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60 岁以上男性和女性体力活动期间心输出量和摄氧量的关系。

Cardiac output and oxygen uptake relationship during physical effort in men and women over 60 years old.

机构信息

Physical Activity and Health Promotion Laboratory - LABSAU, Physical Education and Sports Institute, State University of Rio de Janeiro - UERJ, Maracanã, Rio de Janeiro, Brazil.

出版信息

Eur J Appl Physiol. 2009 Dec;107(6):625-31. doi: 10.1007/s00421-009-1162-y. Epub 2009 Aug 27.

DOI:10.1007/s00421-009-1162-y
PMID:19711096
Abstract

This study investigated the relationship between oxygen uptake (VO(2)), cardiac output (Q), stroke volume (SV), and heart rate (HR) in 54 men and 77 women (age = 69 +/- 5 years) during incremental effort. Subjects performed a maximal cycle-ergometer test and VO(2) was directly measured. HR and SV were assessed by ECG and cardiograph impedance. Regression equations were calculated for Q-VO(2), HR-VO(2), and Q-HR relationships. The equations obtained for women were (a) Q (l min(-1)) = 2.61 + 4.67 VO(2) (l min(-1))(r(2) = 0.84); (b) HR (bpm) = 62.03 + 46.55 VO(2) (l min(-1)) (r (2) = 0.72); (c) SV (ml) 100:6[1 - e(-2.6 VO2 (1 min-1))] (r (2) = 0.41); (d) HR (bpm) = 41.48 + 9.24 Q (l min(-1)) (r (2) = 0.73). Equations for men were (a) Q (l min(-1)) = 2.52 + 5.70 VO(2) (l min(-1)) (r (2) = 0.89); (b) HR (bpm) = 66.31 + 32.35 VO(2) (l min(-1)) (r (2) = 0.72); (c) [1 - e(-1.7 VO2 (1 min-1))] (r (2) = 0.47); (d) HR (bpm) = 56.33 + 5.25 Q (l min(-1)) (r (2) = 0.69). The intercepts for Q-VO(2) and HR-VO(2) equations were similar for both genders, but the slopes were different (P < 0.05). The SV increased from baseline to 50-60% of VO(2) peak in both groups. No gender effect was found in SV increasing pattern, but the absolute values were in general higher for men (P > 0.05). A significant difference between men and women was observed for both slopes and intercepts in the Q-HR relationship (P < 0.05). In conclusion, (a) Q-VO(2) relation was linear during progressive effort; (b) regression intercepts were similar, but the slopes were higher for men compared to women; (c) SV-VO(2) relationship was nonlinear and maximum SV was reached at very submaximal workload; (d) older men exhibited higher Q upward potential as well higher SV but lower HR for a given submaximal workload than women of similar age.

摘要

本研究旨在探讨 54 名男性和 77 名女性(年龄=69±5 岁)在递增负荷过程中摄氧量(VO2)、心输出量(Q)、每搏量(SV)和心率(HR)之间的关系。受试者进行了最大的踏车测力计测试,直接测量 VO2。HR 和 SV 通过心电图和心电导联阻抗进行评估。计算了 Q-VO2、HR-VO2 和 Q-HR 关系的回归方程。为女性获得的方程为:(a)Q(升/分钟)= 2.61+4.67 VO2(升/分钟)(r2=0.84);(b)HR(bpm)= 62.03+46.55 VO2(升/分钟)(r2=0.72);(c)SV(ml)100:6[1-e(-2.6 VO2(1 分钟-1))](r2=0.41);(d)HR(bpm)= 41.48+9.24 Q(升/分钟)(r2=0.73)。男性的方程为:(a)Q(升/分钟)= 2.52+5.70 VO2(升/分钟)(r2=0.89);(b)HR(bpm)= 66.31+32.35 VO2(升/分钟)(r2=0.72);(c)[1-e(-1.7 VO2(1 分钟-1))](r2=0.47);(d)HR(bpm)= 56.33+5.25 Q(升/分钟)(r2=0.69)。两性的 Q-VO2 和 HR-VO2 方程的截距相似,但斜率不同(P<0.05)。两组在 SV 均从基线增加到 VO2 峰值的 50-60%。在 SV 增加模式中没有发现性别效应,但男性的绝对值普遍较高(P>0.05)。男性和女性的 Q-HR 关系中的斜率和截距都存在显著差异(P<0.05)。总之,(a)在渐进性工作中,Q-VO2 关系是线性的;(b)回归截距相似,但男性的斜率高于女性;(c)SV-VO2 关系是非线性的,最大 SV 出现在非常次最大的工作负荷下;(d)年龄较大的男性在给定的次最大工作负荷下,比年龄相似的女性具有更高的 Q 上升潜力、更高的 SV 和更低的 HR。

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