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运动不足及体育锻炼状态下男性的水电解质代谢与肾功能

Fluid-electrolyte metabolism and renal function in men under hypokinesia and physical exercise.

作者信息

Zorbas Y G, Andreyev V G, Popescu L B

机构信息

Danielopolu Institute of Physiology, Bucharest, Romania.

出版信息

Int Urol Nephrol. 1988;20(3):215-23. doi: 10.1007/BF02549507.

Abstract

It has been suggested that hypokinesia (diminished muscular activity)* induces significant changes in fluid-electrolyte metabolism and renal function in physically conditioned men. Thus, the aim of this study was to investigate fluid-electrolyte metabolism and ionoregulatory renal function during 16 days of hypokinesia (HK) and 15 days of readaptation period (RP) in 12 physically conditioned male volunteers aged 19-23 years. They were divided into two equal groups. Group 1 was subjected to HK and intensive physical exercise (PE) and group 2 was submitted to pure HK, that is, without the use of any preventive measures. For the simulation of the hypokinetic effect all of the men were kept under a rigorous bed rest regime. Sodium, potassium, calcium and magnesium, creatinine, urea and osmotic concentration were calculated in blood serum and urine samples. Renal excretion of fluid, osmotically active substances and electrolytes was insignificantly different in the two groups. The level and period of water and electrolyte retention were different with respect to the duration of HK. The basic physiological mechanisms of changes in fluid-electrolyte metabolism were consistent with a reduction of the glomerular filtration rate and a change in water and ion transport of renal tubules. It was concluded that HK induced marked changes in fluid-electrolyte metabolism and renal function in physically conditioned men regardless of their involvement in intensive physical exercise.

摘要

有人提出,运动不足(肌肉活动减少)会导致身体状况良好的男性的体液电解质代谢和肾功能发生显著变化。因此,本研究的目的是调查12名年龄在19 - 23岁、身体状况良好的男性志愿者在16天的运动不足(HK)和15天的重新适应期(RP)期间的体液电解质代谢和离子调节肾功能。他们被分成两组,每组人数相等。第一组接受运动不足和高强度体育锻炼(PE),第二组只接受单纯的运动不足,即不采取任何预防措施。为了模拟运动不足的影响,所有男性都严格卧床休息。计算血清和尿液样本中的钠、钾、钙、镁、肌酐、尿素和渗透浓度。两组的液体、渗透活性物质和电解质的肾脏排泄量无显著差异。水和电解质潴留的水平和时期因运动不足的持续时间而异。体液电解质代谢变化的基本生理机制与肾小球滤过率降低以及肾小管水和离子转运变化一致。得出的结论是,无论是否参与高强度体育锻炼,运动不足都会使身体状况良好的男性的体液电解质代谢和肾功能发生显著变化。

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