膳食ω-3 脂肪酸对心肌缺血或亚最大运动时心率和心率变异性反应的影响。

Effect of dietary omega-3 fatty acids on the heart rate and the heart rate variability responses to myocardial ischemia or submaximal exercise.

机构信息

Dept. of Physiology and Cell Biology, Ohio State Univ., 304 Hamilton Hall, 1645 Neil Ave., Columbus, OH 43210-1218, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2011 Jun;300(6):H2288-99. doi: 10.1152/ajpheart.00140.2011. Epub 2011 Apr 1.

Abstract

The consumption of omega-3 polyunsaturated fatty acids (n-3 PUFAs) has been reported to decrease resting heart rate (HR) and increase heart rate variability (HRV). However, the effects of n-3 PUFAs on these variables in response to a physiological stress (e.g., exercise or acute myocardial ischemia), particularly in postmyocardial infarction (MI) patients, are unknown. Therefore, HR and HRV (high frequency and total R-R interval variability) were evaluated at rest, during submaximal exercise, and during a 2-min coronary artery occlusion at rest and before and 3 mo after n-3 PUFA treatment in dogs with healed MI (n = 59). The dogs were randomly assigned to either placebo (1 g/day corn oil, n = 19) or n-3 PUFA supplement (docosahexaenoic acid + eicosapentaenoic acid ethyl esters; 1 g/day, n = 6; 2 g/day, n = 12; or 4 g/day, n = 22) groups. The treatment elicited significant (P < 0.01) dose-dependent increases in right atrial n-3 PUFA levels but dose-independent reductions in resting HR and increases in resting HRV. In contrast, n-3 PUFAs did not attenuate the large changes in HR or HRV induced by either the coronary occlusion or submaximal exercise. These data demonstrate that dietary n-3 PUFA decreased resting (i.e., preexercise or preocclusion) HR and increased resting HRV but did not alter the cardiac response to physiologic challenges.

摘要

ω-3 多不饱和脂肪酸(n-3PUFAs)的消耗据报道可降低静息心率(HR)并增加心率变异性(HRV)。然而,n-3 PUFAs 对这些变量在生理应激(如运动或急性心肌缺血)下的影响,特别是在心肌梗死后(MI)患者中,尚不清楚。因此,在静息时、亚最大运动时以及在静息时冠状动脉闭塞的 2 分钟内,评估了 HR 和 HRV(高频和总 R-R 间隔变异性),在接受 n-3 PUFAs 治疗前后和 3 个月后,在 MI 愈合的犬中(n=59)。狗被随机分配到安慰剂(1 克/天玉米油,n=19)或 n-3 PUFAs 补充剂(二十二碳六烯酸+二十碳五烯酸乙酯;1 克/天,n=6;2 克/天,n=12;或 4 克/天,n=22)组。治疗引起了右心房 n-3 PUFAs 水平的显著(P <0.01)剂量依赖性增加,但与静息 HR 降低和静息 HRV 增加无关。相比之下,n-3 PUFAs 并没有减轻冠状动脉闭塞或亚最大运动引起的 HR 或 HRV 的大变化。这些数据表明,饮食中的 n-3 PUFAs 降低了静息时(即运动前或闭塞前)的 HR 并增加了静息时的 HRV,但没有改变对生理挑战的心脏反应。

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