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人体肌肉收缩时的血管收缩反应性:收缩频率、收缩功和代谢率的影响

Vasoconstrictor responsiveness in contracting human muscle: influence of contraction frequency, contractile work, and metabolic rate.

作者信息

Kruse Nicholas T, Hughes William E, Ueda Kenichi, Casey Darren P

机构信息

Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, Iowa, IA, 52242, USA.

Abboud Cardiovascular Research Center, Iowa, IA, USA.

出版信息

Eur J Appl Physiol. 2017 Aug;117(8):1697-1706. doi: 10.1007/s00421-017-3660-7. Epub 2017 Jun 17.

Abstract

PURPOSE

The aim of this study was to examine whether independent effects exist between contractile work and metabolic demand (VO) on vasoconstrictor responsiveness (i.e., functional sympatholysis) under different contraction durations matched for total contractile work in exercising human skeletal muscle.

METHODS

Ten young men performed rhythmic forearm contractions at 10 and 15% of maximum voluntary contraction (MVC) which consisted of muscle contractions using the same duty cycle but altering the duration of the contraction-relaxation cycles of exercise and included: 1) fast frequency contractions at 10% MVC (FFC) using a contraction relaxation cycle at 1:2 s; 2) slow frequency contractions at 10% MVC (SFC) at 2:4 s; and 3) SFC at 15% MVC (SFC) at 2:4 s. Lower body negative pressure (LBNP) was applied to increase sympathetic vasoconstriction during forearm exercise. Brachial artery diameter and blood velocities (measured via Doppler ultrasound) determined forearm blood flow (FBF), and forearm vascular conductance (FVC) was calculated from FBF (ml min) and mean arterial blood pressure.

RESULTS

Results revealed that steady-state indices of FBF, FVC, and VO were greater (P < 0.05) in FFC and SFC vs. SFC. In addition, the magnitude of vasoconstriction (percent reduction in FVC) in response to reflex increases in sympathetic activity during LBNP was greater with SFC vs. FFC (-20.6 ± 3.0 vs. -11.1 ± 2.0%; P < 0.05), whereas there was no difference with FFC vs. SFC (-11.1 ± 2.0 vs. -11.8 ± 1.8%; P = 0.91).

CONCLUSIONS

Our data indicate that faster work-matched muscle contractions increase blood flow and metabolism, leading to improved functional sympatholysis as compared to slower work-matched muscle contractions in humans.

摘要

目的

本研究旨在探讨在运动的人体骨骼肌中,当总收缩功相匹配时,不同收缩持续时间下,收缩功与代谢需求(VO)之间是否对血管收缩反应性(即功能性交感神经抑制)存在独立影响。

方法

10名年轻男性以最大自主收缩(MVC)的10%和15%进行有节奏的前臂收缩,收缩采用相同的占空比,但改变运动的收缩 - 放松周期的持续时间,包括:1)10%MVC的快速频率收缩(FFC),收缩 - 放松周期为1:2秒;2)10%MVC的慢速频率收缩(SFC),收缩 - 放松周期为2:4秒;3)15%MVC的SFC,收缩 - 放松周期为2:4秒。在前臂运动期间施加下体负压(LBNP)以增加交感神经血管收缩。通过多普勒超声测量肱动脉直径和血流速度以确定前臂血流量(FBF), 并根据FBF(毫升/分钟)和平均动脉血压计算前臂血管传导性(FVC)。

结果

结果显示,FFC和SFC组的FBF、FVC和VO的稳态指标均高于SFC组(P < 0.05)。此外,LBNP期间交感神经活动反射性增加时,SFC组的血管收缩幅度(FVC降低百分比)大于FFC组(-20.6 ± 3.0 vs. -11.1 ± 2.0%;P < 0.05),而FFC组与SFC组之间无差异(-11.1 ± 2.0 vs. -11.8 ± 1.8%;P = 0.91)。

结论

我们的数据表明,与较慢的功匹配肌肉收缩相比,较快的功匹配肌肉收缩可增加血流量和代谢,从而改善人体的功能性交感神经抑制。

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