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孤立性肥胖不足以损害代谢健康男性的心脏自主神经调节。

Isolated Obesity Is Not Enough to Impair Cardiac Autonomic Modulation in Metabolically Healthy Men.

机构信息

a Federal University of Mato Grosso.

b Catholic University of Brasília.

出版信息

Res Q Exerc Sport. 2019 Mar;90(1):14-23. doi: 10.1080/02701367.2018.1549357. Epub 2019 Jan 8.

Abstract

PURPOSE

To evaluate whether excess body mass influences the heart rate variability (HRV) indexes at rest, and to correlate adiposity indicators and the aerobic fitness with cardiac autonomic variables in metabolically healthy young adults.

METHOD

In all, 41 untrained males (M= 21.80, SD = 2.14 years), 14 normal weight (M= 22.28, SD = 1.86 kg∙m), 11 overweight (M= 26.95, SD = 1.43 kg∙m), and 16 obese (M= 33.58, SD = 3.06 kg∙m) metabolically healthy (normal values of blood pressure, fasting blood glucose, triglycerides, and total cholesterol), underwent evaluations of the HRV at rest and of the peak oxygen consumption (VO peak) during maximal exercise on a cycle ergometer.

RESULTS

Blood pressure, heart rate, HRV indexes, casual blood glucose, oxidative stress, and antioxidant activity did not differ among the groups. The VO peak (mL∙kg∙min) was lower in the obese group compared with the normal weight and overweight groups. The body mass (r = -.40 to -.45) and abdominal circumference (r = -.39 to -.52) were slightly to moderately correlated with SD1, SD2, RMSSD, SDNN, pNN50, LF, and HF indexes and total power. The VO peak (mL∙kg∙min) was slightly to moderately correlated (r = .48 to .51) with SD2, SDNN, and LF indexes in the individuals with excess body mass.

CONCLUSION

Cardiac autonomic modulation at rest was preserved in metabolically healthy obese young men. However, the indicators of adiposity, as well as the aerobic fitness were correlated with cardiac autonomic modulation in the individuals with excess body mass.

摘要

目的

评估超重是否会影响静息状态下的心率变异性(HRV)指标,并在代谢健康的年轻成年人中,将肥胖指标和有氧适能与心脏自主变量相关联。

方法

共纳入 41 名未经训练的男性(M=21.80,SD=2.14 岁),14 名体重正常者(M=22.28,SD=1.86 kg·m),11 名超重者(M=26.95,SD=1.43 kg·m)和 16 名肥胖者(M=33.58,SD=3.06 kg·m),代谢健康(血压、空腹血糖、甘油三酯和总胆固醇正常),在测功计上进行静息时 HRV 评估和最大运动时峰值摄氧量(VOpeak)评估。

结果

各组间血压、心率、HRV 指数、随机血糖、氧化应激和抗氧化活性无差异。与体重正常和超重组相比,肥胖组的 VOpeak(mL·kg·min)较低。体重(r=-.40 至-.45)和腰围(r=-.39 至-.52)与 SD1、SD2、RMSSD、SDNN、pNN50、LF 和 HF 指数以及总功率呈轻度至中度相关。VOpeak(mL·kg·min)与超重者的 SD2、SDNN 和 LF 指数呈轻度至中度相关(r=-.48 至-.51)。

结论

代谢健康肥胖的年轻男性静息时心脏自主神经调节保持不变。然而,肥胖指标以及有氧适能与超重个体的心脏自主神经调节相关。

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