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连续长时间久坐联合高脂肪餐对中心动脉和外周动脉僵硬度的影响:一项随机对照交叉试验。

Central and peripheral arterial stiffness responses to uninterrupted prolonged sitting combined with a high-fat meal: a randomized controlled crossover trial.

机构信息

School of Sport and Exercise, University of Gloucestershire, Gloucestershire, UK.

School of Health Sciences, Birmingham City University, Birmingham, UK.

出版信息

Hypertens Res. 2021 Oct;44(10):1332-1340. doi: 10.1038/s41440-021-00708-z. Epub 2021 Aug 2.

DOI:10.1038/s41440-021-00708-z
PMID:34334790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8490151/
Abstract

Independently, prolonged uninterrupted sitting and the consumption of a meal high in saturated fats acutely disrupt normal cardiovascular function. Currently, the acute effects of these behaviors performed in combination on arterial stiffness, a marker of cardiovascular health, are unknown. This study sought to determine the effect of consuming a high-fat meal (Δ = 51 g fat) in conjunction with prolonged uninterrupted sitting (180 min) on measures of central and peripheral arterial stiffness. Using a randomized crossover design, 13 young healthy males consumed a high-fat (61 g) or low-fat (10 g) meal before 180 min of uninterrupted sitting. Carotid-femoral (cf) and femoral-ankle (fa) pulse wave velocity (PWV), aortic-femoral stiffness gradient (af-SG), superficial femoral PWV beta (β), and oscillometric pulse wave analysis outcomes were assessed pre and post sitting. cfPWV increased significantly more following the high-fat (mean difference [MD] = 0.59 m·s) meal than following the low-fat (MD = 0.2 m·s) meal, with no change in faPWV in either condition. The af-SG significantly decreased (worsened) (η = 0.569) over time in the high- and low-fat conditions (ratio = 0.1 and 0.1, respectively). Superficial femoral PWV significantly increased over time in the high- and low-fat conditions (η = 0.321; 0.8 and 0.4 m·s, respectively). Triglycerides increased over time in the high-fat trial only (η = 0.761). There were no significant changes in blood pressure. Consuming a high-fat meal prior to 180 min of uninterrupted sitting augments markers of cardiovascular disease risk more than consuming a low-fat meal prior to sitting.

摘要

独立地,长时间不间断的坐姿和摄入高脂肪餐会严重扰乱正常的心血管功能。目前,尚不清楚这些行为同时发生对动脉僵硬(心血管健康的一个标志物)的急性影响。本研究旨在确定在 180 分钟不间断坐姿期间摄入高脂肪餐(增加 51 克脂肪)与长时间不间断坐姿结合对中心和外周动脉僵硬的影响。采用随机交叉设计,13 名年轻健康男性在 180 分钟不间断坐姿之前分别摄入高脂肪(61 克)或低脂肪(10 克)餐。在坐姿前后评估颈动脉-股动脉(cf)和股动脉-踝动脉(fa)脉搏波速度(PWV)、主动脉-股动脉僵硬梯度(af-SG)、股浅动脉 PWVβ(β)和振荡脉搏波分析结果。与低脂肪餐相比,高脂肪餐后 cfPWV 显著增加(MD=0.59m·s),而在任何条件下 faPWV 均无变化。af-SG 在高脂肪和低脂肪条件下均随时间显著降低(恶化)(η=0.569)(比值分别为 0.1 和 0.1)。在高脂肪和低脂肪条件下,股浅动脉 PWV 均随时间显著增加(η=0.321;分别为 0.8 和 0.4m·s)。仅在高脂肪试验中,甘油三酯随时间增加(η=0.761)。血压没有显著变化。在 180 分钟不间断坐姿之前摄入高脂肪餐会比摄入低脂肪餐更能增加心血管疾病风险标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcb/8490151/60814d4696fc/41440_2021_708_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcb/8490151/f8910b7c5c22/41440_2021_708_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcb/8490151/60814d4696fc/41440_2021_708_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcb/8490151/f8910b7c5c22/41440_2021_708_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcb/8490151/60814d4696fc/41440_2021_708_Fig2_HTML.jpg

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