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健康男性和女性在重复递增式举升和放下过程中的心肺和血流动力学反应。

Cardiorespiratory and hemodynamic responses during repetitive incremental lifting and lowering in healthy males and females.

作者信息

Kell Robert T, Bhambhani Yagesh

机构信息

Faculty of Physical Education and Recreation, University of Alberta, T6J-2H9, Edmonton, Alberta, Canada.

出版信息

Eur J Appl Physiol. 2003 Sep;90(1-2):1-9. doi: 10.1007/s00421-002-0776-0. Epub 2003 May 21.

DOI:10.1007/s00421-002-0776-0
PMID:12759758
Abstract

The purposes of this study were twofold. First, to evaluate the cardiorespiratory and muscle oxygenation (OXY)/blood volume (BV) responses during repetitive incremental lifting and lowering (RILL) in healthy males and females. Second, to develop a predictive equation for predicting peak aerobic power (VO(2peak)) during RILL from the cardiorespiratory, OXY/BV and body composition variables. Fourteen males and 18 females [mean (SD) for age, height and body mass were: 29.6 (8.2) years; 1.75 (0.07) m; 78.9 (10.4) kg and 23.9 (2.1) years; 1.63 (0.06) m; 62.3 (6.3) kg, respectively] completed a RILL from floor to table height at 10 lifts/min to voluntary fatigue. Cardiorespiratory responses were measured using open circuit spirometry and hemodynamic trends were monitored bilaterally at the third lumbar vertebra via near infrared spectroscopy. Significant sex differences ( p<0.05) were observed for the peak values of oxygen uptake (VO(2peak)), ventilation rate (V(E)), oxygen pulse, BV-max and BV-delta. Erector spinae OXY decreased systematically until VO(2peak )was attained, while BV decreased until approximately 50% of VO(2peak) and then leveled off. Stepwise regression analysis indicated that approximately 75% of the variance in VO(2peak )was predicted from cardiorespiratory, hemodynamic and body composition variables, with the most important predictors for absolute and relative VO(2peak )being V(E) ( r=0.75) and fat mass ( r=-0.63) respectively. Inclusion of left side OXY/BV responses increased the predictability of the common variance in VO(2peak )from 40% to 74%, implying that muscle hemodynamics play an important role in determining VO(2peak )during RILL.

摘要

本研究有两个目的。其一,评估健康男性和女性在重复递增举升和放下(RILL)过程中的心肺和肌肉氧合(OXY)/血容量(BV)反应。其二,根据心肺、OXY/BV和身体成分变量,建立一个预测方程,用于预测RILL期间的最大有氧功率(VO₂peak)。14名男性和18名女性[年龄、身高和体重的平均值(标准差)分别为:29.6(8.2)岁;1.75(0.07)米;78.9(10.4)千克和23.9(2.1)岁;1.63(0.06)米;62.3(6.3)千克]以每分钟10次的举升速度从地面举升至桌面高度,直至自愿疲劳,完成了RILL。使用开路肺量计测量心肺反应,并通过近红外光谱法在第三腰椎双侧监测血流动力学趋势。在摄氧量峰值(VO₂peak)、通气率(V̇E)、氧脉搏、BV-最大值和BV-变化量的峰值方面观察到显著的性别差异(p<0.05)。竖脊肌氧合在达到VO₂peak之前系统性下降,而血容量在达到约50%的VO₂peak之前下降,然后趋于平稳。逐步回归分析表明,VO₂peak中约75%的方差可由心肺、血流动力学和身体成分变量预测,对于绝对和相对VO₂peak而言,最重要的预测因子分别是V̇E(r=0.75)和脂肪量(r=-0.63)。纳入左侧OXY/BV反应后,VO₂peak共同方差的可预测性从40%提高到74%,这意味着肌肉血流动力学在RILL期间决定VO₂peak方面起着重要作用。

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