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能量饮料对青年成年人血液动力学和血管内皮功能的影响。

Energy Drink Effects on Hemodynamics and Endothelial Function in Young Adults.

机构信息

McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth) Houston, TX & Baylor University, Waco, Texas, USA,

McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth) Houston, TX & Baylor University, Waco, Texas, USA.

出版信息

Cardiology. 2021;146(2):258-262. doi: 10.1159/000512433. Epub 2020 Dec 18.

Abstract

INTRODUCTION

Cardiovascular side effects associated with energy drink consumption may be related to effects on vascular endothelial function, heart rate, blood pressure, and electrocardiogram parameters. We sought to measure them following energy drink consumption.

METHODS

Forty-four healthy non-smoking young volunteer medical students, at an average age of 24.7 years (range 23-27 years, 34 males), with an average BMI of 23.4, received electrocardiograms and had their heart rates and blood pressures taken. Subjects then underwent baseline testing of endothelial function using the technique of endothelium-dependent flow-mediated dilatation (FMD) with high-resolution ultrasound. The subjects then drank an energy drink (24 oz Monster Energy Drink®). Hemodynamic measurements were repeated 15 and 90 min later. FMD and the electrocardiogram were repeated 90 min later. The FMD was calculated as the ratio of the post-cuff release and the baseline diameter.

RESULTS

Energy drink consumption resulted in a significantly attenuated peak FMD response (mean ± SD): baseline 5.1 ± 4.1% versus post-energy drink (2.8 ± 3.8%; p = 0.004). In addition, systolic and diastolic blood pressures and heart rate increased after 15 min. Diastolic blood pressure and heart rate remained increased 90 min following energy drink consumption. There were no significant changes in electrocardiogram parameters.

CONCLUSION

Energy drink consumption was associated with an acute significant impairment in endothelial function in young healthy adults as well as with significant hemodynamic changes. As energy drinks are becoming more popular, it is important to study their effects to better determine safe consumption patterns.

摘要

简介

与能量饮料消费相关的心血管副作用可能与血管内皮功能、心率、血压和心电图参数的变化有关。我们试图在饮用能量饮料后测量这些参数。

方法

44 名健康不吸烟的年轻志愿医学生,平均年龄 24.7 岁(23-27 岁,34 名男性),平均 BMI 为 23.4,接受心电图检查,并测量心率和血压。然后,受试者使用高分辨率超声技术进行内皮功能的基础测试,即内皮依赖性血流介导的扩张(FMD)。然后,受试者饮用 24 盎司的 Monster Energy Drink®能量饮料。15 分钟和 90 分钟后重复进行血液动力学测量。90 分钟后重复 FMD 和心电图。FMD 计算为袖带释放后与基线直径的比值。

结果

能量饮料的摄入导致峰值 FMD 反应明显减弱(平均值 ±标准差):基础值为 5.1 ± 4.1%,而饮用能量饮料后为 2.8 ± 3.8%(p = 0.004)。此外,收缩压和舒张压以及心率在 15 分钟后增加。饮用能量饮料 90 分钟后,舒张压和心率仍然升高。心电图参数没有明显变化。

结论

能量饮料的摄入与年轻健康成年人内皮功能的急性显著受损以及显著的血液动力学变化有关。随着能量饮料越来越受欢迎,研究它们的影响以更好地确定安全的消费模式非常重要。

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