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June 5, 2026The Journal of Physiology0 citationsOpen Access

Sprint‐interval training with post‐exercise blood flow restriction increases mitochondrial content and respiration

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DPDonald L. PedenCSCarolin StangierEMEmma A. Mitchell

Key Result

Sprint interval training with post-exercise blood flow restriction increased citrate synthase activity (12.1% vs -4.6%; P=0.011) and uncoupled mitochondrial respiration compared to training alone.

Key Points

  • This study aims to investigate the effects of sprint interval training combined with post-exercise blood flow restriction on mitochondrial adaptations in skeletal muscle.
  • 20 physically active males participated in a 6-week SIT program with (BFR) or without (CON) blood flow restriction, completing repeated 30 s sprints with 4.5 min rest.
  • Muscle biopsies were taken to measure citrate synthase activity and mitochondrial respiration across various states.
  • Physiological performance markers were assessed before and after the training.
  • BFR significantly increased citrate synthase activity by 12.1% (P=0.040) and uncoupled maximum electron transfer rates for complexes II and IV (74.3%, P=0.030 and 64.4%, P=0.002 respectively) compared to CON group changes.
  • No significant between-group differences were found for performance markers (P≥0.176).
  • The combined SIT+BFR intervention improved mitochondrial content and respiration without enhancing exercise performance.

Structured PICO

Does sprint interval training with post-exercise blood flow restriction increase skeletal muscle mitochondrial content and respiration in physically active males?

P
Population
20 physically active males (mean age 25.3 years) completed a 6-week sprint interval training program with or without post-exercise blood flow restriction.
I
Intervention
6-week sprint interval training (SIT) program (repeated 30 s sprints interspersed with 4.5 min of rest) with post-exercise blood flow restriction (BFR).
C
Comparator
6-week sprint interval training (SIT) program without post-exercise blood flow restriction.
O
Outcome
Skeletal muscle mitochondrial content (citrate synthase activity) and respiratory function (O2 flux during leak, ADP-stimulated oxidative phosphorylation, and uncoupled maximal electron transfer states).surrogate

The addition of post-exercise blood flow restriction to a 6-week sprint interval training program increases mitochondrial content and uncoupled respiration in physically active males.

Main Result

Absolute Event Rate: 12.1% vs -4.6%

p-value: p=0.011

Abstract

Abstract Sprint interval training (SIT) combined with post‐exercise blood flow restriction (BFR) can augment adaptive signalling responses in skeletal muscle. However, mitochondrial adaptations to SIT with BFR are not well‐understood. This study examined the effects of a 6 week SIT program with or without post‐exercise BFR on skeletal muscle mitochondrial content and respiratory function, alongside physiological performance markers. Physically active males ( n = 20; 25.3 ± 5.9 years; , 52.5 ± 4.6 mL·min −1 ·kg −1 ) completed a SIT intervention (repeated 30 s sprints interspersed with 4.5 min of rest) with (BFR; n = 12) or without (CON; n = 8) post‐exercise BFR. Baseline and post‐training and lactate thresholds were measured and muscle biopsies obtained for determination of citrate synthase (CS) activity and mitochondrial respiration O 2 flux during leak ( L ), ADP‐stimulated oxidative phosphorylation ( P ) and uncoupled maximal electron transfer ( E ) states through mitochondrial complexes I–IV (CI–IV). There were time × condition interactions for CS activity ( P = 0.011) and CS activity‐corrected CII E ( P = 0.047) and CIV E ( P = 0.010), which increased following BFR (12.1%, P = 0.040; 74.3%, P = 0.030; 64.4%, P = 0.002, respectively) but not in CON (−4.6%, P = 0.053; 9.9% P = 0.460; −7.4%, P = 0.664, respectively). There were no between‐group differences in the changes in or any other performance markers ( P ≥ 0.176). The addition of BFR to a 6 week SIT program increased mitochondrial content and uncoupled respiration in physically active males, which may have implications for improving skeletal muscle oxidative metabolism. image Key points Sprint interval training (SIT) with post‐exercise BFR (SIT+BFR) augments the exercise stimulus without limiting intensity and is shown to improve maximal oxygen uptake in athletes compared to SIT alone. However, the mechanisms underpinning this response remain unclear. This study is the first to investigate the effects of SIT+BFR on citrate synthase (CS) activity and mitochondrial respiratory parameters. We demonstrate that a 6 week SIT+BFR intervention in physically active males, increased CS activity and uncoupled mitochondrial respiration compared to SIT alone. However, improvements in performance determinants in response to SIT did not differ between groups. These findings provide novel insight into the mitochondrial bioenergetic potential of BFR, when combined with SIT, and can inform recommendations for exercise training interventions.

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Cite This Study

Peden et al. (2026) studied Physically active males (n=20). Sprint interval training with post-exercise blood flow restriction vs. Sprint interval training without blood flow restriction was evaluated on Citrate synthase (CS) activity (p=0.011). Sprint interval training with post-exercise blood flow restriction increased citrate synthase activity (12.1% vs -4.6%; P=0.011) and uncoupled mitochondrial respiration compared to training alone.

synapsesocial.com/papers/6a2269c9763171746d5486aahttps://doi.org/10.1113/jp290955
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