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抗阻训练对高血压女性的抗炎作用:嘌呤能信号的作用。

The anti-inflammatory effect of resistance training in hypertensive women: the role of purinergic signaling.

机构信息

Medicine Course, Federal University of Fronteira Sul.

Medicine Course, Graduate Program in Biomedical Sciences, Federal University of Fronteira Sul, Campus Chapecó.

出版信息

J Hypertens. 2020 Dec;38(12):2490-2500. doi: 10.1097/HJH.0000000000002578.

Abstract

BACKGROUND AND METHODS

Essential arterial hypertension triggers a chronic inflammatory process that seems to be linked to purinergic signaling. Physical exercise exhibit anti-inflammatory properties and is able to modulates purinergic system. The aim of this study was to evaluate the effect of 6 months of resistance training on inflammatory markers, purinergic system components, hemodynamic and anthropometric parameters in hypertensive woman.

METHODS

A total of 31 hypertensive group and 28 normotensive (control group) middle-aged sedentary women were submitted to 6 months of resistance training. All measurements and blood collection were carried out before (pretest), after 3 months and after 6 months (posttest) of training. Purinergic enzymes [nucleoside triphosphate diphosphohydrolase (NTPDase) and adenosine deaminase] were assessed in lymphocytes; IL-6, IL-10, ATP and C-reactive protein levels were measured in serum.

RESULTS

Six months of resistance training was able to significantly reduce blood pressure (BP), IL-6, C-reactive protein, ATP levels as well as NTPDase and adenosine deaminase activities in hypertensive group. Physical training was also able to increase IL-10 levels in hypertensive group. A positive correlation was found between BP, enzyme activities and levels of ATP and IL-6. A negative correlation was found between BP and IL-10. Positive correlation was found between NTPDase and IL-6 levels (P < 0.05) as well as ATP levels and IL-6 levels.

CONCLUSION

Our findings demonstrated the relationship between purinergic signaling and inflammation in hypertension and suggests that resistance training serve as tool to reduce inflammation in hypertensive woman by modulating purinergic system.

摘要

背景与方法

原发性高血压会引发慢性炎症过程,而该过程似乎与嘌呤能信号有关。运动具有抗炎特性,能够调节嘌呤能系统。本研究旨在评估 6 个月抗阻训练对高血压女性炎症标志物、嘌呤能系统成分、血流动力学和人体测量参数的影响。

方法

共纳入 31 名高血压组和 28 名血压正常(对照组)的中年久坐女性,她们均接受了 6 个月的抗阻训练。所有测量和采血均在训练前(预测试)、训练 3 个月后(中测试)和 6 个月后(后测试)进行。在淋巴细胞中评估核苷酸三磷酸二磷酸水解酶(NTPDase)和腺苷脱氨酶等嘌呤能酶;在血清中测量白细胞介素-6(IL-6)、白细胞介素-10(IL-10)、三磷酸腺苷(ATP)和 C 反应蛋白(CRP)水平。

结果

6 个月的抗阻训练能够显著降低高血压组的血压(BP)、IL-6、CRP、ATP 水平以及 NTPDase 和腺苷脱氨酶活性。运动训练还能够增加高血压组的 IL-10 水平。BP、酶活性以及 ATP 和 IL-6 水平之间存在正相关。BP 与 IL-10 之间存在负相关。NTPDase 与 IL-6 水平(P<0.05)以及 ATP 水平与 IL-6 水平之间存在正相关。

结论

本研究结果表明,在高血压中嘌呤能信号与炎症之间存在关联,并提示抗阻训练可通过调节嘌呤能系统作为降低高血压女性炎症的一种手段。

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