Kjaer M, Secher N H
Department of Internal Medicine TTA, University of Copenhagen, Denmark.
Sports Med. 1992 May;13(5):303-19. doi: 10.2165/00007256-199213050-00002.
At the onset of exercise, signals from the central nervous system result in immediate vagal withdrawal and resulting increases in heart rate and arterial blood pressure. From the second heart beat peripheral nerve (reflex) influence from exercising muscle can be detected. With continued exertion, especially with large muscle groups, this influence becomes increasingly important. Sympathetic nerve signals to resting muscle can be influenced by the central nervous system, but are dominated by influence from 'metaboreceptors' in exercising muscle, while sympathetic nerve signals to skin are more influenced by the central nervous system. Cardiovascular responses to static contractions increase with the percentage of maximum contraction intensity as well as with the muscle mass involved. Plasma catecholamines rise in proportion to increases in cardiovascular variables and are influenced by a central nervous mechanism early in the contraction. Furthermore, during static contractions the increase in plasma adrenaline (epinephrine) is larger relative to that of noradrenaline than during dynamic exercise. Both catecholamine responses and the responses of pituitary hormones depend on the active muscle mass, but are small compared to those established during dynamic exercise. Experiments designed to enhance central command, resulting in increased cardiovascular and endocrine responses compared to control experiments and experiments in which an attenuation of peripheral nerve influence resulted in reduced changes in these variables during exercise, contrast with the notion that the 2 neural control mechanisms are redundant. Rather, the 2 neural influences on the autonomic nervous system work in concert in eliciting the responses manifest during static exercise.
运动开始时,来自中枢神经系统的信号会导致迷走神经立即撤离,从而使心率和动脉血压升高。从第二次心跳开始,就可以检测到来自运动肌肉的外周神经(反射)影响。随着持续运动,尤其是涉及大肌肉群的运动,这种影响变得越来越重要。支配静息肌肉的交感神经信号会受到中枢神经系统的影响,但主要受运动肌肉中“代谢感受器”的影响,而支配皮肤的交感神经信号则更多地受中枢神经系统的影响。心血管系统对静力性收缩的反应会随着最大收缩强度的百分比以及所涉及的肌肉量的增加而增强。血浆儿茶酚胺与心血管变量的增加成比例升高,并且在收缩早期受中枢神经机制的影响。此外,在静力性收缩期间,相对于去甲肾上腺素,血浆肾上腺素(肾上腺素)的增加幅度比动态运动期间更大。儿茶酚胺反应和垂体激素反应均取决于活动的肌肉量,但与动态运动期间相比,这些反应较小。旨在增强中枢指令的实验表明,与对照实验相比,心血管和内分泌反应增强;而在一些实验中,外周神经影响的减弱导致运动期间这些变量的变化减少,这与两种神经控制机制冗余的观点形成对比。相反,自主神经系统的这两种神经影响在引发静力性运动期间表现出的反应中协同作用。