Effects of Blood Flow Restriction Combined with Low-Intensity Resistance Training on Lower-Limb Muscle Strength and Mass in Post-Middle-Aged Adults: A Systematic Review and Meta-Analysis.

We studied the effect of blood flow restriction (BFR) combined with low-intensity resistance training (LIRT) on lower-limb muscle strength and mass in post-middle-aged adults. The PubMed, OVID, ProQuest, Cochrane Library, EMBASE, Web of Science, and Scopus databases were used to obtain randomized controlled trials, and the effects of BFR and LIRT (BFRt) on muscle strength and mass in adults were examined. The Cochrane risk of bias tool assessed bias in the included trials. The combined effects of BFR and LIRT (BFRt) were calculated by meta-analysis, the association between muscle strength/mass and interventions was determined by meta-regression, and beneficial variables of intervention were explored by subgroup analysis. A total of 11 articles were included in the meta-analysis. The combined effects showed that BFRt significantly improved lower extremity muscle strength but not muscle mass gain. Meta-regression analysis indicated that the effect of BFRt on changes in muscle strength was correlated with frequency of the intervention. Subgroup analysis revealed that BFRt achieved greater muscle strength gains than normal activity, LIRT, and similar muscle strength gains compared to high-intensity resistance training. The increased muscle strength after BFRt was noticed with a frequency of three times a week, but not with a frequency of two times a week, and the difference between these subgroups was statistically significant. Our findings indicate that BFRt can increase lower-limb muscle strength in post-middle-aged adults. Frequency of intervention is a key variable; particularly, a schedule of three times a week is effective in improving muscle strength.

Influence of Paste Strength on the Strength of Expanded Polystyrene (EPS) Concrete with Different Densities.

Concrete in which EPS (expanded polystyrene) particles partially or completely replace concrete aggregates is called EPS concrete. Compared to traditional concrete, EPS concrete has a controllable low density and good thermal-insulation performance, which make it promising for prospective applications. At present, research on EPS concrete mostly focuses on increasing its strength and EPS surface modifications. Few researchers have studied the influence of cementitious material strength and EPS-concrete density on the strength of EPS concrete. In this research, cement was used as the main material, and fly ash, silica fumes, and blast furnace slag were selected as admixtures. By changing the mixing proportions of the admixtures, the basic properties, such as the paste strength, change. Based on the mix proportions of the above different raw materials, EPS concrete with different density levels was prepared to explore the influence of the density of EPS concrete and the strength of cementitious materials on the strength of EPS concrete. The influence of the slurry strength on EPS-concrete strength was weaker than that of the density of EPS concrete. When the strength range of the cementitious materials is 35.7~70.5 MPa, the compressive strength range of 1000 kg/m3, 1200 kg/m3, and 1400 kg/m3 EPS concrete is 8.8~17.6 MPa, 11.4~18.0 MPa, and 15.7~26.6 MPa, respectively. Based on the experiments, the fitting equation to determine the EPS-concrete strength-EPS-concrete density-cementitious material strength is z = 69.00087 + 0.0244x - 0.1746y - 0.00189x2 + 0.0000504706y2 + 0.00028401xy. Additionally, a strength-increasing design method for EPS concrete with different densities prepared by conventional Portland cement is clarified. This study can guide the preparation of EPS concrete.