Streicher W, Misner J E, Bloomfield D K, Massey B H
Department of Kinesiology, University of Illinois, Urbana 61801.
J Am Geriatr Soc. 1988 Sep;36(9):795-800. doi: 10.1111/j.1532-5415.1988.tb04262.x.
This study explored hemodynamic responses to positional change in 11 habitually physically active and 11 physically inactive healthy older men (mean age 70 years). Data were collected in the supine, sitting, standing, and 70 degrees upright tilt positions over a 10-minute period (long-term response). Dependent variables were heart rate, stroke volume, cardiac output, total peripheral resistance, and blood pressure. Stroke volume, cardiac output, and total peripheral resistance were expressed per unit body surface area. The results of this study indicated that the physically active older men had significantly lower resting heart rates and significantly higher stroke volume indices in all four positions compared with the physically inactive men. The physically active men also tended to have lower total peripheral resistance indices and higher cardiac indices in all four positions, but the differences were not statistically significant. However, physically active and inactive older men reacted similarly (with respect to all hemodynamic variables except the stroke volume index) in the sitting, standing and 70 degrees upright tilt positions as compared with the supine; the stroke volume index decreased significantly more compared with that of the supine in the physically active men.
本研究探讨了11名习惯进行体育活动的健康老年男性和11名缺乏体育活动的健康老年男性(平均年龄70岁)对体位变化的血流动力学反应。在10分钟内收集了仰卧位、坐位、站立位和70度直立倾斜位的数据(长期反应)。因变量包括心率、每搏输出量、心输出量、总外周阻力和血压。每搏输出量、心输出量和总外周阻力均以单位体表面积表示。本研究结果表明,与缺乏体育活动的男性相比,经常进行体育活动的老年男性在所有四个体位下的静息心率显著更低,每搏输出量指数显著更高。经常进行体育活动的男性在所有四个体位下的总外周阻力指数也往往更低,心脏指数更高,但差异无统计学意义。然而,与仰卧位相比,经常进行体育活动和缺乏体育活动的老年男性在坐位、站立位和70度直立倾斜位时的反应相似(除每搏输出量指数外的所有血流动力学变量);与仰卧位相比,经常进行体育活动的男性的每搏输出量指数下降更为显著。