Cardiovascular Stress Response Lab, School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON, K7L 3N6, Canada.
Muscle Physiology Lab, School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
Eur J Appl Physiol. 2023 Dec;123(12):2733-2746. doi: 10.1007/s00421-023-05209-0. Epub 2023 Jun 25.
There is some evidence that transient endothelial dysfunction induced by acute hyperglycemia may be attenuated by a single bout of aerobic exercise. However, the impact of aerobic exercise training on acute hyperglycemia-induced endothelial dysfunction has not been explored. The purpose of this study was to determine the impact of aerobic exercise training on the endothelial function response to acute hyperglycemia. Brachial artery flow-mediated dilation (FMD) was assessed in 24 healthy males (21 ± 1 years) pre-, 60 and 90 min post ingestion of 75 g of glucose. Participants completed a four-week control (CON; n = 13) or exercise training (EX; n = 11) intervention. The EX group completed four weeks of cycling exercise (30 min, 4×/week at 65% work rate peak). Cardiorespiratory fitness ([Formula: see text]Opeak) increased and resting HR decreased in EX, but not CON post-intervention (p < 0.001). Glucose and insulin increased (p < 0.001) following glucose ingestion, with no significant difference pre- and post-intervention. In contrast to previous research, FMD was unaffected by glucose-ingestion, pre- and post-intervention in both groups. In conclusion, acute hyperglycemia did not impair endothelial function, before or after exercise training. Relatively high baseline fitness ([Formula: see text]Opeak ~ 46 mL/kg/min) and young age may have contributed to the lack of impairment observed. Further research is needed to examine the impact of exercise training on hyperglycemia-induced impairments in endothelial function in sedentary males and females.
有证据表明,急性高血糖引起的短暂内皮功能障碍可能会被单次有氧运动减轻。然而,有氧运动训练对急性高血糖引起的内皮功能障碍的影响尚未被探索。本研究的目的是确定有氧运动训练对急性高血糖引起的内皮功能反应的影响。在 24 名健康男性(21±1 岁)中,在摄入 75 克葡萄糖前、60 分钟和 90 分钟时评估肱动脉血流介导的扩张(FMD)。参与者完成了四周的对照(CON;n=13)或运动训练(EX;n=11)干预。EX 组完成了四周的自行车运动(30 分钟,每周 4 次,工作率峰值的 65%)。运动后,EX 组的心肺功能([Formula: see text]Opeak)增加,静息心率降低,但 CON 组没有(p<0.001)。葡萄糖和胰岛素在摄入葡萄糖后增加(p<0.001),干预前后无显著差异。与之前的研究不同,FMD 在干预前后均不受葡萄糖摄入的影响。结论是,急性高血糖在前和运动训练后都没有损害内皮功能。相对较高的基线体能([Formula: see text]Opeak~46mL/kg/min)和年轻可能是导致观察到的没有损害的原因。需要进一步的研究来检查运动训练对久坐男性和女性高血糖引起的内皮功能障碍的影响。