Hypertension Unit, Heart Institute (InCor University of Sao Paulo Medical School, Sao Paulo, Brazil.
J Appl Physiol (1985). 2013 Mar 15;114(6):786-91. doi: 10.1152/japplphysiol.00586.2012. Epub 2013 Jan 17.
High fructose consumption contributes to metabolic syndrome incidence, whereas exercise training promotes several beneficial adaptations. In this study, we demonstrated the preventive role of exercise training in the metabolic syndrome derangements in a rat model. Wistar rats receiving fructose overload in drinking water (100 g/l) were concomitantly trained on a treadmill (FT) or kept sedentary (F) for 10 wk. Control rats treated with normal water were also submitted to exercise training (CT) or sedentarism (C). Metabolic evaluations consisted of the Lee index and glycemia and insulin tolerance test (kITT). Blood pressure (BP) was directly measured, whereas heart rate (HR) and BP variabilities were evaluated in time and frequency domains. Renal sympathetic nerve activity was also recorded. F rats presented significant alterations compared with all the other groups in insulin resistance (in mg · dl(-1) · min(-1): F: 3.4 ± 0.2; C: 4.7 ± 0.2; CT: 5.0 ± 0.5 FT: 4.6 ± 0.4), mean BP (in mmHG: F: 117 ± 2; C: 100 ± 2; CT: 98 ± 2; FT: 105 ± 2), and Lee index (in g/mm: F = 0.31 ± 0.001; C = 0.29 ± 0.001; CT = 0.27 ± 0.002; FT = 0.28 ± 0.002), confirming the metabolic syndrome diagnosis. Exercise training blunted all these derangements. Additionally, FS group presented autonomic dysfunction in relation to the others, as seen by an ≈ 50% decrease in baroreflex sensitivity and 24% in HR variability, and increases in sympathovagal balance (140%) and in renal sympathetic nerve activity (45%). These impairments were not observed in FT group, as well as in C and CT. Correlation analysis showed that both Lee index and kITT were associated with vagal impairment caused by fructose. Therefore, exercise training plays a preventive role in both autonomic and hemodynamic alterations related to the excessive fructose consumption.
高果糖摄入会导致代谢综合征的发生,而运动训练则会促进多种有益的适应。在这项研究中,我们在果糖过量摄入的大鼠模型中证明了运动训练对代谢综合征失调的预防作用。Wistar 大鼠在饮用水中摄入 100g/L 的果糖,同时进行跑步机训练(FT)或保持久坐(F)10 周。接受正常水治疗的对照组大鼠也进行了运动训练(CT)或久坐(C)。代谢评估包括 Lee 指数和血糖及胰岛素耐量试验(kITT)。血压(BP)直接测量,心率(HR)和 BP 变异性在时域和频域中评估。肾交感神经活性也被记录下来。与其他所有组相比,F 组的大鼠在胰岛素抵抗方面表现出明显的改变(以 mg·dl(-1)·min(-1)表示:F 组:3.4±0.2;C 组:4.7±0.2;CT 组:5.0±0.5;FT 组:4.6±0.4)、平均血压(以 mmHg 表示:F 组:117±2;C 组:100±2;CT 组:98±2;FT 组:105±2)和 Lee 指数(以 g/mm 表示:F 组=0.31±0.001;C 组=0.29±0.001;CT 组=0.27±0.002;FT 组=0.28±0.002),证实了代谢综合征的诊断。运动训练减轻了所有这些失调。此外,FS 组与其他组相比表现出自主神经功能障碍,表现为压力反射敏感性降低约 50%,心率变异性降低 24%,交感神经和迷走神经平衡增加 140%,肾交感神经活性增加 45%。这些损伤在 FT 组以及 C 组和 CT 组中均未观察到。相关分析表明,Lee 指数和 kITT 均与果糖引起的迷走神经损伤有关。因此,运动训练在预防与过量果糖摄入相关的自主神经和血液动力学改变方面发挥了预防作用。