Aigner A
Institut für Sportmedizin, Landes Salzburg.
Wien Med Wochenschr. 1990 Apr 15;140(6-7):163-70.
Beta-adrenoceptor-blockers modify the physical performance due to their haemodynamic and metabolic effects. Additionally, these substances influence the concentration of serum-potassium and the thermoregulation. The reduction in heart rate yields to a diminished cardiac output resulting in a restricted muscular blood flow at submaximal and maximal exercise. After beta-blockade, O2-uptake at submaximal work load as well as maximal aerobic capacity is slightly reduced. Lipolysis is restricted by acute beta-blockade, but this effect can be compensated for by enhancement of catecholamine-independent lipolysis during chronic treatment with beta-adrenoceptor blockers. At submaximal loads, glycogenolysis is not influenced; at maximal exercise, glycogenolysis is reduced by non-selective beta-blockers but not by beta 1-specific ones. Arterial peak lactate concentration usually is diminished. After beta-adrenoceptor-blockade, the concentration of serum-potassium increases slightly, and sweat production is enhanced. Beta-adrenoceptor-blockers influence the performance in different sports to a various extent, due to the multitude of the different effects they take.
β-肾上腺素能受体阻滞剂因其血流动力学和代谢作用而改变身体机能。此外,这些物质会影响血清钾浓度和体温调节。心率降低导致心输出量减少,在次最大和最大运动时肌肉血流量受限。β受体阻滞剂作用后,次最大工作负荷下的摄氧量以及最大有氧能力会略有降低。急性β受体阻滞剂会限制脂肪分解,但在长期使用β-肾上腺素能受体阻滞剂治疗期间,可通过增强非儿茶酚胺依赖性脂肪分解来弥补这一作用。在次最大负荷下,糖原分解不受影响;在最大运动时,非选择性β受体阻滞剂会降低糖原分解,但β1特异性阻滞剂则不会。动脉血乳酸峰值浓度通常会降低。β-肾上腺素能受体阻滞剂作用后,血清钾浓度略有升高,且出汗增多。由于β-肾上腺素能受体阻滞剂具有多种不同作用,它们对不同运动项目的表现会产生不同程度的影响。