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运动训练以时间依赖的方式改善老年人的睡眠模式和代谢特征。

Exercise training improves sleep pattern and metabolic profile in elderly people in a time-dependent manner.

机构信息

Departamento de Psicobiologia, Universidade Federal de São Paulo, Brasil.

出版信息

Lipids Health Dis. 2011 Jul 6;10:1-6. doi: 10.1186/1476-511X-10-113.

Abstract

Aging and physical inactivity are two factors that favors the development of cardiovascular disease, metabolic syndrome, obesity, diabetes, and sleep dysfunction. In contrast, the adoption a habitual of moderate exercise may present a non-pharmacological treatment alternative for sleep and metabolic disorders. We aimed to assess the effects of moderate exercise training on sleep quality and on the metabolic profile of elderly people with a sedentary lifestyle. Fourteen male sedentary, healthy, elderly volunteers performed moderate training for 60 minutes/day, 3 days/week for 24 wk at a work rate equivalent to the ventilatory aerobic threshold. The environment was kept at a temperature of 23 ± 2 °C, with an air humidity 60 ± 5%. Blood and polysomnographs analysis were collected 3 times: at baseline (1 week before training began), 3 and 6 months (after 3 and 6 months of training). Training promoted increasing aerobic capacity (relative VO2, time and velocity to VO2max; p < 0.05), and reduced serum NEFA, and insulin concentrations as well as improved HOMA index (p < 0.05), and increased adiponectin levels (p < 0.05), after 3 months of training when compared with baseline data. The sleep parameters, awake time and REM sleep latency were decreased after 6 months exercise training (p < 0.05) in relation baseline values. Our results demonstrate that the moderate exercise training protocol improves the sleep profile in older people, but the metabolism adaptation does not persist. Suggesting that this population requires training strategy modifications as to ensure consistent alterations regarding metabolism.

摘要

衰老和身体不活动是导致心血管疾病、代谢综合征、肥胖、糖尿病和睡眠功能障碍发展的两个因素。相比之下,习惯性适度运动可能为睡眠和代谢紊乱提供一种非药物治疗选择。我们旨在评估适度运动训练对睡眠质量和久坐生活方式的老年人代谢特征的影响。14 名男性久坐、健康、老年志愿者在 23°C±2°C、空气湿度 60%±5%的环境中,以相当于通气有氧阈值的工作率每天进行 60 分钟、每周 3 天、持续 24 周的中度训练。在训练开始前 1 周(基线)、3 个月和 6 个月(训练 3 个月和 6 个月后)采集 3 次血液和多导睡眠图分析。训练后,有氧能力(相对 VO2、达到 VO2max 的时间和速度;p<0.05)增加,血清 NEFA 和胰岛素浓度降低,HOMA 指数改善(p<0.05),脂联素水平升高(p<0.05)。与基线数据相比,训练 3 个月后。经过 6 个月的运动训练后(p<0.05),睡眠参数、觉醒时间和 REM 睡眠潜伏期较基线值降低。我们的结果表明,适度运动训练方案可改善老年人的睡眠状况,但代谢适应并不持久。这表明该人群需要修改训练策略,以确保代谢方面的持续改变。

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