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短期中等强度有氧运动及长期停训对绝经后女性心电图指标和心脏生物标志物的影响

The effects of short-term moderate intensity aerobic exercise and long-term detraining on electrocardiogram indices and cardiac biomarkers in postmenopausal women.

作者信息

Malandish Abbas, Tartibian Bakhtyar, Sheikhlou Zeinab, Afsargharehbagh Roghaiyeh, Rahmati Mohammad

机构信息

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.

出版信息

J Electrocardiol. 2020 May-Jun;60:15-22. doi: 10.1016/j.jelectrocard.2020.03.004. Epub 2020 Mar 21.

Abstract

OBJECTIVE

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).

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

材料与方法

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。

结果

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)。

结论

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。

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