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大肌肉量等长运动改善高血压成年人的氧化还原平衡和血压。

Isometric Exercise with Large Muscle Mass Improves Redox Balance and Blood Pressure in Hypertensive Adults.

机构信息

Graduate Program in Physical Education, Catholic University of Brasília, DF, BRAZIL.

Department of Physical Education, Paulista University-UNIP, SP, BRAZIL.

出版信息

Med Sci Sports Exerc. 2020 May;52(5):1187-1195. doi: 10.1249/MSS.0000000000002223.

Abstract

PURPOSE

The aim of this study was to investigate the hemodynamic, oxidative stress (OS), and nitric oxide (NO) responses to a submaximal isometric exercise session (IES) involving large muscle mass.

METHODS

Fourteen hypertensive (HTG: age = 35.9 ± 8.1 yr, height = 1.73 ± 0.10 m, total body mass = 78.0 ± 15.8 kg) and 10 normotensive (NTG: age = 41.1 ± 9.4 yr, height = 1.71 ± 0.12 m, total body mass = 82.3 ± 22.4 kg) participants performed two experimental sessions in the leg press and bench press: (i) control session and (ii) 8 sets × 1 min contraction at 30% maximal voluntary isometric contraction with 2-min rest interval. Blood pressure (BP) was measured at rest and during 60 min postexercise. Blood samples were collected at rest, immediately after the session, and 60 min postexercise. NO was obtained through the Griess reaction method. OS parameters were analyzed using commercial kits. A repeated-measures ANOVA with Bonferroni post hoc test was used to analyze all dependent variables.

RESULTS

A significant decrease in systolic BP was observed only for HTG at 45 and 60 min postexercise (baseline vs 45 min: P = 0.03, Δ% = 4.44%; vs 60 min: P = 0.018, Δ% = 5.58%). NO increased immediately postexercise only for HTG (P = 0.008, Δ% = 16.44%). Regarding OS parameters, thiobarbituric acid reactive substances presented a significant reduction 60 min after the IES for NTG and HTG; catalase increased in both groups.

CONCLUSIONS

The data showed that only 8 min of IES with a large muscle mass elicits an elevated pro-oxidant activity leading to a greater NO bioavailability, increases antioxidant reaction, and consequently reduces BP in hypertensive patients.

摘要

目的

本研究旨在探究大肌群等长向运动(IE)期间的血液动力学、氧化应激(OS)和一氧化氮(NO)反应。

方法

14 名高血压(HTG:年龄=35.9±8.1 岁,身高=1.73±0.10m,总体重=78.0±15.8kg)和 10 名血压正常(NTG:年龄=41.1±9.4 岁,身高=1.71±0.12m,总体重=82.3±22.4kg)的参与者在腿推和卧推中进行了两次实验:(i)对照期和(ii)30%最大自主等长收缩的 8 组×1 分钟收缩,每组收缩之间休息 2 分钟。在休息和运动后 60 分钟测量血压(BP)。在休息时、运动后即刻和运动后 60 分钟采集血样。通过格里斯反应法获得 NO。使用商业试剂盒分析 OS 参数。采用重复测量方差分析和 Bonferroni 事后检验分析所有依赖变量。

结果

仅在运动后 45 和 60 分钟观察到 HTG 的收缩压显著下降(与基线相比,45 分钟时:P=0.03,Δ%=4.44%;60 分钟时:P=0.018,Δ%=5.58%)。仅 HTG 在运动后即刻升高(P=0.008,Δ%=16.44%)。关于 OS 参数,NTG 和 HTG 在 IES 后 60 分钟时,硫代巴比妥酸反应物质呈现显著降低;两组的过氧化氢酶均增加。

结论

数据表明,只有 8 分钟的大肌群 IES 会引发更高的促氧化剂活性,导致更大的 NO 生物利用度增加,抗氧化反应增加,从而降低高血压患者的血压。

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