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卧床休息可减弱人体抗重力腿部肌肉对等长运动的交感神经和升压反应。

Bed rest attenuates sympathetic and pressor responses to isometric exercise in antigravity leg muscles in humans.

作者信息

Kamiya Atsunori, Michikami Daisaku, Shiozawa Tomoki, Iwase Satoshi, Hayano Junichiro, Kawada Toru, Sunagawa Kenji, Mano Tadaaki

机构信息

Dept. of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2004 May;286(5):R844-50. doi: 10.1152/ajpregu.00497.2003. Epub 2003 Dec 30.

Abstract

Although spaceflight and bed rest are known to cause muscular atrophy in the antigravity muscles of the legs, the changes in sympathetic and cardiovascular responses to exercises using the atrophied muscles remain unknown. We hypothesized that bed rest would augment sympathetic responses to isometric exercise using antigravity leg muscles in humans. Ten healthy male volunteers were subjected to 14-day 6 degrees head-down bed rest. Before and after bed rest, they performed isometric exercises using leg (plantar flexion) and forearm (handgrip) muscles, followed by 2-min postexercise muscle ischemia (PEMI) that continues to stimulate the muscle metaboreflex. These exercises were sustained to fatigue. We measured muscle sympathetic nerve activity (MSNA) in the contralateral resting leg by microneurography. In both pre- and post-bed-rest exercise tests, exercise intensities were set at 30 and 70% of the maximum voluntary force measured before bed rest. Bed rest attenuated the increase in MSNA in response to fatiguing plantar flexion by approximately 70% at both exercise intensities (both P < 0.05 vs. before bed rest) and reduced the maximal voluntary force of plantar flexion by 15%. In contrast, bed rest did not alter the increase in MSNA response to fatiguing handgrip and had no effects on the maximal voluntary force of handgrip. Although PEMI sustained MSNA activation before bed rest in all trials, bed rest entirely eliminated the PEMI-induced increase in MSNA in leg exercises but partially attenuated it in forearm exercises. These results do not support our hypothesis but indicate that bed rest causes a reduction in isometric exercise-induced sympathetic activation in (probably atrophied) antigravity leg muscles.

摘要

尽管已知太空飞行和卧床休息会导致腿部抗重力肌肉出现肌肉萎缩,但使用萎缩肌肉进行运动时交感神经和心血管反应的变化仍不清楚。我们假设卧床休息会增强人体使用腿部抗重力肌肉进行等长运动时的交感神经反应。10名健康男性志愿者接受了为期14天的6度头低位卧床休息。在卧床休息前后,他们分别使用腿部(跖屈)和前臂(握力)肌肉进行等长运动,随后进行2分钟的运动后肌肉缺血(PEMI),持续刺激肌肉代谢反射。这些运动持续至疲劳。我们通过微神经ography测量对侧静息腿的肌肉交感神经活动(MSNA)。在卧床休息前后的运动测试中,运动强度均设定为卧床休息前测量的最大随意力的30%和70%。卧床休息使疲劳跖屈时MSNA的增加在两种运动强度下均降低了约70%(与卧床休息前相比,P均<0.05),并使跖屈的最大随意力降低了15%。相比之下,卧床休息并未改变疲劳握力时MSNA的增加,且对握力的最大随意力没有影响。尽管在所有试验中PEMI在卧床休息前持续激活MSNA,但卧床休息完全消除了腿部运动中PEMI诱导的MSNA增加,而在前臂运动中仅部分减弱了这种增加。这些结果不支持我们的假设,但表明卧床休息会导致(可能萎缩的)腿部抗重力肌肉在等长运动诱导的交感神经激活减少。

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