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在年轻健康成年人中,一次长时间的急性久坐会削弱腘动脉内皮非依赖性扩张功能。

An acute bout of prolonged sitting blunts popliteal endothelium-independent dilation in young, healthy adults.

作者信息

Liu Haoxuan, O'Brien Myles W, Wu Yanlin, Bustamante Carolina M, Kimmerly Derek S

机构信息

Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.

Division of Geriatric Medicine, Department of Medicine, School of Physiotherapy, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

J Appl Physiol (1985). 2023 Mar 1;134(3):521-528. doi: 10.1152/japplphysiol.00712.2022. Epub 2023 Jan 19.

Abstract

A single bout of prolonged uninterrupted sitting increases oxidative stress, reduces popliteal blood flow-induced shear stress, and diminishes endothelium-dependent, flow-mediated dilation (FMD). The FMD response is also influenced by the sensitivity of vascular smooth muscle cells to nitric oxide (i.e., endothelium-independent dilation), which is also attenuated by elevated oxidative stress. However, it is currently unknown whether prolonged sitting impacts popliteal endothelium-independent dilation responses, which may uncover a novel mechanism associated with sitting-induced vascular dysfunction. This study tested the hypothesis that prolonged sitting attenuates both popliteal FMD and endothelium-independent, nitroglycerin-mediated dilation responses (NMD, 0.4 mg sublingual dose). Popliteal blood flow (mL/min), relative FMD (%), and NMD (%) were assessed via duplex ultrasonography before and after a ∼3-h bout of sitting in 14 young, healthy adults (8♀; 22 ± 2 yr). Prolonged sitting attenuated resting blood flow (57 ± 23 to 32 ± 16 mL/min, < 0.001), relative FMD (4.6 ± 2.8% to 2.2 ± 2.5%; = 0.001), and NMD (7.3 ± 4.0% to 4.6 ± 3.0%; = 0.002). These novel findings demonstrate that both endothelium-dependent and independent mechanisms contribute to the adverse vascular consequences associated with prolonged bouts of sitting. We demonstrate that lower-limb vascular smooth muscle function is attenuated in young, healthy adults after an acute bout of prolonged sitting. These data indicate that prolonged sitting-induced vascular dysfunction involves both endothelium-dependent and -independent mechanisms.

摘要

一次长时间不间断的静坐会增加氧化应激,降低腘动脉血流诱导的剪切应力,并削弱内皮依赖性血流介导的血管舒张功能(FMD)。FMD反应还受血管平滑肌细胞对一氧化氮的敏感性(即非内皮依赖性舒张)的影响,而氧化应激升高也会减弱这种敏感性。然而,目前尚不清楚长时间静坐是否会影响腘动脉非内皮依赖性舒张反应,这可能揭示一种与久坐引起的血管功能障碍相关的新机制。本研究检验了以下假设:长时间静坐会减弱腘动脉FMD以及非内皮依赖性硝酸甘油介导的舒张反应(NMD,舌下含服剂量0.4mg)。在14名年轻健康成年人(8名女性;22±2岁)进行约3小时的静坐前后,通过双功超声评估腘动脉血流(mL/分钟)、相对FMD(%)和NMD(%)。长时间静坐减弱了静息血流(从57±23降至32±16 mL/分钟,P<0.001)、相对FMD(从4.6±2.8%降至2.2±2.5%;P = 0.001)和NMD(从7.3±4.0%降至4.6±3.0%;P = 0.002)。这些新发现表明,内皮依赖性和非内皮依赖性机制均导致与长时间静坐相关的不良血管后果。我们证明,在年轻健康成年人进行一次急性长时间静坐后,下肢血管平滑肌功能会减弱。这些数据表明,长时间静坐引起的血管功能障碍涉及内皮依赖性和非内皮依赖性机制。

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