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[16周有氧运动对中老年患者臂踝脉搏波速度和踝臂指数的影响]

[Effects of 16 week aerobic exercise on baPWV and ABI of middle-aged and elderly patients].

作者信息

Li Ning-Chuan, Yin Xia-Lian, Wei Xiu-Xia, Lu Wei, Shen Shi-Wen, Xiao Lang, Hu Yu-Long

机构信息

Physical Education College, Yangzhou University, Yangzhou 225127.

Experimental Junior Middle School of Suzhou Hi-teach New District, Suzhou 215011, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2018 Feb 8;34(2):145-149. doi: 10.12047/j.cjap.5577.2018.036.

Abstract

OBJECTIVES

To investigate the interventional effects of 16-week aerobic exercises on the elderly's arteriosclerosis and its mechanism.

METHODS

Twenty-seven elderly people with the average age of 62. 70 ±3. 26 joined a 16-week square dance/taijiquan exercise program that conducted 60 minutes each time, six times per week. Arterial stiffness and its related indexes such as systolic pressure(SBP), diastolic pressure(DBP), left brachial-ankle pulse wave velocity (L-baPWV), right brachial-ankle pulse wave velocity(R-baPWV), left ankle brachial index (L-ABI), right ankle brachial index(R-ABI), serum triglyceride(TG), total cholesterol(TC), high density lipoprotein cholesterol(HDL-c), low density lipoprotein cholesterol(LDL-c), superoxide dismutase(SOD), malondialdehyde(MDA) and glutathione peroxidase (GSH-Px) were detected at 3 time points including before exercise program, by the end of exercise for 8 weeks and 16 weeks.

RESULTS

① Compared with pre-exercise, the R-baPWV and R-ABI of the elderly people were decreased at the end of the 8 week, and the L-baPWV, RbaPWV, R-ABI and L-ABI were decreased significantly at the end of the 16 week. ②Compared with pre-exercise, SBP and DBP were declined markedly (<0.01, <0.05) at the end of the 8 week, SBP, DBP and pulse pressure were decreased significantly (<0.01, <0.05) at the end of the 16 week. ③Compared with pre-exercise, TC and LDL-c were declined markedly (<0.01) at the end of the 8 and the 16 week, and there was no difference of the level of TG and LDL-c between pre-exercise and post-exercise. ④There was no evident difference of serum level of SOD, GSH-Px, MDA between pre-exercise and post-exercise at the end of the 8 week. Compared with pre-exercise, the level of serum SOD, GSH-Px was increased evidently while the content of serum MDA was decreased significantly (<0.01).

CONCLUSIONS

Sixteen-week aerobic exercises could reduce baPWV and ABI levels, regulate blood pressure, blood lipids and lipid peroxides levels of the elderly evidently, thus improve the controlling quality of atherosclerosis.

摘要

目的

探讨16周有氧运动对老年人动脉硬化的干预作用及其机制。

方法

27名平均年龄为62.70±3.26岁的老年人参加了为期16周的广场舞/太极拳锻炼项目,每次锻炼60分钟,每周6次。在运动项目开始前、运动8周结束时和16周结束时这3个时间点检测动脉僵硬度及其相关指标,如收缩压(SBP)、舒张压(DBP)、左肱踝脉搏波速度(L-baPWV)、右肱踝脉搏波速度(R-baPWV)、左踝臂指数(L-ABI)、右踝臂指数(R-ABI)、血清甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白胆固醇(LDL-c)、超氧化物歧化酶(SOD)、丙二醛(MDA)和谷胱甘肽过氧化物酶(GSH-Px)。

结果

①与运动前相比,老年人在8周结束时右肱踝脉搏波速度(R-baPWV)和右踝臂指数(R-ABI)降低,在16周结束时左肱踝脉搏波速度(L-baPWV)、右肱踝脉搏波速度(R-baPWV)、右踝臂指数(R-ABI)和左踝臂指数(L-ABI)显著降低。②与运动前相比,8周结束时收缩压(SBP)和舒张压(DBP)显著下降(<0.01,<0.05),16周结束时收缩压(SBP)、舒张压(DBP)和脉压显著降低(<0.01,<0.05)。③与运动前相比,8周和16周结束时总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-c)显著下降(<0.01),运动前后甘油三酯(TG)和低密度脂蛋白胆固醇(LDL-c)水平无差异。④8周结束时运动前后血清超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、丙二醛(MDA)水平无明显差异。与运动前相比,血清超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)水平明显升高,而血清丙二醛(MDA)含量显著降低(<0.01)。

结论

16周有氧运动可明显降低老年人肱踝脉搏波速度(baPWV)和踝臂指数(ABI)水平,调节血压、血脂及脂质过氧化物水平,从而改善动脉粥样硬化的控制质量。

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