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脱水对年轻健康成年人血管内皮功能的影响。

The effect of hypohydration on endothelial function in young healthy adults.

机构信息

Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.

Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, 72701, USA.

出版信息

Eur J Nutr. 2017 Apr;56(3):1211-1217. doi: 10.1007/s00394-016-1170-8. Epub 2016 Feb 10.

Abstract

PURPOSE

Hypohydration has been suggested as a predisposing factor for several pathologies including cardiovascular diseases (CVD). While CVD are the leading cause of death worldwide, no study has investigated whether acute hypohydration affects endothelial function and cardiovascular function.

METHODS

Ten young, healthy males participated in this crossover study (age: 24.3 ± 2.3 year; weight: 80.8 ± 5.3 kg; BMI: 24.3 ± 0.4 kg m). Each subject completed two measurements of endothelial function by flow-mediated dilation (FMD) in euhydrated and hypohydrated state separated by 24 h. Following baseline assessment of hydration status and FMD, the subjects completed 100 min of low-intensity intermittent walking exercise to achieve hypohydration of -2 % of individual body mass. For the rest of the day, a standardized, low water content diet was provided. The following morning, hydration markers and endothelial function were recorded.

RESULTS

Hypohydration by -1.9 ± 0.1 % of body mass resulted in decreased plasma volume by -3.5 ± 1.8 % and increased plasma osmolality by 9 ± 2 mmol kg (P < 0.001). FMD as a response to hypohydration decreased by -26.8 ± 3.9 % (P < 0.05).

CONCLUSION

The data suggested that a small degree of hypohydration induced by moderate exercise and fluid restriction significantly impaired endothelial function.

摘要

目的

脱水已被认为是包括心血管疾病(CVD)在内的几种病理学的诱发因素。虽然 CVD 是全球范围内的主要死亡原因,但尚无研究调查急性脱水是否会影响内皮功能和心血管功能。

方法

本研究共纳入 10 名年轻健康男性(年龄:24.3±2.3 岁;体重:80.8±5.3kg;BMI:24.3±0.4kg/m²)。每位受试者在 24 小时内分别完成两次在水合状态和脱水状态下的内皮功能评估,采用血流介导的扩张(FMD)来测量。在基线评估水合状态和 FMD 后,受试者完成 100 分钟的低强度间歇性步行运动,以达到个人体重减少 2%的脱水程度。在接下来的一天,提供标准化的低水分含量饮食。第二天早上,记录水合标志物和内皮功能。

结果

体重减少 1.9±0.1%导致血浆体积减少 3.5±1.8%,血浆渗透压增加 9±2mmol/kg(P<0.001)。脱水引起的 FMD 反应降低了 26.8±3.9%(P<0.05)。

结论

数据表明,适度运动和液体限制引起的轻度脱水显著损害了内皮功能。

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