Magkos Faidon, Patterson Bruce W, Mohammed B Selma, Mittendorfer Bettina
Center for Human Nutrition, Washington University School of Medicine, St Louis, MO 63110, USA.
Clin Sci (Lond). 2009 Feb;116(4):327-34. doi: 10.1042/CS20080220.
Hypertriacylglycerolaemia is an important risk factor for cardiovascular disease. In men, we have shown that the effects of evening exercise on basal VLDL (very-low-density lipoprotein) metabolism are dose-dependent: a single prolonged bout of aerobic exercise [2 h at 60% of VO(2 peak) (peak oxygen consumption)] reduces fasting plasma TAG [triacylglycerol (triglyceride)] concentrations, via enhanced clearance of VLDL-TAG from the circulation, whereas the same exercise performed for 1 h has no effect on VLDL-TAG metabolism and concentration. We hypothesized that women are more sensitive to the TAG-lowering effect of exercise because they reportedly use more intramuscular TAG as an energy source during exercise, and depletion of muscle TAG stores has been linked to reciprocal changes in skeletal muscle LPL (lipoprotein lipase) activity. To test our hypothesis, we measured basal VLDL-TAG and VLDL-apoB-100 (apolipoprotein B-100), and plasma NEFA [non-esterified fatty acid ('free fatty acid')] kinetics, by using stable isotope-labelled tracer techniques, on the morning after a single session of evening exercise of moderate duration and intensity (1 h at 60% of VO(2 peak)) in eight sedentary pre-menopausal women (age, 28+/-3 years; body mass index, 27+/-2 kg/m(2); body fat, 34+/-3%; values are means+/-S.E.M.). Compared with an equivalent period of evening rest, exercise had no effect on post-absorptive NEFA concentrations and the rate of appearance in plasma, VLDL-TAG and VLDL-apoB-100 concentrations, hepatic VLDL-TAG and VLDL-apoB-100 secretion and plasma clearance rates (all P>0.05). We conclude that, in women, as in men, a single session of exercise of moderate intensity and duration is not sufficient to bring about the alterations in VLDL metabolism that have been linked to post-exercise hypotriacylglycerolaemia.
高甘油三酯血症是心血管疾病的一个重要危险因素。在男性中,我们已经表明,晚间运动对基础极低密度脂蛋白(VLDL)代谢的影响是剂量依赖性的:一次长时间的有氧运动[在60%的VO₂峰值(峰值耗氧量)下进行2小时]可通过增强循环中VLDL-甘油三酯(TAG)的清除来降低空腹血浆TAG(甘油三酯)浓度,而同样的运动进行1小时对VLDL-TAG代谢和浓度没有影响。我们推测,女性对运动降低TAG的作用更为敏感,因为据报道她们在运动期间更多地利用肌肉内的TAG作为能量来源,并且肌肉TAG储备的消耗与骨骼肌脂蛋白脂肪酶(LPL)活性的相应变化有关。为了验证我们的假设,我们在八名久坐不动的绝经前女性(年龄28±3岁;体重指数27±2 kg/m²;体脂34±3%;数值为平均值±标准误)进行一次中等时长和强度的晚间运动(在60%的VO₂峰值下进行1小时)后的早晨,使用稳定同位素标记示踪技术测量基础VLDL-TAG和VLDL-载脂蛋白B-100(apoB-100)以及血浆非酯化脂肪酸(NEFA,即“游离脂肪酸”)的动力学。与同等时长的晚间休息相比,运动对吸收后NEFA浓度、血浆中NEFA的出现率、VLDL-TAG和VLDL-apoB-100浓度、肝脏VLDL-TAG和VLDL-apoB-100分泌以及血浆清除率均无影响(所有P>0.05)。我们得出结论,与男性一样,女性进行一次中等强度和时长的运动不足以引起与运动后低甘油三酯血症相关的VLDL代谢改变。