%0 Journal Article %T Blood Flow Restricted Exercise and Vascular Function %A Masahiro Horiuchi %A Koichi Okita %J International Journal of Vascular Medicine %D 2012 %I Hindawi Publishing Corporation %R 10.1155/2012/543218 %X It is established that regular aerobic training improves vascular function, for example, endothelium-dependent vasodilatation and arterial stiffness or compliance and thereby constitutes a preventative measure against cardiovascular disease. In contrast, high-intensity resistance training impairs vascular function, while the influence of moderate-intensity resistance training on vascular function is still controversial. However, aerobic training is insufficient to inhibit loss in muscular strength with advancing age; thus, resistance training is recommended to prevent sarcopenia. Recently, several lines of study have provided compelling data showing that exercise and training with blood flow restriction (BFR) leads to muscle hypertrophy and strength increase. As such, BFR training might be a novel means of overcoming the contradiction between aerobic and high-intensity resistance training. Although it is not enough evidence to obtain consensus about impact of BFR training on vascular function, available evidences suggested that BFR training did not change coagulation factors and arterial compliance though with inconsistence results in endothelial function. This paper is a review of the literature on the impact of BFR exercise and training on vascular function, such as endothelial function, arterial compliance, or other potential factors in comparison with those of aerobic and resistance training. 1. Introduction ˇ°A man is as old as his arteriesˇ± was a favorite axiom of William Osler (1849¨C1919), sometimes called the ˇ°Father of Modern Medicine,ˇ± and to some extent accurately represents the effect of vascular dysfunction on various aging processes [1]. To date, it has been recognized that arterial dysfunction, such as increased arterial stiffness, is closely associated with the pathogenesis of cardiovascular disease, which in turn increases mortality by increasing the risk of events such as myocardial infarction and stroke [2¨C4]. A higher physical activity level as well as regular exercise may be effective at diminishing the risk of coronary heart disease [5, 6] and stroke [7, 8]. From the standpoint of exercise physiology, exercise is categorized as aerobic and resistance exercise. Briefly, aerobic exercise is a physical exercise of relatively low intensity that depends primarily on the aerobic energy-generating process, for example, running and leg cycling [9]. In contrast, resistance exercise is also physical exercise of relatively moderate and higher intensity that uses a resistance to the force of muscular contraction, in other words, strength %U http://www.hindawi.com/journals/ijvm/2012/543218/