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运动训练可增加血清心肌肌钙蛋白 T,与左心室质量无关。

Exercise Training Increases Serum Cardiac Troponin T Independent of Left Ventricular Mass.

机构信息

Faculty of Education, University of Macau, Taipa, Macao.

Physical Education College, Hebei Normal University, Shijiazhuang, China.

出版信息

Int J Sports Med. 2022 Jun;43(6):505-511. doi: 10.1055/a-1670-7707. Epub 2021 Dec 6.

Abstract

The purpose of this study was to determine whether exercise training mediated cardiac troponin T (cTnT) and whether this was associated with increases in left ventricular mass (LVM). Fifty-four sedentary obese women were randomised to high-intensity interval training (HIIT, repeated 4-min cycling at 90% V̇O interspersed with 3-min rest), work-equivalent continuous aerobic training (CAT, continuous cycling at 60% V̇O) or a control group (CON). Resting serum cTnT was assessed using a high-sensitivity assay before and after 12 weeks of training. LVM was determined from 2D echocardiography at the same timepoints. Both HIIT and CAT induced a similar elevation (median 3.07 to 3.76 ng.l, 0.05) in resting cTnT compared with pre-training and the CON (3.49 to 3.45 ng.l, 0.05). LVM index in HIIT increased (62.2±7.8 to 73.1±14.1 g.m, 0.05), but not in CAT (66.1±9.7 to 67.6±9.6 g.m, 0.05) and CON (67.9±9.5 to 70.2±9.1 g.m, 0.05). Training-induced changes in resting cTnT did not correlate with changes in LVM index (=-0.025, =0.857). These findings suggest that twelve weeks of either HIIT or CAT increased resting cTnT, but the effects were independent of any changes in LVM in sedentary obese women.

摘要

这项研究的目的是确定运动训练是否介导了心肌肌钙蛋白 T(cTnT),以及这是否与左心室质量(LVM)的增加有关。54 名久坐肥胖女性被随机分为高强度间歇训练(HIIT,90% V̇O 重复 4 分钟的自行车运动,间隔 3 分钟休息)、等效工作的连续有氧运动(CAT,60% V̇O 连续自行车运动)或对照组(CON)。在训练前和 12 周后,使用高敏测定法评估静息血清 cTnT。同时在相同时间点通过二维超声心动图确定 LVM。与训练前和 CON 相比,HIIT 和 CAT 均引起静息 cTnT 相似的升高(中位数 3.07 至 3.76 ng.l,0.05)。HIIT 中的 LVM 指数增加(62.2±7.8 至 73.1±14.1 g.m,0.05),但 CAT 中未增加(66.1±9.7 至 67.6±9.6 g.m,0.05)和 CON 中未增加(67.9±9.5 至 70.2±9.1 g.m,0.05)。静息 cTnT 的训练诱导变化与 LVM 指数的变化无关(=-0.025,=0.857)。这些发现表明,12 周的 HIIT 或 CAT 均可增加静息 cTnT,但对久坐肥胖女性的 LVM 无任何变化有影响。

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