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在下肢正压跑步过程中进行运动测试时的心肺和代谢反应。

Cardiorespiratory and metabolic responses to exercise testing during lower-body positive pressure running.

机构信息

Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.

German Centre for Cardiovascular Research, Partner Site Greifswald, Greifswald, Germany.

出版信息

J Appl Physiol (1985). 2020 Apr 1;128(4):778-784. doi: 10.1152/japplphysiol.00328.2019. Epub 2020 Feb 13.

Abstract

Exercise reduces the future cardiometabolic disease risk. However, not everyone can participate in routine physical activity because of obesity or orthopedic impairments. Body weight-supported (BWS) exercise may be an option for these individuals. Unfortunately, very little data are available with regard to BWS running in untrained healthy individuals. Yet, this information is important to assess the potential use of lower-body positive pressure (LBPP) treadmill running for the prevention of cardiometabolic disease. Twenty healthy but untrained participants (10 females, mean age 31.5 yr) were included in this study. Participants completed two exercise tests (one with 100% and one with 60% body wt) in randomized order on a LBPP treadmill. Expired gas data and heart rate (HR) were collected continuously. Blood lactate, blood pressure (BP), pulse wave velocity (PWV), and rating of perceived exertion (RPE) were measured during a 2-min break after each stage. Oxygen uptake increased significantly independent of BWS but was lower with BWS. Furthermore, we identified a significant correlation between HR and RPE independent of BWS. BP and PWV showed a large heterogeneity in response to BWS. The lower O requirement when running with BWS may help untrained individuals to adapt to an exercise regimen. Future research needs to explore the heterogenetic response of blood pressure and pulse wave velocity to LBPP BWS between individuals. Lower-body positive pressure body weight-supported exercise has a lower metabolic and cardiovascular demand. Furthermore, heart rate and rating of perceived exertion are highly correlated independent of body weight support. Our data support the further examination of lower-body positive pressure exercise training for cardiovascular disease risk groups.

摘要

运动可降低未来发生心血管代谢疾病的风险。然而,由于肥胖或运动系统损伤,并非每个人都能进行常规的体力活动。体重大于体重支持(BWS)运动可能是这些人群的选择。不幸的是,关于未经训练的健康个体的 BWS 跑步的数据非常有限。然而,对于评估使用下肢正压(LBPP)跑步机跑步来预防心血管代谢疾病的潜在用途,这些信息很重要。本研究纳入了 20 名健康但未经训练的参与者(10 名女性,平均年龄 31.5 岁)。参与者以随机顺序在 LBPP 跑步机上完成了两次运动测试(一次 100%体重,一次 60%体重)。连续收集呼气末气体数据和心率(HR)。在每个阶段后进行 2 分钟休息时测量血乳酸、血压(BP)、脉搏波速度(PWV)和感知用力程度(RPE)。无论 BWS 如何,耗氧量均显著增加,但 BWS 时的耗氧量较低。此外,我们发现 HR 和 RPE 之间存在独立于 BWS 的显著相关性。BP 和 PWV 对 BWS 的反应存在很大的异质性。当使用 BWS 跑步时,较低的 O 需求可能有助于未经训练的个体适应运动方案。未来的研究需要探索个体之间 LBPP BWS 对血压和脉搏波速度的异质反应。下肢正压体重大于体重支持运动的代谢和心血管需求较低。此外,心率和感知用力程度高度相关,独立于体重支持。我们的数据支持进一步检查下肢正压运动训练对心血管疾病风险人群的影响。

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