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老年人估计训练状态与RAS基因多态性对血压及ACE活性影响的相关性初步研究

Preliminary study about the relationship between estimated training status and RAS polymorphisms on blood pressure and ACE activity in the elderly.

作者信息

Silva Roberta Fernanda da, Lacchini Riccardo, Pinheiro Lucas Cezar, Dionísio Thiago José, Jacomini AndréMourão, Tanus-Santos José Eduardo, Amaral Sandra Lia, Santos Carlos Ferreira, Zago Anderson Saranz

机构信息

1 Department of Physical Education, São Paulo State University (UNESP), School of Science, Bauru, Brazil.

2 School of Nursing of Ribeirão Preto, USP - University of São Paulo, Ribeirão Preto, Brazil.

出版信息

J Renin Angiotensin Aldosterone Syst. 2018 Apr-Jun;19(2):1470320318782622. doi: 10.1177/1470320318782622.

Abstract

OBJECTIVE

Polymorphisms of the renin angiotensin system (RAS) are associated with increases in blood pressure (BP). Physical exercise has been considered the main strategy to prevent this increase. This study aimed to investigate the relationship between estimated training status (TS), BP and angiotensin-converting enzyme (ACE) activity in elderly people classified as low or high risk to develop hypertension according to genetic profile.

METHODS

A total of 155 elderly participants performed the following assessments: general functional fitness index (GFFI), systolic BP (SBP) and diastolic BP (DBP), blood collection for ACE activity and analyses of the RAS polymorphisms.

RESULTS

Uncontrolled hypertensive (UHT) participants presented higher values of SBP and DBP compared with normotensive (NT) and controlled hypertensive (CHT) participants. No differences were found in ACE activity and GFFI between groups. In the high risk group, UHT presented higher values of SBP and DBP compared with other groups. CHT presented higher values of SBP compared with NT. Furthermore, UHT presented higher values of ACE activity compared with CHT and lower values of GFFI compared with NT.

CONCLUSION

MDA, TIA and TIC genetic combinations were associated with high risk of developing hypertension while the maintenance of good levels of TS was associated with lower BP values and ACE activity.

摘要

目的

肾素血管紧张素系统(RAS)的多态性与血压(BP)升高有关。体育锻炼被认为是预防这种升高的主要策略。本研究旨在调查根据遗传特征被分类为高血压低风险或高风险的老年人中,估计的训练状态(TS)、血压和血管紧张素转换酶(ACE)活性之间的关系。

方法

共有155名老年参与者进行了以下评估:一般功能适应性指数(GFFI)、收缩压(SBP)和舒张压(DBP)、采集血液用于ACE活性检测以及RAS多态性分析。

结果

与血压正常(NT)和血压得到控制的高血压患者(CHT)相比,未控制的高血压患者(UHT)的SBP和DBP值更高。各组之间的ACE活性和GFFI没有差异。在高风险组中,与其他组相比,UHT的SBP和DBP值更高。与NT相比,CHT的SBP值更高。此外,与CHT相比,UHT的ACE活性更高,与NT相比,UHT的GFFI值更低。

结论

MDA、TIA和TIC基因组合与高血压发生的高风险相关,而维持良好的TS水平与较低的血压值和ACE活性相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ee/6024535/7df1280aa056/10.1177_1470320318782622-fig1.jpg

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