ABSTRACT
           Background and objectives: The present study was designed to determine the effect of blood flow restriction training (BFRT) on follistatin to myostatin ratio, body composition and anaerobic power of trained volleyball players.
           Methods: Eighteen trained volleyball players were randomly assigned into two study groups: resistance training with blood flow restriction (BFRT; n=9) and resistance training without blood flow restriction (WBFRT; n=9). The subjects performed trainings three sessions a week, for eight weeks. In each session, barbell squat, leg extension, leg curl and dumbbell lunges were performed in three sets of 15 repetitions, with rest intervals of 30 seconds. Serum follistatin and myostatin concentrations, body composition and anaerobic power were assessed before and after the study. Data were analyzed using the paired sample t-test, Wilcoxon test, independent sample t-test and Mann-Whitney U test. All statistical analyses were done in SPSS (version 22), and a P-value of less than 0.05 was considered statistically significant.
           Results: Follistatin levels increased significantly (P=0.001), while myostatin levels decreased significantly in both groups (P=0.001). Follistatin to myostatin ratio increased significantly in both groups (P=0.001). Although body fat percentage decreased in both groups, it did not differ significantly between the two groups (P=0.28). Moreover, anaerobic power increased significantly in both groups (P=0.001), but this increase was more profound in the BFRT group (P=0.001).
           Conclusion: Based on our findings, blood flow restriction can be applied as remarkable approach to boost body adaptation responses to resistance training.
           KEYWORDS: Resistance training, Myostatin, Follistatin, Blood flow restriction.

ABSTRACT
Background and objectives: Nonalcoholic fatty liver disease (NAFLD) is a chronic hepatic disease characterized by fat accumulation inside hepatocytes. The aim of this study was to evaluate effects of exercise training and resveratrol supplementation on activin A and follistatin levels in rats with NAFLD under a high-fat diet.
Methods: Fifty-six old (40-50 weeks) male Wistar rats were assigned to a healthy control group and seven experimental NAFLD groups: 1. high-fat diet, 2. saline, 3. resveratrol supplementation, 4. continuous exercise, 5. interval exercise, 6. continuous exercise+ resveratrol supplementation and 7. interval exercise+ resveratrol supplementation. Rats in the resveratrol supplementation groups were given 25 mg/kg of body weight intraperitoneal injection of resveratrol daily. Exercises were performed five days a week for eight weeks. Data were analyzed with SPSS (version 21) using one-way analysis of variance (ANOVA) and Tukey's post hoc test at significance of 0.05.
Results: Exercise training and resveratrol supplementation significantly decreased plasma activin A level and increased activin A expression (P<0.05). Plasma level of follistatin was significantly higher in rats under a high-fat diet compared to healthy control animals. All exercise and supplementation groups alone and combined lowered follistatin levels. However, follistatin mRNA expression increased significantly after resveratrol supplementation alone, continuous exercise+ resveratrol supplementation, and interval exercise+ resveratrol supplementation.
Conclusion: Resveratrol has a beneficial effect on activin A and follistatin levels in rats with NAFLD. In addition, resveratrol supplementation combined with exercise training may have greater health benefits for NAFLD patients compared to resveratrol supplementation or exercise training alone.
Keywords: Exercise, Resveratrol, Activin A, Follistatin, Nonalcoholic Fatty Liver Disease.