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离心抗阻运动和下坡跑诱导的延迟性血管僵硬

Delayed Onset Vascular Stiffening Induced by Eccentric Resistance Exercise and Downhill Running.

作者信息

Lin Hsin-Fu, Chou Chun-Chung, Cheng Hao-Min, Tanaka Hirofumi

机构信息

*Department of Athletics, National Taiwan University, Taipei, Taiwan; †Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, Texas; ‡Office of Physical Education, National Taipei University of Technology, Taipei, Taiwan; §Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan; and ¶Department of Medicine and Public Health, National Yang-Ming University, Taipei, Taiwan.

出版信息

Clin J Sport Med. 2017 Jul;27(4):369-374. doi: 10.1097/JSM.0000000000000348.

Abstract

OBJECTIVES

Eccentric exercise induces muscle stiffening and soreness as well as unfavorable changes in macrovascular function. We tested the hypothesis that systemic eccentric exercise could evoke greater arterial stiffening than local eccentric resistance exercise.

DESIGN AND INTERVENTION

Twenty healthy young men were randomly assigned into either the downhill running (DR) and the eccentric resistance exercise (RE) group followed by a crossover design with an exercise and sham control trial.

MAIN OUTCOME MEASURES

Carotid-femoral pulse wave velocity (cfPWV), central hemodynamic measures, and biomarkers were obtained.

RESULTS

Muscle soreness and plasma creatine kinase concentrations increased similarly after exercise in both groups. The cfPWV increased significantly at 48 hours post-exercise in both groups and remained elevated at 72 hours in DR. C-reactive protein (CRP) was elevated at 24 and 48 hours in DR, and 48 hours in RE. The increases in cfPWV were associated with the corresponding elevations in CRP in DR (r = 0.70, P < 0.05). There were no changes in arterial wave reflection measures.

CONCLUSIONS

Both systemic and localized eccentric exercise modes induced delayed onset vascular stiffening with more prolonged changes observed in downhill running. The effect on arterial stiffening was associated, at least in part, with systemic inflammatory responses.

摘要

目的

离心运动可导致肌肉僵硬和酸痛,以及大血管功能的不良变化。我们检验了以下假设:全身性离心运动比局部离心阻力运动引起的动脉僵硬度增加更大。

设计与干预

20名健康年轻男性被随机分为下坡跑(DR)组和离心阻力运动(RE)组,随后采用交叉设计进行运动和假对照试验。

主要观察指标

获取颈动脉-股动脉脉搏波速度(cfPWV)、中心血流动力学指标和生物标志物。

结果

两组运动后肌肉酸痛和血浆肌酸激酶浓度均有相似程度的增加。两组运动后48小时cfPWV均显著升高,DR组在72小时时仍保持升高。DR组在运动后24小时和48小时C反应蛋白(CRP)升高,RE组在运动后48小时CRP升高。DR组中cfPWV的增加与CRP的相应升高相关(r = 0.70,P < 0.05)。动脉波反射指标无变化。

结论

全身性和局部性离心运动模式均会导致延迟性血管僵硬,下坡跑中观察到的变化持续时间更长。对动脉僵硬的影响至少部分与全身性炎症反应有关。

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