Alves Jadson P, Nunes Ramiro B, Stefani Giuseppe P, Dal Lago Pedro
Laboratory of Physiology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil.
Laboratory of Physiology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil; Department of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil.
PLoS One. 2014 Oct 23;9(10):e110317. doi: 10.1371/journal.pone.0110317. eCollection 2014.
The role of resistance training on collagen deposition, the inflammatory profile and muscle weakness in heart failure remains unclear. Therefore, this study evaluated the influence of a resistance training program on hemodynamic function, maximum strength gain, collagen deposition and inflammatory profile in chronic heart failure rats. Thirty-two male Wistar rats submitted to myocardial infarction by coronary artery ligation or sham surgery were assigned into four groups: sedentary sham (S-Sham, n = 8); trained sham (T-Sham, n = 8); sedentary chronic heart failure (S-CHF, n = 8) and trained chronic heart failure (T-CHF, n = 8). The maximum strength capacity was evaluated by the one maximum repetition test. Trained groups were submitted to an 8-week resistance training program (4 days/week, 4 sets of 10-12 repetitions/session, at 65% to 75% of one maximum repetition). After 8 weeks of the resistance training program, the T-CHF group showed lower left ventricular end diastolic pressure (P<0.001), higher left ventricular systolic pressure (P<0.05), higher systolic blood pressure (P<0.05), an improvement in the maximal positive derivative of ventricular pressure (P<0.05) and maximal negative derivative of ventricular pressure (P<0.05) when compared to the S-CHF group; no differences were observed when compared to Sham groups. In addition, resistance training was able to reduce myocardial hypertrophy (P<0.05), left ventricular total collagen volume fraction (P<0.01), IL-6 (P<0.05), and TNF-α/IL-10 ratio (P<0.05), as well as increasing IL-10 (P<0.05) in chronic heart failure rats when compared to the S-CHF group. Eight weeks of resistance training promotes an improvement of cardiac function, strength gain, collagen deposition and inflammatory profile in chronic heart failure rats.
抗阻训练对心力衰竭患者胶原蛋白沉积、炎症特征和肌肉无力的作用仍不明确。因此,本研究评估了抗阻训练计划对慢性心力衰竭大鼠血流动力学功能、最大力量增加、胶原蛋白沉积和炎症特征的影响。32只通过冠状动脉结扎或假手术造成心肌梗死的雄性Wistar大鼠被分为四组:久坐假手术组(S-Sham,n = 8);训练假手术组(T-Sham,n = 8);久坐慢性心力衰竭组(S-CHF,n = 8)和训练慢性心力衰竭组(T-CHF,n = 8)。通过一次最大重复测试评估最大力量能力。训练组接受为期8周的抗阻训练计划(每周4天,每组10 - 12次重复,共4组,强度为一次最大重复的65%至75%)。在抗阻训练计划进行8周后,与S-CHF组相比,T-CHF组左心室舒张末期压力更低(P < 0.001),左心室收缩压更高(P < 0.05),收缩压更高(P < 0.05),心室压力最大正导数(P < 0.05)和心室压力最大负导数(P < 0.05)有所改善;与假手术组相比未观察到差异。此外,与S-CHF组相比,抗阻训练能够减轻慢性心力衰竭大鼠的心肌肥大(P < 0.05)、左心室总胶原体积分数(P < 0.01)、IL - 6(P < 0.05)和TNF-α/IL - 10比值(P < 0.05),同时增加IL - 10(P < 0.05)。8周的抗阻训练可促进慢性心力衰竭大鼠心脏功能、力量增加、胶原蛋白沉积和炎症特征的改善。