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抗阻运动训练可改善与年龄相关的腿部血管传导能力下降,并使急性腿部血流对进食和运动的反应恢复年轻。

Resistance exercise training improves age-related declines in leg vascular conductance and rejuvenates acute leg blood flow responses to feeding and exercise.

机构信息

University of Nottingham, School of Graduate Entry Medicine and Health, Derby, UK.

出版信息

J Appl Physiol (1985). 2012 Feb;112(3):347-53. doi: 10.1152/japplphysiol.01031.2011. Epub 2011 Oct 13.

Abstract

One manifestation of age-related declines in vascular function is reduced peripheral (limb) blood flow and vascular conduction at rest and in response to vasodilatory stimuli such as exercise and feeding. Since, even in older age, resistance exercise training (RET) represents an efficacious strategy for increasing muscle mass and function, we hypothesized that likewise RET would improve age-related declines in leg blood flow (LBF) and vascular conductance (LVC). We studied three mixed-sex age groups (young: 18-28 yr, n = 14; middle aged: 45-55 yr, n = 20; older: 65-75 yr, n = 17) before and after 20 wk of whole body RET in the postabsorptive state (BASAL) and after unilateral leg extensions (6 × 8 repetitions; 75% 1 repetition maximum) followed by intermittent mixed-nutrient liquid feeds (∼6.5 kJ·kg(-1)·30 min(-1)), which allowed us to discern the acute effects of feeding (nonexercised leg; FED) and exercise plus feeding (exercised leg; FEDEX) on vascular function. We measured LBF using Doppler ultrasound and recorded mean arterial pressure (MAP) to calculate LVC. Our results reveal that although neither age nor RET influenced BASAL LBF, age-related declines in LBF responses to FED were eradicated by RET. Moreover, increases in LBF after FEDEX, which occurred only in young and middle-aged groups before RET (+73 ± 9%, and +90 ± 13%, P < 0.001, respectively), increased in all groups after RET (young +78 ± 10%, middle-aged +96 ± 15%, older +80 ± 19%, P < 0.001). Finally, RET robustly improved LVC under FASTED, FED, and FEDEX conditions in the older group. These data provide novel information that supports the premise that RET represents a valuable strategy to counter age-related impairments in LBF/LVC.

摘要

血管功能随年龄增长而下降的一个表现是外周(肢体)血流和血管传导在休息时以及对血管扩张刺激(如运动和进食)的反应性降低。由于即使在老年时,阻力运动训练(RET)也是增加肌肉质量和功能的有效策略,我们假设同样的 RET 也会改善与年龄相关的腿部血流(LBF)和血管传导(LVC)下降。我们在吸收后状态(BASAL)下对三组混合性别年龄组(年轻:18-28 岁,n=14;中年:45-55 岁,n=20;老年:65-75 岁,n=17)进行了 20 周的全身 RET 前后研究,以及单侧腿部伸展(6×8 次重复;75%1 次重复最大)后间歇性混合营养液体喂养(约 6.5 kJ·kg(-1)·30 min(-1)),这使我们能够区分喂养(未运动腿;FED)和运动加喂养(运动腿;FEDEX)对血管功能的急性影响。我们使用多普勒超声测量 LBF,并记录平均动脉压(MAP)以计算 LVC。我们的结果表明,尽管年龄和 RET 都不影响 BASAL LBF,但 RET 消除了与年龄相关的 FED 时 LBF 反应的下降。此外,在 RET 之前,仅在年轻和中年组中观察到 FEDEX 后 LBF 的增加(分别增加 73±9%和 90±13%,P<0.001),在 RET 之后所有组中均增加(年轻组增加 78±10%,中年组增加 96±15%,老年组增加 80±19%,P<0.001)。最后,RET 在 FASTED、FED 和 FEDEX 条件下都显著改善了老年组的 LVC。这些数据提供了新的信息,支持了 RET 是对抗与年龄相关的 LBF/LVC 损伤的有价值策略的前提。

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