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年轻女性运动期间血管紧张素转换酶I/D多态性与心血管血流动力学之间无关联。

No association between ACE I/D polymorphism and cardiovascular hemodynamics during exercise in young women.

作者信息

Roltsch M H, Brown M D, Hand B D, Kostek M C, Phares D A, Huberty A, Douglass L W, Ferrell R E, Hagberg J M

机构信息

Department of Kinesiology, University of Maryland, College Park, MD, USA.

出版信息

Int J Sports Med. 2005 Oct;26(8):638-44. doi: 10.1055/s-2004-830436.

Abstract

The ACE I/D polymorphism has been shown to interact with habitual physical activity levels in postmenopausal women to associate with submaximal and with maximal exercise hemodynamics. This investigation was designed to assess the potential relationships between ACE genotype and oxygen consumption (VO2), cardiac output (Q), stroke volume (SV), heart rate (HR), blood pressure (BP), total peripheral resistance (TPR), and arteriovenous oxygen difference ([a-v]O2 diff) during submaximal and maximal exercise in young sedentary and endurance-trained women. Seventy-seven 18-35-yr-old women underwent a maximal exercise test and a number of cardiac output tests on a treadmill using the acetylene rebreathing technique. ACE genotype was not significantly associated with VO2max (II 41.4+/-1.2, ID 39.8+/-0.9, DD 39.8+/-1.1 ml/kg/min, p=ns) or maximal HR (II 191+/-2, ID 191+/-1, DD 193+/-2 bpm, p=ns). In addition, systolic and diastolic BP, (a-v)O2 diff, TPR, SV, and Q during maximal exercise were not significantly associated with ACE genotype. During submaximal exercise, SBP, Q, SV, HR, TPR, and (a-v)O2 diff were not significantly associated with ACE genotype. However, the association between diastolic BP during submaximal exercise and ACE genotype approached significance (p=0.08). In addition, there were no statistically significant interactions between ACE genotype and habitual physical activity (PA) levels for any of the submaximal or the maximal exercise hemodynamic variables. We conclude that the ACE I/D polymorphism was not associated, independently or interacting with habitual PA levels, submaximal, or maximal cardiovascular hemodynamics in young women.

摘要

血管紧张素转换酶(ACE)的插入/缺失(I/D)多态性已被证明在绝经后女性中与习惯性身体活动水平相互作用,从而与次极量和极量运动时的血流动力学相关。本研究旨在评估年轻久坐不动和耐力训练女性在次极量和极量运动期间,ACE基因多态性与耗氧量(VO2)、心输出量(Q)、每搏输出量(SV)、心率(HR)、血压(BP)、总外周阻力(TPR)以及动静脉氧差([a-v]O2 diff)之间的潜在关系。77名18至35岁的女性在跑步机上采用乙炔重呼吸技术进行了极量运动测试和多项心输出量测试。ACE基因多态性与最大摄氧量(II型41.4±1.2、ID型39.8±0.9、DD型39.8±1.1 ml/kg/min,p=无显著性差异)或最大心率(II型191±2、ID型191±1、DD型193±2次/分钟,p=无显著性差异)均无显著相关性。此外,极量运动期间的收缩压和舒张压、(a-v)O2 diff、TPR、SV和Q与ACE基因多态性均无显著相关性。在次极量运动期间,收缩压、Q、SV、HR、TPR和(a-v)O2 diff与ACE基因多态性无显著相关性。然而,次极量运动期间舒张压与ACE基因多态性之间的关联接近显著性(p=0.08)。此外,对于任何次极量或极量运动血流动力学变量,ACE基因多态性与习惯性身体活动(PA)水平之间均无统计学上的显著相互作用。我们得出结论,在年轻女性中,ACE的I/D多态性与习惯性PA水平、次极量或极量心血管血流动力学无关,无论是独立作用还是相互作用。

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