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动脉僵硬度对长时间久坐和高血糖指数膳食的反应:一项双盲、随机交叉试验。

Arterial stiffness responses to prolonged sitting combined with a high-glycemic-index meal: a double-blind, randomized crossover trial.

机构信息

Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

School of Sport and Exercise, University of Gloucestershire, Gloucester, United Kingdom.

出版信息

J Appl Physiol (1985). 2021 Jul 1;131(1):229-237. doi: 10.1152/japplphysiol.00030.2021. Epub 2021 May 27.

Abstract

Regular exposure to uninterrupted prolonged sitting and the consumption of high-glycemic-index (HGI) meals is independently associated with increased cardiovascular disease risk. Sitting for as little as 1 h can impair the health of both peripheral and central arteries. However, it is currently unknown whether combined acute exposure to uninterrupted prolonged sitting and an HGI meal is more detrimental to global (peripheral and central) vascular health. The purpose of this study was to investigate the effect of prolonged sitting (3 h), following the consumption of an HGI or a low-glycemic-index (LGI) meal, on global pulse wave velocity (G-PWV). Eighteen healthy participants [70% female, mean (standard deviation, SD) age = 22.6 (3.1) yr, body mass index (BMI) = 25.5 (6.1) kg/m] sat for 3 h after consuming an HGI or LGI meal. G-PWV was assessed by incorporating three PWV measures (carotid-femoral, brachial-femoral, and femoral-ankle). The effects of time (PRE vs. POST) and condition (LGI vs. HGI) were analyzed using linear mixed models. Following prolonged sitting, G-PWV increased by 0.29 m/s (i.e., PRE vs. POST). However, the condition ( = 0.987) and time × condition ( = 0.954) effects were nonsignificant. The current findings support previous research showing an increase in arterial stiffness with prolonged sitting. However, in young and healthy adults, the arterial stiffness response was not worsened through HGI meal consumption. We used novel statistical techniques and study design characteristics to examine how the cardiovascular disruptions due to prolonged sitting are changed after the consumption of low- and high-glycemic-index meals. The current study indicates that changes in arterial stiffness due to prolonged sitting are not worsened in young, healthy adults after the consumption of a high-glycemic-index meal.

摘要

经常暴露于无间断的长时间久坐和高血糖指数(HGI)膳食的摄入与心血管疾病风险的增加独立相关。久坐 1 小时即可损害外周和中央动脉的健康。然而,目前尚不清楚急性长时间久坐和 HGI 膳食同时暴露是否对整体(外周和中央)血管健康更有害。本研究的目的是调查在摄入 HGI 或低血糖指数(LGI)膳食后,长时间久坐(3 小时)对整体脉搏波速度(G-PWV)的影响。18 名健康参与者[70%为女性,平均(标准差,SD)年龄=22.6(3.1)岁,体重指数(BMI)=25.5(6.1)kg/m]在摄入 HGI 或 LGI 膳食后,静坐 3 小时。通过整合三个脉搏波速度测量(颈动脉-股动脉、肱动脉-股动脉和股动脉-踝动脉)来评估 G-PWV。使用线性混合模型分析时间(PRE 与 POST)和条件(LGI 与 HGI)的效果。长时间久坐后,G-PWV 增加了 0.29 m/s(即 PRE 与 POST)。然而,条件(=0.987)和时间×条件(=0.954)的效果不显著。目前的研究结果支持先前的研究,表明长时间久坐会导致动脉僵硬度增加。然而,在年轻和健康的成年人中,HGI 膳食的摄入并没有使动脉僵硬度的反应恶化。我们使用了新颖的统计技术和研究设计特点来研究由于长时间久坐导致的心血管紊乱在摄入低和高血糖指数膳食后的变化。目前的研究表明,在年轻健康的成年人中,长时间久坐导致的动脉僵硬度变化在摄入高血糖指数膳食后不会恶化。

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