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全身振动运动训练可降低绝经后高血压前期和高血压女性的动脉僵硬度。

Whole-body vibration exercise training reduces arterial stiffness in postmenopausal women with prehypertension and hypertension.

作者信息

Figueroa Arturo, Kalfon Roy, Madzima Takudzwa A, Wong Alexei

机构信息

From the Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL.

出版信息

Menopause. 2014 Feb;21(2):131-6. doi: 10.1097/GME.0b013e318294528c.

Abstract

OBJECTIVE

The purpose of this study was to examine the impact of whole-body vibration (WBV) exercise training on arterial stiffness (pulse wave velocity [PWV]), blood pressure (BP), and leg muscle function in postmenopausal women.

METHODS

Twenty-five postmenopausal women with prehypertension and hypertension (mean [SE]; age, 56 [1] y; systolic BP, 139 [2] mm Hg; body mass index, 34.7 [0.8] kg/m2) were randomized to 12 weeks of WBV exercise training (n = 13) or to the no-exercise control group. Systolic BP, diastolic BP, mean arterial pressure, heart rate, carotid-femoral PWV, brachial-ankle PWV, femoral-ankle PWV (legPWV), leg lean mass, and leg muscle strength were measured before and after 12 weeks.

RESULTS

There was a group-by-time interaction (P < 0.05) for arterial stiffness, BP, and strength as brachial-ankle PWV (-1.3 [0.3] m/s, P < 0.01), legPWV (-0.81 [0.22] m/s, P < 0.01), systolic BP (-12 [3] mm Hg, P < 0.01), diastolic BP (-6 [2] mm Hg, P < 0.01), and mean arterial pressure (-9 [3] mm Hg, P < 0.01) decreased and as strength increased (21.0% [2.2%], P < 0.001) after WBV exercise training compared with no change after control. Heart rate decreased (-3 [1] beats/min, P < 0.05) after WBV exercise training, but there was no interaction (P > 0.05). Leg lean mass and carotid-femoral PWV were not significantly (P > 0.05) affected by WBV exercise training or control.

CONCLUSIONS

Our findings indicate that WBV exercise training improves systemic and leg arterial stiffness, BP, and leg muscle strength in postmenopausal women with prehypertension or hypertension. WBV exercise training may decrease cardiovascular and disability risks in postmenopausal women by reducing legPWV and increasing leg muscle strength.

摘要

目的

本研究旨在探讨全身振动(WBV)运动训练对绝经后女性动脉僵硬度(脉搏波速度[PWV])、血压(BP)和腿部肌肉功能的影响。

方法

25名患有高血压前期和高血压的绝经后女性(均值[标准误];年龄,56[1]岁;收缩压,139[2]mmHg;体重指数,34.7[0.8]kg/m²)被随机分为接受12周WBV运动训练的组(n = 13)或不运动的对照组。在12周前后测量收缩压、舒张压、平均动脉压、心率、颈股PWV、臂踝PWV、股踝PWV(腿部PWV)、腿部瘦体重和腿部肌肉力量。

结果

在动脉僵硬度、血压和力量方面存在组间×时间交互作用(P < 0.05),与对照组无变化相比,WBV运动训练后臂踝PWV(-1.3[0.3]m/s,P < 0.01)、腿部PWV(-0.81[0.22]m/s,P < 0.01)、收缩压(-12[3]mmHg,P < 0.01)、舒张压(-6[2]mmHg,P < 0.01)和平均动脉压(-9[3]mmHg,P < 0.01)降低,且力量增加(21.0%[2.2%],P < 0.001)。WBV运动训练后心率降低(-3[1]次/分钟,P < 0.05),但不存在交互作用(P > 0.05)。腿部瘦体重和颈股PWV未受到WBV运动训练或对照的显著影响(P > 0.05)。

结论

我们的研究结果表明,WBV运动训练可改善患有高血压前期或高血压的绝经后女性的全身和腿部动脉僵硬度、血压及腿部肌肉力量。WBV运动训练可能通过降低腿部PWV和增加腿部肌肉力量来降低绝经后女性的心血管疾病和残疾风险。

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