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高强度间歇训练与帕金森病患者的中等强度连续训练:血液动力学和功能适应性。

High-Intensity Interval Versus Moderate-Intensity Continuous Training in Individuals With Parkinson's Disease: Hemodynamic and Functional Adaptation.

出版信息

J Phys Act Health. 2020 Jan 1;17(1):85-91. doi: 10.1123/jpah.2018-0588.

Abstract

PURPOSE

To investigate the effect of high-intensity interval training (HIIT) versus moderate-intensity continuous exercise training (MICE) on hemodynamic and functional variables in individuals with Parkinson's disease.

METHODS

Twenty participants (13 men) were randomly assigned to a thrice-weekly HIIT (n = 12) or MICE (n = 8) for 12 weeks. Hemodynamic (resting heart rate and blood pressure, carotid femoral pulse wave velocity, endothelial reactivity, and heart rate variability) and functional variables (5-time sit-to-stand, timed up and go, and 6-min walking tests) assessed before and after training.

RESULTS

Demographic, hemodynamic and functional variables were similar between groups at baseline. Endothelial reactivity tended to increase after HIIT, but not after MICE, resulting in improved level (∼8%, P < .01) of this variable in HIIT versus MICE during follow-up. Six-minute walking test improved after HIIT (10.4 ± 3.8%, P < .05), but did not change after MICE. Sit to stand improved similarly after HIIT (27.2 ± 6.1%, P < .05) and MICE (21.5 ± 5.4%, P < .05). No significant changes were found after HIIT or MICE in any other variable assessed.

CONCLUSION

These results suggest that exercise intensity may influence training-induced adaptation on endothelial reactivity and aerobic capacity in individuals with Parkinson's disease.

摘要

目的

研究高强度间歇训练(HIIT)与中等强度持续运动训练(MICE)对帕金森病患者血流动力学和功能变量的影响。

方法

20 名参与者(13 名男性)被随机分配到每周 3 次的 HIIT(n=12)或 MICE(n=8)训练组,共 12 周。在训练前后评估血流动力学(静息心率和血压、颈动脉-股动脉脉搏波速度、内皮反应性和心率变异性)和功能变量(5 次坐立测试、计时起立行走测试和 6 分钟步行测试)。

结果

基线时,两组的人口统计学、血流动力学和功能变量相似。HIIT 后内皮反应性趋于增加,但 MICE 后没有增加,导致随访期间 HIIT 组内皮反应性较 MICE 组改善(约 8%,P<.01)。HIIT 后 6 分钟步行测试(10.4±3.8%,P<.05)有所改善,但 MICE 后没有变化。HIIT(27.2±6.1%,P<.05)和 MICE(21.5±5.4%,P<.05)后,坐立站起能力也有类似改善。HIIT 或 MICE 后,其他评估变量均无明显变化。

结论

这些结果表明,运动强度可能影响帕金森病患者内皮反应性和有氧能力的训练适应性。

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