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ACE 基因在抗阻训练后降低高龄高血压患者血压中起关键作用。

ACE Gene Plays a Key Role in Reducing Blood Pressure in The Hyperintensive Elderly After Resistance Training.

机构信息

Department of Biosciences, Federal University of São Paulo, São Paulo, Brazil.

Cancer Metabolism Research Group, Institute of Biomedical Sciences, University of Sao Paulo, São Paulo, Brazil.

出版信息

J Strength Cond Res. 2019 Apr;33(4):1119-1129. doi: 10.1519/JSC.0000000000002355.

DOI:10.1519/JSC.0000000000002355
PMID:30908459
Abstract

Montrezol, FT, Marinho, R, Mota, GdFAd, D'almeida, V, de Oliveira, EM, Gomes, RJ, and Medeiros, A. ACE gene plays a key role in reducing blood pressure in the hyperintensive elderly after resistance training. J Strength Cond Res 33(4): 1119-1129, 2019-Hypertension is a difficult disease to control and exercise training plays a key role in hypertension control. Some individuals are not responsive to exercise training; so, we highlight the polymorphism of I allele of angiotensin-converting enzyme (ACE) as a factor responsible for this lack of responsiveness. The aim of this study was to evaluate the influence of ACE insertion/deletion genotypes on effects of resistance training on blood pressure (BP) and chronic inflammation. Eighty-six hypertensive volunteers, aged between 60 and 80, were evaluated. They performed 16 weeks of resistance training at 50% of 1 maximal repetition. The greatest benefits were seen on homozygous of the Insertion allele, whom presented reduction of systolic blood pressure (SBP: 129.31 ± 13.34 vs. 122.56 ± 9.68 mm Hg, p < 0.001) and diastolic blood pressure (DBP: 79.18 ± 8.05 vs. 70.12 ± 7.71 mm Hg, p < 0.01) during daytime period, and in 24-hour period (SBP: 127.12 ± 13.65 vs. 121.06± 9.68 mm Hg, p < 0.001 and DBP: 71.87 ± 8.39 vs. 68.75 ± 8.72 mm Hg, p < 0.05) and also increased circulating adiponectin levels (4.04 ± 1.79 vs. 6.00 ± 2.81 ng·ml, p < 0.01). Other genotypes showed no changes in BP and biochemical parameters. Our results suggest a cardio protective factor of I allele because only those homozygous showed reductions in BP and increases in adiponectin.

摘要

蒙泰罗,FT,马里尼奥,R,莫塔,GdFAd,德阿尔梅达,V,德奥利韦拉,EM,戈麦斯,RJ,和梅代罗斯,A。ACE 基因在高血压老年患者进行抗阻训练后降低血压方面起着关键作用。J Strength Cond Res 33(4):1119-1129,2019-高血压是一种难以控制的疾病,运动训练在高血压的控制中起着关键作用。有些人对抗阻训练没有反应;因此,我们强调血管紧张素转换酶(ACE)I 等位基因的多态性是导致这种无反应的一个因素。本研究旨在评估 ACE 插入/缺失基因型对阻力训练对血压(BP)和慢性炎症的影响。评估了 86 名年龄在 60 至 80 岁之间的高血压志愿者。他们进行了 16 周的阻力训练,强度为 1 最大重复的 50%。插入等位基因纯合子的最大益处是收缩压(SBP:129.31 ± 13.34 对 122.56 ± 9.68 mmHg,p <0.001)和舒张压(DBP:79.18 ± 8.05 对 70.12 ± 7.71 mmHg,p <0.01)在白天期间和 24 小时期间(SBP:127.12 ± 13.65 对 121.06± 9.68 mmHg,p <0.001 和 DBP:71.87 ± 8.39 对 68.75 ± 8.72 mmHg,p <0.05),也增加了循环脂联素水平(4.04 ± 1.79 对 6.00 ± 2.81 ng·ml,p <0.01)。其他基因型在血压和生化参数方面没有变化。我们的结果表明 I 等位基因是一种心脏保护因素,因为只有那些纯合子显示出血压降低和脂联素增加。

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