To evaluate the effects of blood flow restriction (BFR) combined with endurance training on aerobic capacity, lower limb muscle strength, anaerobic power, and sports performance to supply effective scientific guidance for training. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies. We searched PubMed, Medline, Cochrane, SPORTDiscus and Web of Science databases up to 28 October 2024. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies. We calculated the effect size using standardized mean difference values and the random effects model. The results showed a medium effect size on maximal oxygen uptake (V̇O