Vincent Kevin R, Braith Randy W, Bottiglieri Teodoro, Vincent Heather K, Lowenthal David T
Department of Physical Medicine and Rehabilitaion, The University of Virginia, Charlottesville, VA 22908-1004, USA.
Prev Cardiol. 2003 Fall;6(4):197-203. doi: 10.1111/j.1520-037x.2003.01723.x.
This investigation examined the effect of 6 months of high- or low-intensity resistance exercise on serum homocysteine and lipoprotein (a) levels in adults aged 60-80 years. Forty-three men and women completed the study protocol. Subjects were randomly assigned to a control (n=10), low-intensity (LEX, n=18), or high-intensity (HEX, n=15) group. Subjects performed 6 months of resistance training at either 50% of their one-repetition maximum for 13 repetitions (LEX) or 80% of one-repetition maximum for eight repetitions (HEX) 3 times per week for 24 weeks. The load was increased by 5% when their rating of perceived exertion dropped below 18. One-repetition maximum; serum homocysteine; lipoprotein (a); total and high-density lipoprotein cholesterol; and dietary intake of vitamins B12, B6, and folic acid were measured pre- and poststudy. Upper and lower body strength significantly (p<0.05) increased for the LEX and HEX groups. Serum homocysteine decreased 5.30% and 5.34% for the LEX and HEX groups, respectively (p<0.05), but increased 6.1% for the control group. A significant increase in lipoprotein (a) levels was noted in the control and LEX groups from pre- to poststudy. No significant differences were noted either pre- or poststudy for total and high-density lipoprotein cholesterol or any dietary variables. These data indicate that significant reductions in serum levels of homocysteine in the elderly can be derived from resistance exercise training.
本研究调查了6个月的高强度或低强度抗阻运动对60 - 80岁成年人血清同型半胱氨酸和脂蛋白(a)水平的影响。43名男性和女性完成了研究方案。受试者被随机分配到对照组(n = 10)、低强度组(LEX,n = 18)或高强度组(HEX,n = 15)。受试者进行了6个月的抗阻训练,低强度组以一次最大重复量的50%进行13次重复(LEX),高强度组以一次最大重复量的80%进行8次重复(HEX),每周3次,共24周。当主观用力程度评分低于18时,负荷增加5%。在研究前后测量了一次最大重复量、血清同型半胱氨酸、脂蛋白(a)、总胆固醇和高密度脂蛋白胆固醇,以及维生素B12、B6和叶酸的饮食摄入量。LEX组和HEX组的上、下肢力量显著增加(p<0.05)。LEX组和HEX组的血清同型半胱氨酸分别下降了5.30%和5.34%(p<0.05),而对照组则增加了6.1%。从研究前到研究后,对照组和LEX组的脂蛋白(a)水平显著升高。在研究前后,总胆固醇和高密度脂蛋白胆固醇或任何饮食变量均未发现显著差异。这些数据表明,老年人血清同型半胱氨酸水平的显著降低可源于抗阻运动训练。