Hospital Campo Limpo, Sao Paulo, Brazil.
Universidade Nove de Julho-UNINOVE, Sao Paulo, Brazil.
J Clin Hypertens (Greenwich). 2021 Apr;23(4):888-894. doi: 10.1111/jch.14190. Epub 2021 Jan 29.
Hypertension is often associated with metabolic changes. The sustained increase in sympathetic activity is related to increased blood pressure and metabolic changes. Environmental stimuli may be related to increased sympathetic activity, blood pressure, and metabolic changes, especially in genetically predisposed individuals. The aim of this study was to evaluate the response of fatty acids to physical and mental stress in healthy volunteers and the hemodynamic, hormonal, and metabolic implications of these stimuli. Fifteen healthy individuals with a mean age of 31 ± 7 years, of both sexes, were evaluated. They were assessed at baseline and after combined physical and mental stress (isometric exercise test, Stroop color test). Blood samples were collected at baseline and after stimulation for glucose, insulin, fatty acid, and catecholamine levels. Blood pressure, heart rate, cardiac output, systemic vascular resistance, and distensibility of the large and small arteries were analyzed. The data obtained at baseline and after stimuli were from the same individual, being the control itself. Compared to baseline, after physical and mental stress there was a statistically significant increase (p < .05) in free fatty acids, norepinephrine, diastolic blood pressure, peripheral vascular resistance, and distensibility of the large and small arteries. In conclusion, the combination of physical and mental stress raised fatty acids, norepinephrine, diastolic blood pressure, and peripheral vascular resistance in healthy individuals.
高血压常与代谢变化有关。交感神经活动的持续增加与血压升高和代谢变化有关。环境刺激可能与交感神经活动、血压和代谢变化有关,尤其是在遗传易感性个体中。本研究旨在评估健康志愿者在生理和心理应激下脂肪酸的反应,以及这些刺激的血流动力学、激素和代谢影响。评估了 15 名平均年龄为 31±7 岁的健康志愿者,包括男女。在基线和联合生理和心理应激(等长运动测试、Stroop 颜色测试)后进行评估。在基线和刺激后采集血液样本以检测葡萄糖、胰岛素、脂肪酸和儿茶酚胺水平。分析血压、心率、心输出量、全身血管阻力和大动脉和小动脉的顺应性。与基线相比,生理和心理应激后游离脂肪酸、去甲肾上腺素、舒张压、外周血管阻力和大动脉和小动脉的顺应性均有统计学显著增加(p<.05)。总之,生理和心理应激联合增加了健康个体的脂肪酸、去甲肾上腺素、舒张压和外周血管阻力。