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在健康成年人中,抗坏血酸不会影响与年龄相关的最大心输出量和耗氧量的降低。

Ascorbic acid does not affect the age-associated reduction in maximal cardiac output and oxygen consumption in healthy adults.

作者信息

Bell Christopher, Carson John M, Motte Nathaniel W, Seals Douglas R

机构信息

Department of Integrative Physiology, 354UCB, Univ. of Colorado, Boulder, CO 80309-0354, USA.

出版信息

J Appl Physiol (1985). 2005 Mar;98(3):845-9. doi: 10.1152/japplphysiol.00790.2004. Epub 2004 Oct 22.

Abstract

Maximal aerobic capacity (Vo(2max)) decreases progressively with age, primarily because of a reduction in maximal cardiac output (Q(max)). This age-associated decline in Vo(2max) may be partially mediated by the development of oxidative stress that can suppress beta-adrenergic-receptor responsiveness and, consequently, reduce Q(max). To test this hypothesis, Vo(2max) (indirect calorimetry) and Q(max) (open-circuit acetylene breathing) were determined in 12 young (23 +/- 1 yr, mean +/- SE) and 10 older (61 +/- 1 yr) adults following systemic infusion of either saline (control) and/or the powerful antioxidant ascorbic acid (acute: bolus 0.06; drip 0.02 g/kg fat-free mass) and following chronic 30-day oral administration of ascorbic acid (500 mg/day). Plasma ascorbic acid concentration was not different between young and older adults and was increased similarly, independent of age [change (Delta) acute = 1,055 +/- 117%; Delta chronic = 62 +/- 19%]. Oxidized low-density lipoprotein concentration was greater (P < 0.001) in older (57 +/- 5 U/l) compared with young (34 +/- 3 U/l) adults and was reduced in both groups (P < 0.02) following acute (Delta = -6 +/- 2%) but not chronic (P = 0.18) ascorbic acid administration. Control (baseline) Vo(2max) and Q(max) were positively related (r = 0.76, P < 0.001) and were lower (P < 0.05) in older (34 +/- 2 ml.kg(-1).min(-1); 16.1 +/- 1.1 l/min) compared with young (43 +/- 3 ml.kg(-1).min(-1); 20.2 +/- 0.9 l/min) adults. Following ascorbic acid administration, neither Vo(2max) (young acute = 41 +/- 2; young chronic = 42 +/- 2; older acute = 34 +/- 2; older chronic = 34 +/- 2 ml.kg(-1).min(-1)) nor Q(max) (young acute = 20.1 +/- 0.9; young chronic = 19.1 +/- 0.8; older acute = 16.2 +/- 1.1; older chronic = 16.6 +/- 1.4 l/min) was changed. These data suggest that ascorbic acid administration does not affect the age-associated reduction in Q(max) and Vo(2max).

摘要

最大有氧能力(Vo₂max)会随着年龄的增长而逐渐下降,主要原因是最大心输出量(Qmax)降低。这种与年龄相关的Vo₂max下降可能部分是由氧化应激的发展介导的,氧化应激会抑制β-肾上腺素能受体反应性,从而降低Qmax。为了验证这一假设,在12名年轻成年人(23±1岁,平均值±标准误)和10名年长成年人(61±1岁)中,通过全身输注生理盐水(对照组)和/或强力抗氧化剂抗坏血酸(急性:推注0.06;滴注0.02 g/kg去脂体重)以及在进行为期30天的抗坏血酸慢性口服给药(500毫克/天)后,测定了Vo₂max(间接测热法)和Qmax(开路乙炔呼吸法)。年轻和年长成年人的血浆抗坏血酸浓度没有差异,且无论年龄大小均有类似升高[变化(Δ)急性=1055±117%;Δ慢性=62±19%]。与年轻成年人(34±3 U/l)相比,年长成年人(57±5 U/l)的氧化型低密度脂蛋白浓度更高(P<0.001),在急性给予抗坏血酸后两组该浓度均降低(P<0.02),但慢性给药后则无变化(P=0.18)。对照组(基线)的Vo₂max和Qmax呈正相关(r=0.76,P<0.001),年长成年人(34±2 ml·kg⁻¹·min⁻¹;16.1±1.1 l/min)的Vo₂max和Qmax低于年轻成年人(43±3 ml·kg⁻¹·min⁻¹;20.2±0.9 l/min)(P<0.05)。给予抗坏血酸后,Vo₂max(年轻急性=41±2;年轻慢性=42±2;年长急性=34±2;年长慢性=34±2 ml·kg⁻¹·min⁻¹)和Qmax(年轻急性=20.1±0.9;年轻慢性=19.1±0.8;年长急性=16.2±1.1;年长慢性=16.6±1.4 l/min)均未改变。这些数据表明,给予抗坏血酸不会影响与年龄相关的Qmax和Vo₂max降低。

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