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2型糖尿病绝经后女性前臂肌肉的血流动力学功能

Hemodynamic Function of Forearm Muscle in Postmenopausal Women With Type 2 Diabetes.

作者信息

Pollonini Luca, Gulley Cox Lauren, Gorniak Stacey L

出版信息

J Aging Phys Act. 2020 Apr 21;28(5):723-730. doi: 10.1123/japa.2019-0221. Print 2020 Oct 1.

Abstract

Changes in the hemodynamic function of muscle are speculated as a causal mechanism for reduced motor capabilities with aging in Type 2 diabetes mellitus (DM). The focus of this study was to evaluate changes in muscle oxygenation during sustained force production in postmenopausal women with DM compared with controls. Near-infrared spectroscopy was used to monitor deoxyhemoglobin and oxyhemoglobin in the flexor digitorum superficialis. Sensorimotor function and health state covariates were also assessed. Increased deoxyhemoglobin was found during force production, whereas oxyhemoglobin remained constant. Changes were found in the time structure of the hemodynamic data during force production. No between-group differences were found; instead, measures covaried with the health state. Sex-based differences in the manifestation of DM-related sensorimotor dysfunction are likely. These data indicate that basic cardiovascular health measures may be more beneficial to monitoring hyperemic status and muscle function in postmenopausal women with DM, compared with DM diagnosis.

摘要

肌肉血流动力学功能的变化被推测为2型糖尿病(DM)患者随着年龄增长运动能力下降的一种因果机制。本研究的重点是评估绝经后糖尿病女性与对照组在持续用力时肌肉氧合的变化。采用近红外光谱法监测指浅屈肌中的脱氧血红蛋白和氧合血红蛋白。还评估了感觉运动功能和健康状况协变量。在用力过程中发现脱氧血红蛋白增加,而氧合血红蛋白保持不变。在用力过程中血流动力学数据的时间结构发生了变化。未发现组间差异;相反,测量值与健康状况相关。糖尿病相关感觉运动功能障碍的表现可能存在基于性别的差异。这些数据表明,与糖尿病诊断相比,基本心血管健康指标可能对监测绝经后糖尿病女性的充血状态和肌肉功能更有益。

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本文引用的文献

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Type 2 diabetes and cardiovascular disease in women.女性 2 型糖尿病与心血管疾病。
Diabetologia. 2013 Jan;56(1):1-9. doi: 10.1007/s00125-012-2694-y. Epub 2012 Sep 4.

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