated neurotrophic factors, particularly BDNF and VEGF, in middle-aged women. These findings suggest that LLBFR may be an effective intervention for promoting cognitive health in this population.
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spelling doaj-art-6a4e2b15c9304d9883a2bbe5dbc9b9652025-08-20T05:06:11ZengElsevierJournal of Exercise Science & Fitness1728-869X2025-10-0123437938810.1016/j.jesf.2025.08.002Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged womenDohyeon Lee0Kyeongho Byun1Sewon Lee2Department of Human Movement Science, Graduate School, Incheon National University, Incheon, Republic of KoreaDivision of Sport Science, College of Arts &amp; Physical Education, Incheon National University, Incheon, Republic of Korea; Sport Science Institute, College of Arts &amp; Physical Education, Incheon National University, Incheon, Republic of Korea; Health Promotion Center, College of Arts &amp; Physical Education, Incheon National University, Incheon, Republic of KoreaDivision of Sport Science, College of Arts &amp; Physical Education, Incheon National University, Incheon, Republic of Korea; Sport Science Institute, College of Arts &amp; Physical Education, Incheon National University, Incheon, Republic of Korea; Health Promotion Center, College of Arts &amp; Physical Education, Incheon National University, Incheon, Republic of Korea; Research Center of Brain-Machine Interface, Incheon National University, Incheon, Republic of Korea; Corresponding author. Division of Sport Science, Sport Science Institute &amp; Health Promotion Center Incheon National University Bldg# 16, Room# 423 (Songdo-dong) 119 Academy-ro, Yeonsu-gu, Incheon, Republic of Korea.Purpose: Cognitive decline progresses more rapidly in women than in men, with a higher prevalence of neurodegenerative diseases observed in females. Exercise has been shown to enhance cognitive function through the upregulation of neurotrophic factors such as brain-derived neurotrophic factor (BDNF), vascular endothelial growth factor (VEGF) and insulin-like growth factor-1 (IGF-1). However, high-load resistance exercise may not be suitable for all populations, particularly middle-aged women. Low-load resistance exercise with blood flow restriction (LLBFR) has emerged as an effective alternative. This study investigated the acute effects of LLBFR on neurotrophic factors and cognitive function in middle-aged women. Methods: Fifteen healthy middle-aged women completed a randomized crossover trial involving four conditions: control (CON), low-load resistance exercise (LLRE), LLBFR, and moderate-load resistance exercise (MLRE). Cognitive function was assessed before and after each session using the color-word matching Stroop task (CWST). Blood samples were analyzed for serum levels of BDNF, VEGF, and IGF-1, and lactate concentrations were measured to evaluate metabolic responses. Results: Only the LLBFR condition showed significant improvements in CWST reaction time (p = 0.002) with no changes in error rates, indicating enhanced cognitive performance. Serum BDNF and VEGF levels increased significantly following both LLBFR (p < 0.001, p = 0.014, respectively) and MLRE (p < 0.001, p = 0.004, respectively), whereas IGF-1 levels remained unchanged across conditions. Increases in lactate concentrations were positively correlated with changes in BDNF and VEGF (p < 0.001 for both), but not with IGF-1. Conclusion: A single session of LLBFR improved cognitive function and upregulated neurotrophic factors, particularly BDNF and VEGF, in middle-aged women. These findings suggest that LLBFR may be an effective intervention for promoting cognitive health in this population.http://www.sciencedirect.com/science/article/pii/S1728869X25000619Middle-aged womenResistance exerciseBlood flow restriction exerciseNeurotrophic factorsCognitive function
spellingShingle Dohyeon Lee
Kyeongho Byun
Sewon Lee
Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women
Journal of Exercise Science & Fitness
Middle-aged women
Resistance exercise
Blood flow restriction exercise
Neurotrophic factors
Cognitive function
title Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women
title_full Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women
title_fullStr Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women
title_full_unstemmed Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women
title_short Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women
title_sort enhancing cognitive function through blood flow restriction an effective resistance exercise modality for middle aged women
topic Middle-aged women
Resistance exercise
Blood flow restriction exercise
Neurotrophic factors
Cognitive function
url http://www.sciencedirect.com/science/article/pii/S1728869X25000619
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AT kyeonghobyun enhancingcognitivefunctionthroughbloodflowrestrictionaneffectiveresistanceexercisemodalityformiddleagedwomen
AT sewonlee enhancingcognitivefunctionthroughbloodflowrestrictionaneffectiveresistanceexercisemodalityformiddleagedwomen