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多器官对人体逐渐寒冷暴露期间非颤抖和颤抖产热以及血管反应的贡献。

Multiorgan contribution to non-shivering and shivering thermogenesis and vascular responses during gradual cold exposure in humans.

机构信息

Laboratory of Environmental Ergonomics, Faculty of Engineering, Hokkaido University, Sapporo, Japan.

Department of Nutrition, Tenshi College, Sapporo, Japan.

出版信息

Eur J Appl Physiol. 2020 Dec;120(12):2737-2747. doi: 10.1007/s00421-020-04496-1. Epub 2020 Sep 18.

DOI:10.1007/s00421-020-04496-1
PMID:32948898
Abstract

PURPOSE

Human brown adipose tissue (BAT) is known to be a significant thermoeffector in non-shivering thermogenesis (NST), albeit with individual variations in the BAT activity. We hypothesized that humans with less BAT would have more contribution from the skeletal muscle (SM) to NST or earlier shivering onset and greater vasoconstriction to compensate for less BAT-mediated thermogenesis.

METHODS

Eighteen males participated in this study. Their BAT activity and detectable volume were investigated. A gradual cold exposure was conducted for inducing NST at 18.6 °C and initiating shivering at 11.6 °C. The energy expenditure, electromyograph of the pectoralis major, skin blood flow, and rectal (T) and skin temperatures were evaluated.

RESULTS

BAT volume significantly correlated with the change in metabolic heat production during mild cold phase relative to baseline (NST; r = 0.562, P < 0.05), but not with shivering initiation phase (NST+ ST). SM mass correlated with baseline metabolic heat production (M; r = 0.839, P < 0.01) but not with NST or NST + ST. A positive correlation was noted between BAT volume and T at the end of the 18.6 °C exposure period (r = 0.586, P < 0.05), which positively correlated with shivering onset time (r = 0.553, P < 0.05). The skin blood flow, mean skin temperature, and forearm and finger skin temperature difference at the end of the 18.6 °C exposure period did not correlate with NST or BAT volume.

CONCLUSION

BAT volume positively correlated with NST. Notably, lower T in individuals with less BAT volume induced earlier shivering onset for offsetting the less NST. Whereas, no correlation between metabolic and vasomotor responses was observed.

摘要

目的

人体棕色脂肪组织(BAT)是非颤抖产热(NST)中重要的热效应器,尽管 BAT 活性存在个体差异。我们假设,BAT 活性较低的人,其骨骼肌(SM)对 NST 的贡献更大,或者更早开始颤抖,并通过更大的血管收缩来补偿较少的 BAT 介导的产热。

方法

18 名男性参与了这项研究。研究人员检测了他们的 BAT 活性和可检测体积。在 18.6°C 下进行逐渐的冷暴露,以诱导 NST,并在 11.6°C 时开始颤抖。评估了能量消耗、胸大肌肌电图、皮肤血流和直肠(T)和皮肤温度。

结果

BAT 体积与轻度寒冷期相对于基线的代谢产热变化显著相关(NST;r=0.562,P<0.05),但与颤抖起始阶段(NST+ST)不相关。SM 质量与基线代谢产热(M;r=0.839,P<0.01)相关,但与 NST 或 NST+ST 不相关。BAT 体积与 18.6°C 暴露期末的 T 呈正相关(r=0.586,P<0.05),与颤抖起始时间呈正相关(r=0.553,P<0.05)。18.6°C 暴露期末的皮肤血流、平均皮肤温度、前臂和手指皮肤温差与 NST 或 BAT 体积均无相关性。

结论

BAT 体积与 NST 呈正相关。值得注意的是,BAT 体积较小的个体,其 T 较低,会导致更早开始颤抖,以弥补较少的 NST。然而,代谢和血管运动反应之间没有相关性。

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