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有氧运动强度对餐后血脂异常的改善作用取决于载脂蛋白 E 基因型。

The effect of aerobic exercise intensity on attenuation of postprandial lipemia is dependent on apolipoprotein E genotype.

机构信息

Núcleo Interdisciplinar de Pesquisa, Faculdades Integradas Promove, Brasília, DF, Brazil.

出版信息

Atherosclerosis. 2013 Jul;229(1):139-44. doi: 10.1016/j.atherosclerosis.2013.03.027. Epub 2013 Apr 16.

DOI:10.1016/j.atherosclerosis.2013.03.027
PMID:23642733
Abstract

OBJECTIVE

To investigate the effect of aerobic exercise intensity on postprandial lipemia according to allelic variants of the apolipoprotein E gene.

METHODS

Three groups of 10 healthy men each were formed based genotyping of the APOE gene, rested or performed 500 Kcal tests in a random sequence separated by a minimum 48 h interval, as follows: (a) no exercise (control), (b) intense intermittent exercise, (c) moderate continuous exercise. Each test series was completed 30-min before ingestion of a high-fat meal (1 g fat/kg). Venous blood was collected before and at 1, 2, 3 and 4 h after the high-fat meal. Postprandial lipemia was assessed using the area under the curve approach as well as the kinetic profile of mean lipid variables. Statistical significance was adopted at P ≤ 0.05 level.

RESULTS

The main results show that, in the moderate continuous exercise, total postprandial cholesterolemia was higher in ɛ4 than in ɛ2 carriers, whereas under intense intermittent exercise, total and LDL cholesterolemia were higher in ɛ4 than in ɛ2 and ɛ3 carriers. There was no difference in the lipemic profile of the subjects across APOE genotypes at baseline.

CONCLUSION

Moderate and intense exercise were effective in attenuating PPL in both ɛ2 and ɛ3 subjects, with ɛ2 subjects being more susceptible to the lipid lowering effect of moderate training than ɛ3 subjects. Carriers of the ɛ4 allele, however, showed no attenuation of postprandial lipemia.

摘要

目的

根据载脂蛋白 E 基因的等位基因变异,研究有氧运动强度对餐后血脂的影响。

方法

根据 APOE 基因的基因型,将 10 名健康男性分为三组,分别进行休息或 500 卡路里的测试,间隔至少 48 小时,具体如下:(a)不运动(对照),(b)剧烈间歇运动,(c)中度连续运动。每次测试系列在摄入高脂肪餐(1 g 脂肪/kg)前 30 分钟完成。静脉血在高脂肪餐后 1、2、3 和 4 小时前和后采集。采用曲线下面积法和平均脂质变量的动力学特征评估餐后血脂。统计学意义采用 P≤0.05 水平。

结果

主要结果表明,在中度连续运动中,ɛ4携带者的总餐后胆固醇水平高于ɛ2携带者,而在剧烈间歇运动中,ɛ4携带者的总胆固醇和 LDL 胆固醇水平高于ɛ2和ɛ3携带者。在 APOE 基因型中,个体的脂血症特征在基线时没有差异。

结论

中等强度和高强度运动均可有效降低 ɛ2和ɛ3受试者的 PPL,而 ɛ2受试者比 ɛ3受试者更易受到中等强度训练的降脂作用。然而,ɛ4等位基因携带者的餐后血脂没有降低。

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