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瘦女性的营养不足及对输注肾上腺素的生理反应

Underfeeding and the physiological responses to infused epinephrine in lean women.

作者信息

Mansell P I, Macdonald I A

机构信息

Department of Physiology and Pharmacology, Medical School, Queen's Medical Centre, Nottingham, United Kingdom.

出版信息

Am J Physiol. 1989 Mar;256(3 Pt 2):R583-9. doi: 10.1152/ajpregu.1989.256.3.R583.

Abstract

Undernutrition leads to a reduction in sympathetic nervous system activity, but it is not established whether whole body responsiveness to catecholamines is also affected. The physiological responses to a 30-min infusion of epinephrine at 25 ng.kg-1.min-1 were studied in seven healthy, lean female subjects who had reduced their daily food intake to 60 kJ/kg ideal body weight for 7 days. Underfeeding led to greater epinephrine-induced increases in blood glycerol [peak increment 0.14 +/- 0.02 (SE) vs. 0.08 +/- 0.01 mmol/l, P less than 0.05] and beta-hydroxybutyrate concentrations (mean increment 0.30 +/- 0.05 vs. 0.13 +/- 0.04 mmol/l, P less than 0.05, analysis of variance). Compared with the normally fed state, in the underfed state epinephrine also caused greater increases in skin temperatures measured over the abdomen (0.94 +/- 0.08 vs. 0.67 +/- 0.06 degrees C, P less than 0.05) and over the thigh (1.00 +/- 0.07 vs. 0.61 +/- 0.12 degrees C, P less than 0.01). Underfeeding did not, however, affect the chronotropic, thermogenic, or other measured responses to epinephrine. Underfeeding therefore caused an enhancement of some but not all physiological responses to infused epinephrine.

摘要

营养不良会导致交感神经系统活动减少,但全身对儿茶酚胺的反应性是否也会受到影响尚不清楚。在7名健康、体型偏瘦的女性受试者中,研究了她们在将每日食物摄入量减少至60kJ/kg理想体重并持续7天后,以25ng.kg-1.min-1的速度静脉输注肾上腺素30分钟的生理反应。饥饿导致肾上腺素引起的血液甘油浓度升高幅度更大[峰值增量0.14±0.02(标准误)对0.08±0.01mmol/l,P<0.05]以及β-羟基丁酸酯浓度升高(平均增量0.30±0.05对0.13±0.04mmol/l,P<0.05,方差分析)。与正常进食状态相比,在饥饿状态下,肾上腺素还导致腹部皮肤温度升高幅度更大(0.94±0.08对0.67±0.06℃,P<0.05)以及大腿皮肤温度升高幅度更大(1.00±0.07对0.61±0.12℃,P<0.01)。然而,饥饿并未影响对肾上腺素的变时性、产热或其他测量反应。因此,饥饿导致对输注肾上腺素的一些而非所有生理反应增强。

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