Costa Herikson Araujo, Dias Carlos José Moraes, Martins Vicenilma de Andrade, de Araujo Sandra Alves, da Silva Daiane Pereira, Mendes Vinícius S, de Oliveira Mário Norberto Sevilio, Mostarda Cristiano Teixeira, Borges Antônio Carlos Romão, Ribeiro Rachel Melo, Filho Natalino Salgado
Programa de Pós-Graduação em Ciências da Saúde, Federal University of Maranhão, São Luís, Maranhão, Brazil.
Núcleo de Atividade Física e Saúde (NAFS) and Laboratório de Adaptações Cardiorrenais ao Exercício Físico (LACE), Federal University of Maranhão, Pinheiro, Maranhão, Brazil.
Exp Physiol. 2021 Apr;106(4):891-901. doi: 10.1113/EP089235. Epub 2021 Mar 10.
What is the central question of this study? Can two non-drug therapies, carvacrol and aerobic physical training, together have additive effects on the reduction of cardiovascular risks and control of arterial hypertension? What is the main finding and its importance? The oral use of carvacrol (20 mg/kg/day) can control sustained hypertension in spontaneously hypertensive rats, and when this use is associated with aerobic physical training, there is a more pronounced effect on the reduction of blood pressure values, making these therapies an adjunct option in the drug treatment of hypertension.
Systemic arterial hypertension is considered the foremost cardiovascular risk factor, and it is important to examine different therapies that help prevent and treat it, especially when associated with other cardiovascular risk factors. In this context, it is known that both carvacrol and aerobic physical training benefit the cardiovascular system. This study investigated the effects of treatment with carvacrol combined with aerobic exercise on hypertensive rats with cardiovascular risk parameters. We used an experimental design with six groups: normotensive control (Wistar rats); hypertensive control (spontaneously hypertensive rats, SHR); positive control rats treated with amlodipine (Aml-20 mg); rats treated with carvacrol (Carv-20 mg); rats trained with exercise (Exer); and rats treated with carvacrol and exercise (ExerCarv). The treatment lasted for 4 weeks, monitoring heart rate and systolic blood pressure (SBP). At the end of the treatment, vascular reactivity tests were performed in addition to biochemical measurements of urea, creatinine, aspartate aminotransferase, alanine aminotransferase, triglycerides, total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, very low density lipoprotein cholesterol, atherogenic indexes, relative heart weight and histopathological analysis of cardiac perivascular tissue. Significant reductions in SBP were observed after the training period, with the ExerCarv group showing a greater magnitude of reduction (∆SBP = 88 ± 10.0 mmHg, 42%). This group also experienced reductions in atherogenic indices and improvement in all analysed lipid parameters, with no differences observed in the Exer group. The findings indicated that the interaction between aerobic exercise and carvacrol offers a greater BP reduction. Exercise is particularly effective for controlling biochemical parameters of cardiovascular risk, regardless of carvacrol use.
本研究的核心问题是什么?香芹酚和有氧体育锻炼这两种非药物疗法联合使用,对降低心血管风险和控制动脉高血压是否具有相加作用?主要发现及其重要性是什么?口服香芹酚(20毫克/千克/天)可控制自发性高血压大鼠的持续性高血压,当这种用法与有氧体育锻炼相结合时,对降低血压值有更显著的效果,使这些疗法成为高血压药物治疗的辅助选择。
系统性动脉高血压被认为是首要的心血管危险因素,研究有助于预防和治疗它的不同疗法很重要,特别是当与其他心血管危险因素相关时。在这种背景下,已知香芹酚和有氧体育锻炼都对心血管系统有益。本研究调查了香芹酚联合有氧运动治疗对具有心血管风险参数的高血压大鼠的影响。我们采用了一个有六组的实验设计:正常血压对照组(Wistar大鼠);高血压对照组(自发性高血压大鼠,SHR);用氨氯地平治疗的阳性对照组大鼠(氨氯地平-20毫克);用香芹酚治疗的大鼠(香芹酚-20毫克);进行运动训练的大鼠(运动组);以及用香芹酚和运动治疗的大鼠(运动香芹酚组)。治疗持续4周,监测心率和收缩压(SBP)。治疗结束时,除了对尿素、肌酐、天冬氨酸转氨酶、丙氨酸转氨酶、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、极低密度脂蛋白胆固醇、致动脉粥样硬化指数、相对心脏重量进行生化测量外,还进行了血管反应性测试以及心脏血管周围组织的组织病理学分析。在训练期后观察到收缩压显著降低,运动香芹酚组显示出更大幅度的降低(收缩压变化量=88±10.0毫米汞柱,42%)。该组的致动脉粥样硬化指数也有所降低,所有分析的脂质参数均有所改善,运动组未观察到差异。研究结果表明,有氧运动和香芹酚之间的相互作用能使血压降低幅度更大。无论是否使用香芹酚,运动对于控制心血管风险的生化参数特别有效。