Mesaki N, Sasaki J, Motobu M, Nabeshima Y, Shoji M, Iwasaki H, Asano K, Eda M
Department of Obstetrics and Gynecology, University of Tsukuba, Ibaraki.
Nihon Sanka Fujinka Gakkai Zasshi. 1989 Dec;41(12):1991-8.
It is well established that prolactin release during exercise is one of the important factors in exercise-induced menstrual dysfunction. The purpose of this study is to clarify the mechanisms of prolactin release during exercise. Ten female athletes measured their BBT every morning. They performed incremental exercise on a cycle ergometer, with or without naloxone, on the 5th to 8th days of the follicular phase. Three minutes before the exercise, 0.4mg of naloxone was injected intravenously and a further 1.6mg/hr of naloxone was continuously infused during exercise. Blood samples were collected after 60 minutes bed rest (Rest), at the time when the heart rates reached 150 bpm (Submax), the point of exhaustion (Max) during exercise and after 60 minutes bed rest following exercise (After 1hr). The levels of prolactin in serum, dopamine, beta-endorphin. VIP and ACTH in the plasma were measured. Whereas prolactin increased significantly at Submax (p less than 0.05) and Max (p less than 0.001), the increase in prolactin was suppressed by the administration of naloxone (p less than 0.05). Dopamine showed no remarkable change during exercise, with or without naloxone. There were significant increases in beta-endorphin at Max (p less than 0.001), VIP at Submax and Max (p less than 0.001), but these increases were suppressed by the administration of naloxone (p less than 0.001). ACTH which had markedly increased at Submax (p less than 0.025) and Max (p less than 0.001) showed a slight tendency to decrease following the administration of naloxone, but there were no significant differences in both groups.(ABSTRACT TRUNCATED AT 250 WORDS)
运动期间催乳素释放是运动诱导月经功能障碍的重要因素之一,这一点已得到充分证实。本研究的目的是阐明运动期间催乳素释放的机制。10名女性运动员每天早晨测量基础体温(BBT)。她们在卵泡期的第5至8天,在有或没有纳洛酮的情况下,在自行车测力计上进行递增运动。运动前3分钟,静脉注射0.4mg纳洛酮,并在运动期间持续输注1.6mg/hr的纳洛酮。在卧床休息60分钟后(休息)、心率达到150次/分钟时(亚极量)、运动期间的疲劳点(极量)以及运动后卧床休息60分钟后(运动后1小时)采集血样。测量血清中催乳素、血浆中多巴胺、β-内啡肽、血管活性肠肽(VIP)和促肾上腺皮质激素(ACTH)的水平。虽然催乳素在亚极量时显著增加(p<0.05),在极量时显著增加(p<0.001),但纳洛酮给药可抑制催乳素的增加(p<0.05)。无论有无纳洛酮,多巴胺在运动期间均无明显变化。β-内啡肽在极量时显著增加(p<0.001),VIP在亚极量和极量时显著增加(p<0.001),但这些增加被纳洛酮给药所抑制(p<0.001)。在亚极量时显著增加(p<0.025)且在极量时显著增加(p<0.001)的ACTH,在纳洛酮给药后有轻微下降趋势,但两组之间无显著差异。(摘要截短至250字)