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运动后急性低血压的程度是由运动强度还是总运动量介导的?

Is the magnitude of acute post-exercise hypotension mediated by exercise intensity or total work done?

作者信息

Jones Helen, George Keith, Edwards Ben, Atkinson Greg

机构信息

Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.

出版信息

Eur J Appl Physiol. 2007 Dec;102(1):33-40. doi: 10.1007/s00421-007-0562-0. Epub 2007 Sep 19.

Abstract

The purpose of this study was to investigate the effects of exercise intensity on the magnitude of acute post-exercise hypotension while controlling for total work done over the exercise bout. Seven normotensive physically active males aged 28 +/- 6 years (mean +/- SD) completed four experimental trials, a no exercise control, 30 min of semi-recumbent cycling at 70% VO2peak (INT), cycling for 30 min at 40% VO2peak (SMOD) and cycling at 40% VO2peak for a time which corresponded to the same total work done as in the intense trial (LMOD). Blood pressure (BP), heart rate, stroke volume, cardiac output, total peripheral resistance, core body temperature and forearm skin and limb blood flow were measured prior to and for 20 min following the exercise bout. Post-exercise summary statistics were compared between trials with a one-factor general linear model. The change in systolic BP, averaged over the 20-min post-exercise period was significantly lower only following the INT (-5 +/- 3 mm Hg) and LMOD exercise (-1 +/- 7 mm Hg) compared to values in control (P < 0.04). The changes in systolic BP and MAP following INT and LMOD were not significantly different from each other (P > 0.05). Similar results were obtained when the minimum values of these variables recorded during the post-exercise period were compared. Mean changes in cardiac output (1.9 +/- 0.3 l min(-1)) and total peripheral resistance (-3 +/- 1 mm Hg l(-1 )min(-1)) after INT exercise were also different from those in CON (P < 0.0005). The acute post-exercise reduction in BP was clinically similar following high intensity short duration exercise and moderate intensity longer duration exercise that was matched for total work done.

摘要

本研究的目的是在控制运动期间总运动量的同时,调查运动强度对运动后急性低血压程度的影响。七名年龄为28±6岁(均值±标准差)的血压正常且身体活跃的男性完成了四项实验性试验,即无运动对照试验、以70%最大摄氧量(INT)进行30分钟半卧位骑行、以40%最大摄氧量进行30分钟骑行(SMOD)以及以40%最大摄氧量骑行一段时间,使其总运动量与高强度试验相同(LMOD)。在运动前及运动后20分钟测量血压(BP)、心率、每搏输出量、心输出量、总外周阻力、核心体温以及前臂皮肤和肢体血流量。采用单因素一般线性模型对各试验间的运动后汇总统计数据进行比较。与对照组相比,仅在INT运动(-5±3毫米汞柱)和LMOD运动(-1±7毫米汞柱)后,运动后20分钟期间收缩压的平均变化显著更低(P<0.04)。INT和LMOD运动后收缩压和平均动脉压的变化彼此间无显著差异(P>0.05)。比较运动后期间记录的这些变量的最小值时,得到了相似的结果。INT运动后心输出量(1.9±0.3升·分钟-1)和总外周阻力(-3±1毫米汞柱·升-1·分钟-1)的平均变化也与对照组不同(P<0.0005)。高强度短时间运动和中等强度长时间运动在总运动量匹配的情况下,运动后急性血压降低在临床上相似。

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