Poortmans J R, Engels M F, Sellier M, Leclercq R
Chimie Physiologique, Institut Supérieur d'Education Physique et de Kinésithérapíe, Université Libre de Bruxelles, Brussels.
Med Sci Sports Exerc. 1991 Jul;23(7):831-5.
To determine total urinary protein, albumin (ALB), and beta 2-microglobulin (beta 2m) excretion rates in relation to different speeds, 12 males were studied while swimming distances of 100, 600, and 2,000 m at maximal speed. Venous blood lactate concentrations rose to 16.1, 11.6, and 4.5 mmol.l-1 after the 100, 600, and 2,000 m events, while plasma volumes were reduced by 11.3, 7.7, and 5.5%, respectively. ALB urine excretion increased to 110-120 micrograms.min-1 after the 100 and 600 m swims and to 56 micrograms.min-1 after 2,000 m (resting values: 9 micrograms.min-1). In the meantime, the beta 2m excretion rate increased 21 and 10 times the resting values, respectively, for the two shorter swims, with no change for the longer one. Progressive plasma volume reduction was associated with the increase of the protein excretion rate. As evidenced by the creatinine clearance, the glomerular filtration rate did not change for the 100 m swim but dropped by 23 and 35% for the 600 and 2,000 m ones, respectively. On the other hand, the ALB clearance increases were elevated for the three swims, while the beta 2m clearance increases were inversely related to the swimming speeds. The data showed a relationship between the rate of protein excretion and the speed of the swim, and the reduction of plasma volume. The findings could indicate a renal glomerular alteration, with an additional dysfunction of the tubular reabsorption process when the exercise load is high during swimming events.
为了确定不同速度下的尿总蛋白、白蛋白(ALB)和β2-微球蛋白(β2m)排泄率,对12名男性进行了研究,他们以最大速度分别游了100米、600米和2000米。在完成100米、600米和2000米游泳后,静脉血乳酸浓度分别升至16.1、11.6和4.5 mmol·l-1,而血浆容量分别减少了11.3%、7.7%和5.5%。在游完100米和600米后,ALB尿排泄增加到110 - 120微克·分钟-1,游完2000米后增加到56微克·分钟-1(静息值:9微克·分钟-1)。与此同时,在较短的两次游泳中,β2m排泄率分别增加到静息值的21倍和10倍,而较长距离游泳时则没有变化。血浆容量的逐渐减少与蛋白质排泄率的增加相关。正如肌酐清除率所证明的,100米游泳时肾小球滤过率没有变化,但600米和2000米游泳时分别下降了23%和35%。另一方面,三次游泳时ALB清除率均升高,而β2m清除率的升高与游泳速度呈负相关。数据表明蛋白质排泄率与游泳速度以及血浆容量减少之间存在关联。这些发现可能表明存在肾小球改变,在游泳过程中运动负荷较高时,肾小管重吸收过程还存在额外的功能障碍。