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短时间高强度运动对心肌肌钙蛋白释放的影响。

The impact of short duration, high intensity exercise on cardiac troponin release.

作者信息

George Keith P, Grant Marie Clare, Davies Bruce, Baker Julien S

机构信息

Research Institute for Sport and Exercise Sciences, School of Sport and Exercise Sciences, Liverpool John Moores, Liverpool, UK.

Faculty of Science and Technology, Exercise Science Research Laboratory, Institute of Clinical Exercise and Health Science, School of Science, University of the West of Scotland, Hamilton, UK.

出版信息

Clin Physiol Funct Imaging. 2016 Jul;36(4):281-5. doi: 10.1111/cpf.12225. Epub 2014 Dec 23.

Abstract

The aim of this study was to assess the appearance of cardiac troponins (cTnI and/or cTnT) after a short bout (30 s) of 'all-out' intense exercise and to determine the stability of any exercise-related cTnI release in response to repeated bouts of high intensity exercise separated by 7 days recovery. Eighteen apparently healthy, physically active, male university students completed two all-out 30 s cycle sprint, separated by 7 days. cTnI, blood lactate and catecholamine concentrations were measured before, immediately after and 24 h after each bout. Cycle performance, heart rate and blood pressure responses to exercise were also recorded. Cycle performance was modestly elevated in the second trial [6·5% increase in peak power output (PPO)]; there was no difference in the cardiovascular, lactate or catecholamine response to the two cycle trials. cTnI was not significantly elevated from baseline through recovery (Trial 1: 0·06 ± 0·04 ng ml(-1) , 0·05 ± 0·04 ng ml(-1) , 0·03 ± 0·02 ng ml(-1) ; Trial 2: 0·02 ± 0·04 ng ml(-1) , 0·04 ± 0·03 ng ml(-1) , 0·05 ± 0·06 ng ml(-1) ) in either trial. Very small within subject changes were not significantly correlated between the two trials (r = 0·06; P>0·05). Subsequently, short duration, high intensity exercise does not elicit a clinically relevant response in cTnI and any small alterations likely reflect the underlying biological variability of cTnI measurement within the participants.

摘要

本研究的目的是评估在进行一次短时间(30秒)“全力”剧烈运动后心肌肌钙蛋白(cTnI和/或cTnT)的表现,并确定在间隔7天恢复的情况下,重复进行高强度运动后,任何与运动相关的cTnI释放的稳定性。18名表面健康、有体育活动习惯的男性大学生完成了两次30秒的全力自行车冲刺,间隔7天。在每次运动前、运动后即刻和运动后24小时测量cTnI、血乳酸和儿茶酚胺浓度。还记录了运动时的自行车性能、心率和血压反应。第二次试验中自行车性能略有提高[峰值功率输出(PPO)增加6.5%];两次自行车试验的心血管、乳酸或儿茶酚胺反应没有差异。在两次试验中,cTnI从基线到恢复阶段均未显著升高(试验1:0.06±0.04 ng/ml,0.05±0.04 ng/ml,0.03±0.02 ng/ml;试验2:0.02±0.04 ng/ml,0.04±0.03 ng/ml,0.05±0.06 ng/ml)。两次试验中受试者体内非常小的变化之间没有显著相关性(r = 0.06;P>0.05)。因此,短时间、高强度运动不会引起cTnI的临床相关反应,任何微小变化可能反映了参与者体内cTnI测量的潜在生物学变异性。

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