Nunes R B, Tonetto M, Machado N, Chazan M, Heck T G, Veiga A B G, Dall'Ago P
Physiological Sciences Dept., UFCSPA, Sarmento Leite, 245/308, 90050-170, Porto Alegre, RS, Brazil.
J Appl Physiol (1985). 2008 Jun;104(6):1641-7. doi: 10.1152/japplphysiol.00062.2008. Epub 2008 Apr 10.
Chronic heart failure (CHF) is characterized by left ventricular dysfunction, resulting in hemodynamic changes, sustained inflammatory state, as well as increase in oxidative stress. Physical exercise has been described as an important nonpharmacological procedure in the treatment of CHF, contributing to the improvement of the clinical outcomes in this disease. This study evaluated the effects of physical training on hemodynamics, muscle lipid peroxidation, and plasmatic levels of IL-10 in CHF rats. The left coronary artery was ligated to induce CHF, or sham operation was performed in control groups. Rats were assigned to one of four groups: trained CHF (T-CHF, n = 10), sedentary CHF (S-CHF, n = 10), trained sham (T-Sham, n = 10), or sedentary sham (S-Sham, n = 10). Trained animals had carried out a swimming protocol, 60 min/day, 5 days/wk, during 8 wk, whereas sedentary animals remained without training. Eight weeks of physical training promoted an improvement of diastolic function represented by a reduction of the left ventricular end-diastolic pressure in the T-CHF group compared with the S-CHF group (P < 0.05). Lipid peroxidation evaluated in gastrocnemius muscle using thiobarbituric acid reactive substance assay was higher in the S-CHF group compared with all other groups (P < 0.05). However, there were no differences between T-CHF compared with S-Sham and T-Sham groups. The plasmatic levels of IL-10 were lower in the S-CHF group compared with all other groups (P < 0.05). These findings demonstrate that regular physical training using a swimming protocol, with duration of 8 wk, improves the cardiac function and the anti-inflammatory response and reduces muscle cellular damage.
慢性心力衰竭(CHF)的特征是左心室功能障碍,导致血流动力学改变、持续的炎症状态以及氧化应激增加。体育锻炼已被描述为治疗CHF的一种重要的非药物手段,有助于改善该疾病的临床结局。本研究评估了体育训练对CHF大鼠血流动力学、肌肉脂质过氧化和血浆IL-10水平的影响。结扎左冠状动脉以诱导CHF,对照组进行假手术。将大鼠分为四组之一:训练性CHF组(T-CHF,n = 10)、久坐性CHF组(S-CHF,n = 10)、训练性假手术组(T-Sham,n = 10)或久坐性假手术组(S-Sham,n = 10)。训练组动物进行游泳训练,每天60分钟,每周5天,持续8周,而久坐组动物不进行训练。与S-CHF组相比,8周的体育训练促进了T-CHF组舒张功能的改善,表现为左心室舒张末期压力降低(P < 0.05)。使用硫代巴比妥酸反应物质测定法评估的腓肠肌脂质过氧化在S-CHF组中高于所有其他组(P < 0.05)。然而,T-CHF组与S-Sham组和T-Sham组之间没有差异。S-CHF组的血浆IL-10水平低于所有其他组(P < 0.05)。这些发现表明,采用持续8周的游泳训练方案进行规律的体育训练可改善心脏功能和抗炎反应,并减少肌肉细胞损伤。