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动态运动揭示了应激激素中不同的时间相关反应。

Dynamic exercise discloses different time-related responses in stress hormones.

作者信息

de Vries W R, Bernards N T, de Rooij M H, Koppeschaar H P

机构信息

Department of Medical Physiology and Sports Medicine, University Medical Center Utrecht, The Netherlands.

出版信息

Psychosom Med. 2000 Nov-Dec;62(6):866-72. doi: 10.1097/00006842-200011000-00017.

Abstract

OBJECTIVE

Responses to stressful events are generally regarded as reactions of the organism to accommodate to or compensate for stress. This reaction is classically described as an activation of the sympathoadrenal system and the hypothalamic-pituitary-adrenocortical (HPA) axis. Activation of the release of growth hormone and prolactin in blood also occurs during various types of stress. Assuming that the stress response is a neuroendocrine mechanism that occurs in anticipation of physical exercise, we investigated whether an incremental exercise protocol can be used as a model stressor to disclose a distinct pattern of activation in these hormonal systems, which would support the notion that these systems have different roles in preparing the organism for physical activity and recovery. Moreover, such a model may help improve our understanding of the endocrine expressions of psychological stress.

METHODS

After an overnight fast, 8 healthy men (age, 19-26 years) cycled at 40, 60, 80, and 100% of the power output at VO2max in successive time blocks of 10 minutes each up to exhaustion. Venous blood was sampled immediately before exercise, at the end of each block, and during the recovery phase 5 and 30 minutes after exercise. Plasma adrenalin and noradrenalin were measured by high-performance liquid chromatography; plasma adrenocorticotropic hormone, beta-endorphin, cortisol, growth hormone, and prolactin were measured by specific immunoassays. Heart rate and levels of blood lactate and adrenalin were measured as markers of workload-related responses.

RESULTS

Results showed that increases in heart rate, lactate, adrenalin, noradrenalin, and growth hormone reflected the relative workload, in contrast to increases in adrenocorticotropic hormone, beta endorphin, and prolactin, which were observed only after exercise reached an intensity of 80% VO2max. Increases in cortisol were found just after exhaustion. The delayed response of cortisol may be initiated by a drop in blood glucose levels but may also be considered preparatory to vigorous muscular effort and protective against tissue damage.

CONCLUSIONS

Measurement of the cumulative response to exercise shows that activation of stress hormones occurs at different time points, supporting the notion that these hormones have different roles in preparing the organism for physical activity and recovery: ie, workload- and effort-related adaptation on one hand and protection against disturbed homeostasis on the other. The delayed response of the HPA axis during incremental exercise contrasts with the nondelayed HPA axis response observed during psychological stress and points to involvement of different neurobiological and cognitive emotional mechanisms.

摘要

目的

对应激事件的反应通常被视为机体为适应或补偿压力而产生的反应。这种反应传统上被描述为交感肾上腺系统和下丘脑 - 垂体 - 肾上腺皮质(HPA)轴的激活。在各种类型的应激过程中,血液中生长激素和催乳素的释放也会被激活。假设应激反应是一种在体育锻炼之前发生的神经内分泌机制,我们研究了递增运动方案是否可以用作模型应激源,以揭示这些激素系统中独特的激活模式,这将支持这些系统在使机体为体力活动和恢复做准备方面具有不同作用的观点。此外,这样一个模型可能有助于提高我们对心理应激内分泌表现的理解。

方法

8名健康男性(年龄19 - 26岁)在禁食过夜后,以最大摄氧量(VO2max)时功率输出的40%、60%、80%和100%进行骑行,每个时间段持续10分钟,直至力竭。在运动前、每个时间段结束时以及运动后5分钟和30分钟的恢复阶段立即采集静脉血。通过高效液相色谱法测定血浆肾上腺素和去甲肾上腺素;通过特异性免疫测定法测定血浆促肾上腺皮质激素、β - 内啡肽、皮质醇、生长激素和催乳素。测量心率、血乳酸和肾上腺素水平作为与工作量相关反应的指标。

结果

结果表明,心率、乳酸、肾上腺素、去甲肾上腺素和生长激素的增加反映了相对工作量,与之形成对比的是,促肾上腺皮质激素、β - 内啡肽和催乳素仅在运动强度达到VO2max的80%后才观察到增加。在力竭后立即发现皮质醇增加。皮质醇的延迟反应可能由血糖水平下降引发,但也可被视为为剧烈肌肉运动做准备并防止组织损伤。

结论

对运动累积反应的测量表明,应激激素的激活发生在不同时间点,支持了这些激素在使机体为体力活动和恢复做准备方面具有不同作用的观点,即一方面是与工作量和努力相关的适应,另一方面是防止内环境稳态紊乱的保护作用。递增运动期间HPA轴的延迟反应与心理应激期间观察到的非延迟HPA轴反应形成对比,并表明涉及不同的神经生物学和认知情感机制。

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