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[血液纤溶系统对体力负荷反应的季节性和个体特征]

[Seasonal and individual characteristics of the blood fibrinolytic system reaction to the physical load].

作者信息

Golyshenkov S P, Iakimova E A

出版信息

Fiziol Cheloveka. 2014 Jul-Aug;40(4):116-23.

Abstract

33 untrained test subjects (16 males and 17 females aged 18) have been studied for one year for their blood fibrinolysis reaction to a one-time 20-minute bicycle-ergometric large-capacity load (N male = 2.66 watt/kg, N female = 2.3 watt/kg). It is known that at rest the blood fibrinolytic activity (FA) has its seasonal characteristics: it is relatively high in the autumn and spring and low in the winter and summer. On the average, in the winter and in the summer physical activity stimulates the blood clot lysis whereas in the autumn and in the spring it does not. The direction and the intensity of the fibrinolysis system response to work have individual features: in the autumn and in the spring they are connected with its initial state (they increase when the blood FA is low and decrease when the blood FA is high) as well as they have large fluctuations, whereas in the winter and in the summer they are not subject to these laws. According to the parameters of the directional response to the load and its permanence there are three types of response: a) Hyperfibrinolytic, which is characterized by the FA increase when there is a physical load applied in all seasons of the year, having a low initial FA level at rest; b) Hypofibrinolytic, the representatives of which have a stable reaction of fibrinolysis oppression when there is a physical load applied, not depending on the season of the year and the initial level, having a high initial level of FA in the autumn and in the spring and low--in the winter and in the summer; c) Unstable, in which the direction of the fibrinolysis system response to the physical exercises is variable. The conclusion is that the development of thromboembolic complications as a consequence of having a physical load is most likely to be expected from those who have a hypofibrinolytic type of reaction while this is very unlikely to be expected from the representatives of the hyperfibrinolytic type.

摘要

33名未经训练的受试对象(16名男性和17名18岁女性)接受了为期一年的研究,以观察他们在一次性进行20分钟自行车测力大容量负荷(男性N = 2.66瓦/千克,女性N = 2.3瓦/千克)后血液纤维蛋白溶解反应。已知在静息状态下,血液纤维蛋白溶解活性(FA)具有季节性特征:秋季和春季相对较高,冬季和夏季较低。平均而言,冬季和夏季的体育活动会刺激血液凝块溶解,而秋季和春季则不会。纤维蛋白溶解系统对运动的反应方向和强度具有个体特征:秋季和春季与初始状态有关(血液FA低时增加,血液FA高时降低),且波动较大,而冬季和夏季则不受这些规律的影响。根据对负荷的定向反应参数及其稳定性,存在三种反应类型:a)高纤维蛋白溶解型,其特征是在一年的所有季节施加身体负荷时FA增加,静息时初始FA水平较低;b)低纤维蛋白溶解型,其代表在施加身体负荷时具有稳定的纤维蛋白溶解抑制反应,不依赖于一年中的季节和初始水平,秋季和春季初始FA水平高,冬季和夏季低;c)不稳定型,其中纤维蛋白溶解系统对体育锻炼的反应方向是可变的。结论是,身体负荷导致血栓栓塞并发症的发生最有可能出现在低纤维蛋白溶解反应类型的人群中,而高纤维蛋白溶解反应类型的人群则极不可能出现这种情况。

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