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冲刺运动对主动脉脉搏波速度和股动脉剪切模式的影响。

Influence of sprint exercise on aortic pulse wave velocity and femoral artery shear patterns.

机构信息

Department of Exercise Science, Syracuse University, 820 Comstock Ave, Syracuse, NY, 13210, USA.

Department of Kinesiology, Iowa State University, Ames, IA, USA.

出版信息

Eur J Appl Physiol. 2020 Dec;120(12):2635-2647. doi: 10.1007/s00421-020-04483-6. Epub 2020 Sep 3.

DOI:10.1007/s00421-020-04483-6
PMID:32880701
Abstract

PURPOSE

Aortic stiffness may affect shear patterns in the peripheral vasculature. This study examined if sprint exercise, which typically increases aortic stiffness is associated with increased peripheral retrograde blood flow and impaired microvascular function.

METHODS

Twenty participants (10 women; age: 27 ± 5 years) underwent arterial stiffness, shear rate, and microvascular function assessment at three time points: baseline; following time control; ~ 2 min post a 30-s cycle ergometer sprint against 7.0% body mass. Aortic stiffness was assessed using carotid-femoral pulse wave velocity (cfPWV). Superficial femoral artery (SFA) diameter and blood velocity were assessed using Doppler-ultrasound and were used to calculate shear rates and resistance index (RI). SFA wave reflections were obtained via wave intensity analysis. Vastus medialis microvascular function was measured as tissue saturation index reactivity pre-post exercise via near-infrared spectroscopy.

RESULTS

cfPWV increased by + 0.8 ± 0.7 m·s following exercise (p < 0.001). Retrograde shear was reduced following exercise compared with time control (- 4.9 ± 3.8 s; p < 0.001), while tissue saturation index was increased post-exercise from baseline (+ 2.3 ± 4.6%; p = 0.04). Reductions in SFA wave reflections (- 1.70 ± 1.96 aU) and RI (- 0.17 ± 0.13 aU) were also noted following exercise (p < 0.001).

CONCLUSION

These data suggest sprint exercise-mediated changes in peripheral shear patterns and microvascular function in the exercised vasculature occur independent from increases in aortic stiffness. Exercise-induced reductions in SFA retrograde shear may be related to decreased wave reflections and peripheral vascular resistance.

摘要

目的

主动脉僵硬度可能会影响外周血管的切变模式。本研究探讨了冲刺运动是否会增加主动脉僵硬度,以及这种运动是否会导致外周逆行血流增加和微血管功能受损。

方法

20 名参与者(10 名女性;年龄:27±5 岁)在三个时间点接受了动脉僵硬度、切变率和微血管功能评估:基线;时间控制后;~2 分钟后,进行 30 秒的自行车冲刺运动,对抗 7.0%的体重。使用颈动脉-股动脉脉搏波速度(cfPWV)评估主动脉僵硬度。使用多普勒超声评估股浅动脉(SFA)直径和血流速度,并用于计算切变率和阻力指数(RI)。通过波强度分析获得 SFA 波反射。通过近红外光谱测量股直肌微血管功能,在运动前后测量组织饱和度指数反应性。

结果

运动后 cfPWV 增加了 + 0.8±0.7 m·s(p<0.001)。与时间控制相比,运动后逆行切变减少了(-4.9±3.8 s;p<0.001),而组织饱和度指数在运动后从基线增加(+2.3±4.6%;p=0.04)。运动后 SFA 波反射(-1.70±1.96 aU)和 RI(-0.17±0.13 aU)也降低(p<0.001)。

结论

这些数据表明,冲刺运动引起的外周切变模式和运动血管的微血管功能变化独立于主动脉僵硬度的增加。SFA 逆行切变的运动诱导减少可能与波反射和外周血管阻力的降低有关。

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