Kimura Tetsuya, Matsumoto Tamaki, Akiyoshi Mihoko, Owa Yoko, Miyasaka Naoyuki, Aso Takeshi, Moritani Toshio
Laboratory of Applied Physiology, Graduate School of Human and Environmental Studies, Kyoto University, Sakyo-ku, Kyoto 606-8501, Japan.
Eur J Appl Physiol. 2006 Jul;97(5):542-7. doi: 10.1007/s00421-006-0207-8. Epub 2006 Jun 9.
The present study investigated the activity of the autonomic nervous system (ANS), a major influence in normal physiological function, and its association with unfavorable postmenopausal states in body composition, lipid and/or glucose metabolism, or cardiovascular profiles. Body composition, blood pressure, and blood profiles of lipid and glucose of 175 postmenopausal women were measured. Resting ANS activity was assessed by heart rate variability (HRV) power spectral analysis. To scrutinize the influence of ANS activity levels on postmenopausal obesity-related factors, we divided the subjects into a low group ( < 220 ms(2)) and a high group ( > 220 ms(2)), based on the total power of HRV. Low-frequency (P < 0.01) and high-frequency power (P < 0.01) were both significantly lower in the low group. No significant difference was found in age, age at menopause, or years after menopause between the two groups. In contrast, body mass index (P < 0.05), percentages of body fat (P < 0.01), and systolic (P < 0.01) and diastolic (P < 0.01) blood pressure were significantly greater in the low group. As to blood lipid profiles, triglycerides (P < 0.05), total cholesterol (P < 0.05), and low-density lipoprotein cholesterol (P < 0.05) were significantly higher in the low group. Our findings indicate that reduced sympatho-vagal activity is associated with higher postmenopausal body fat content, blood pressure, and blood lipid concentrations. This study further implies that such autonomic depression could be a crucial risk factor in undermining the health and, ultimately, the quality of life, of postmenopausal women.
本研究调查了自主神经系统(ANS)的活性,其对正常生理功能有重大影响,并研究了其与绝经后身体成分、脂质和/或葡萄糖代谢或心血管状况等不良状态之间的关联。测量了175名绝经后女性的身体成分、血压以及血脂和血糖水平。通过心率变异性(HRV)功率谱分析评估静息ANS活性。为了仔细研究ANS活性水平对绝经后肥胖相关因素的影响,我们根据HRV的总功率将受试者分为低活性组(<220 ms²)和高活性组(>220 ms²)。低活性组的低频功率(P<0.01)和高频功率(P<0.01)均显著较低。两组在年龄、绝经年龄或绝经后年限方面未发现显著差异。相比之下,低活性组的体重指数(P<0.05)、体脂百分比(P<0.01)以及收缩压(P<0.01)和舒张压(P<0.01)显著更高。至于血脂水平,低活性组的甘油三酯(P<0.05)、总胆固醇(P<0.05)和低密度脂蛋白胆固醇(P<0.05)显著更高。我们的研究结果表明,交感-迷走神经活性降低与绝经后更高的体脂含量、血压和血脂浓度相关。本研究进一步表明,这种自主神经抑制可能是损害绝经后女性健康及最终生活质量的关键危险因素。