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积极生活方式对超重和父母有高血压史男性心血管自主调节和氧化应激的影响。

Impact of an active lifestyle on cardiovascular autonomic modulation and oxidative stress in males with overweight and parental history of hypertension.

机构信息

Translational Physiology Laboratory, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil.

State University of Santa Catarina (UDESC), Santa Catarina, Brazil.

出版信息

J Hum Hypertens. 2024 May;38(5):404-412. doi: 10.1038/s41371-024-00895-5. Epub 2024 Jan 30.

Abstract

Family history of hypertension is associated with early autonomic dysfunction and increased oxidative stress. These alterations have been found to be reinforced by the overweight factor. Conversely, an active lifestyle is effective in improving the mechanisms regulating blood pressure control. Hence, we ought to investigate the effects of an active lifestyle on the hemodynamic, autonomic and oxidative stress parameters in individuals carrying both family history of hypertension and overweight risk factors. Fifty-six normotensive males were divided into four groups: eutrophic offspring of normotensive parents (EN, n = 12), eutrophic and inactive with hypertensive parents (EH, n = 14), overweight and inactive with hypertensive parents (OH, n = 13), and overweight and physically active with hypertensive parents (OAH, n = 17). Cardiovascular autonomic modulation was assessed by heart rate (HRV) and blood pressure (BPV) variability indexes. Oxidative stress included pro/antioxidant markers and nitrite concentration. Inactive offspring of hypertensive parents (EH and OH) showed higher LF (vs EN), an indicator of sympathetic outflow to the vasculature and reduced anti-oxidant activity (vs EN), while higher pro-oxidant markers were found exclusively in OH (vs EN and EH). Conversely, the OAH group showed bradycardia, higher vagally-mediated HF index (vs OH and EN), lower sympathovagal balance (vs OH) and preserved LF. Yet, the OAH showed preserved pro/antioxidant markers and nitrite levels. Our findings indicates that overweight offspring of hypertensive parents with an active lifestyle have improved hemodynamic, cardiac autonomic modulation and oxidative stress parameters compared to their inactive peers.

摘要

家族性高血压史与早期自主神经功能障碍和氧化应激增加有关。超重因素会加剧这些变化。相反,积极的生活方式可以有效地改善调节血压控制的机制。因此,我们应该研究积极的生活方式对携带高血压家族史和超重危险因素的个体的血液动力学、自主神经和氧化应激参数的影响。56 名血压正常的男性分为四组:血压正常父母的正常体重后代(EN,n=12)、血压正常父母的不活跃和超重(EH,n=14)、血压正常父母的超重和不活跃(OH,n=13)和超重且有高血压父母的活跃(OAH,n=17)。通过心率变异性(HRV)和血压变异性(BPV)指标评估心血管自主神经调节。氧化应激包括促氧化剂/抗氧化剂标志物和亚硝酸盐浓度。不活跃的高血压父母后代(EH 和 OH)表现出较高的 LF(与 EN 相比),这是血管传出交感神经的指标,并且抗氧化活性降低(与 EN 相比),而 OH 中仅发现较高的促氧化剂标志物(与 EN 和 EH 相比)。相反,OAH 组表现出心动过缓、较高的迷走神经介导的 HF 指数(与 OH 和 EN 相比)、较低的交感神经-迷走神经平衡(与 OH 相比)和保留的 LF。然而,OAH 显示出保留的促氧化剂/抗氧化剂标志物和亚硝酸盐水平。我们的研究结果表明,与不活跃的同龄人相比,高血压父母的超重后代如果有积极的生活方式,其血液动力学、心脏自主神经调节和氧化应激参数会得到改善。

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