Division of Human Environmental Science, Mount Fuji Research Institute, Fuji-yoshida City, Yamanashi, Japan.
Department of Exercise and Sports Science, University of North Carolina, Chapel Hill, NC, USA.
Vasc Med. 2022 Apr;27(2):127-135. doi: 10.1177/1358863X211053381. Epub 2021 Nov 23.
Exposure to uninterrupted prolonged sitting leads to macro- and microvascular complications, which can contribute to increased cardiovascular disease risk. This study investigated the macrovascular and microvascular responses to 3 h of sitting that was: (i) uninterrupted (CON); and (ii) interrupted every 20 min with 1 min light intensity half squats plus calf raises (EX). Twenty healthy participants (21 [SD: 2] years; 21.5 [SD: 1.6] kg/m) were recruited to participate in this randomized cross-over trial. Macrovascular function was quantified using brachial-ankle pulse wave velocity (baPWV) and the lower- and upper-limb arterial stiffness index (ASI). Microvascular function was quantified as the medial gastrocnemius tissue oxygen saturation (StO) area under the curve (AUC) during reactive hyperemia. The baPWV did not significantly change with time ( = 0.594) or by condition ( = 0.772). The arm ASI increased by 3.6 (95% CI: 0.7 to 6.6, effect size [ES] = 0.27) with a nonsignificant condition effect ( = 0.219). There was a significant interaction effect for leg ASI ( = < 0.001), with ASI increasing (impairment) by 18.7 (95% CI: 12.1 to 25.3, ES = 0.63) for CON and decreasing (improvement) by -11.9 (95% CI: -18.5 to -5.3, ES = 0.40) for EX compared to presitting. Similarly, the AUC decreased (detrimental) by 18% (Δ = -321, 95% CI: -543 to -100, ES = 0.32) for CON and increased by 32% (Δ = 588, 95% CI: 366 to 809, ES = 0.59) for EX. The leg ASI was inversely associated with StO AUC (interclass correlation coefficient: -0.66, 95% CI: -0.51 to -0.77). These preliminary findings suggest that regularly interrupting prolonged sitting with simple bodyweight exercises may help to preserve lower-limb vascular function.
暴露于不间断的长时间久坐会导致大血管和微血管并发症,从而增加心血管疾病的风险。本研究旨在探究 3 小时不间断(CON)和每隔 20 分钟中断一次(EX)、每次 1 分钟轻强度半深蹲和小腿抬高运动干预下的大血管和微血管反应。20 名健康参与者(21 [标准差:2] 岁;21.5 [标准差:1.6] kg/m)被招募参与这项随机交叉试验。使用肱踝脉搏波速度(baPWV)和上下肢动脉僵硬度指数(ASI)来量化大血管功能。通过反应性充血期间内侧胫骨前肌组织氧饱和度(StO)的曲线下面积(AUC)来量化微血管功能。baPWV 随时间没有显著变化( = 0.594),也不受条件影响( = 0.772)。手臂 ASI 增加了 3.6(95%CI:0.7 至 6.6,效应量[ES] = 0.27),但条件效应无统计学意义( = 0.219)。腿 ASI 存在显著的交互作用效应( = < 0.001),CON 下 ASI 增加(损害)18.7(95%CI:12.1 至 25.3,ES = 0.63),EX 下 ASI 减少(改善)-11.9(95%CI:-18.5 至 -5.3,ES = 0.40),与静坐前相比。类似地,AUC 下降(有害)18%(Δ=-321,95%CI:-543 至 -100,ES = 0.32),而 EX 下 AUC 增加 32%(Δ=588,95%CI:366 至 809,ES = 0.59)。腿 ASI 与 StO AUC 呈负相关(组间相关系数:-0.66,95%CI:-0.51 至 -0.77)。这些初步发现表明,定期用简单的体重锻炼打断长时间久坐可能有助于维持下肢血管功能。