Malandish Abbas, Tartibian Bakhtyar, Sheikhlou Zeinab, Afsargharehbagh Roghaiyeh, Rahmati Mohammad
Exercise Physiology, Department of Exercise Physiology, Faculty of Sport Sciences, Urmia University, Urmia, Iran.
Exercise Physiology, Department of Sport Injuries & Corrective Exercises, Faculty of Physical Education & Sport Sciences, Allameh Tabataba'i University, Tehran, Iran.
J Electrocardiol. 2020 May-Jun;60:15-22. doi: 10.1016/j.jelectrocard.2020.03.004. Epub 2020 Mar 21.
The purpose of this study was to investigate the effects of 12-week of moderate-intensity aerobic exercise and 5-month detraining on electrocardiogram (ECG) indices and serum levels of 25-hydroxivitamin D (Vit D), parathyroid hormone (PTH), calcium (Ca), and phosphorus (P) in postmenopausal women (PMWs).
Thirty-one PMWs (aged 50-70 yrs) were randomized to exercise (EX, n = 16) and control (C, n = 15) groups. EX group performed of 12-week of warm up- walking/jogging moderate intensity aerobic exercise training program- recovery (60 min/day, 3 days/week at 70% of maximal heart rate reserve), and then 5-month detraining remained. C group maintain their normal lifestyle during 8 months. The ECG indices and cardiac serum levels were measured at baseline, after 12-week exercise, and after 5-month detraining.
After 12-week exercise intervention, P-R interval, serum PTH and serum Vit D were significantly increased in the EX group compared to the C group (P = 0.020, P = 0.001 and P = 0.001, respectively). After 5-month detraining, P-R segment and S-T interval were significantly decreased (P = 0.042 and P = 0.001, respectively) while serum Vit D was significantly increased (P = 0.014) in the EX group compared to the C group.
The results suggested that 12-week of moderate intensity aerobic exercise increased the P-R interval, PTH and Vit D, as severe Vit D deficiency status (below 10 ng/ml) improved to Vit D deficiency status (between 10 and 20 ng/ml) in PMWs. Also, long-term positive adaptations to aerobic exercise such as increased Vit D were observed even after 5-month detraining. In addition, P-R segment and S-T interval decreased after 5-month detraining in sedentary PMWs, which may be a sign of atrial positive adaptations to aerobic exercise.
本研究旨在调查12周中等强度有氧运动及5个月停训对绝经后女性(PMW)心电图指标以及血清25-羟基维生素D(维生素D)、甲状旁腺激素(PTH)、钙(Ca)和磷(P)水平的影响。
31名年龄在50至70岁之间的PMW被随机分为运动组(EX,n = 16)和对照组(C,n = 15)。运动组进行为期12周的热身-步行/慢跑中等强度有氧运动训练计划-恢复(每天60分钟,每周3天,心率储备为最大心率的70%),然后进行5个月的停训。对照组在8个月内保持正常生活方式。在基线、12周运动后以及5个月停训后测量心电图指标和心脏血清水平。
12周运动干预后,与对照组相比,运动组的P-R间期、血清PTH和血清维生素D显著升高(分别为P = 0.020、P = 0.001和P = 0.001)。5个月停训后,与对照组相比,运动组的P-R段和S-T间期显著降低(分别为P = 0.042和P = 0.001),而血清维生素D显著升高(P = 0.014)。
结果表明,12周中等强度有氧运动可增加P-R间期、PTH和维生素D,使PMW中严重维生素D缺乏状态(低于10 ng/ml)改善为维生素D缺乏状态(10至20 ng/ml之间)。此外,即使在5个月停训后,仍观察到对有氧运动的长期积极适应性变化,如维生素D增加。此外,久坐的PMW在5个月停训后P-R段和S-T间期降低,这可能是心房对有氧运动产生积极适应性变化的迹象。