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评价绝经后女性在年龄、健康状况和身体成分匹配的静息和餐后内皮功能方面的种族差异。

Evaluation of racial differences in resting and postprandial endothelial function in postmenopausal women matched for age, fitness and body composition.

机构信息

Department of Human Services, General Clinical Research Center, University of Virginia, Charlottesville, Virginia, USA.

出版信息

Ethn Dis. 2013 Winter;23(1):43-8.

Abstract

OBJECTIVE

We investigated endothelial function at rest and after a high-fat meal challenge in African American (AA) and Caucasian postmenopausal women matched for age, body mass index, percent fat and fitness level.

DESIGN

Pilot study.

SETTING

University of Virginia General Clinical Research Center.

PARTICIPANTS

Eight AA and 8 Caucasian postmenopausal women.

INTERVENTION

PARTICIPANTS underwent a VO2 peak treadmill protocol, percent fat assessment, and brachial artery flow-mediated dilation measurements (baseline and 4 hours following a high-fat meal).

MAIN OUTCOMES MEASURES

Baseline and postprandial flow mediated dilation (FMD) following a high-fat meal.

RESULTS

FMD values were similar in AA (5.4%, 95% CI: 3.3, 7.4) and Caucasian women (4.0%, 95% CI: 2.0, 6.1). There was no significant change in FMD from baseline to four hours following the meal challenge within groups (AA: .9%, P = .397, Caucasian: 2.3%, P = .063) or between groups (P = .449), despite a significant increase in triglycerides (AA: 81.8 mg/dL, P < .001, Caucasian: 99.7 mg/dL, P = .004).

CONCLUSIONS

The present pilot study found that when postmenopausal AA and Caucasian women are matched for age, fitness and body composition, reported racial differences in resting endothelial function were not observed. Additionally, there were no racial differences in postprandial endothelial function or metabolism following a high-fat meal.

摘要

目的

我们研究了经过高脂肪餐挑战后,非洲裔美国(AA)和白种人绝经后妇女的静息和内皮功能,这些妇女按年龄、体重指数、体脂百分比和健康水平相匹配。

设计

初步研究。

地点

弗吉尼亚大学综合临床研究中心。

参与者

8 名 AA 和 8 名白种人绝经后妇女。

干预措施

参与者进行了 VO2 峰值跑步机方案、体脂评估和肱动脉血流介导的扩张测量(基线和高脂肪餐后 4 小时)。

主要观察指标

高脂肪餐后的基线和餐后血流介导的扩张(FMD)。

结果

AA 组(5.4%,95%可信区间:3.3,7.4)和白种人组(4.0%,95%可信区间:2.0,6.1)的 FMD 值相似。在餐挑战后 4 小时内,组内(AA:0.9%,P =.397,白种人:2.3%,P =.063)或组间(P =.449)的 FMD 均无显著变化,尽管甘油三酯显著增加(AA:81.8mg/dL,P <.001,白种人:99.7mg/dL,P =.004)。

结论

本初步研究发现,当绝经后 AA 和白种人妇女按年龄、健康和身体组成相匹配时,静息内皮功能的报告种族差异并未观察到。此外,在高脂肪餐后,内皮功能或代谢也没有种族差异。

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