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心肺适能和身体成分对年轻成年人静息及运动后血管健康指标的影响。

Influence of cardiorespiratory fitness and body composition on resting and post-exercise indices of vascular health in young adults.

作者信息

Landers-Ramos Rian Q, Dondero Kathleen, Imery Ian, Reveille Nicholas, Zabriskie Hannah A, Dobrosielski Devon A

机构信息

Towson University, Department of Kinesiology, Towson, MD, USA.

University of Maryland School of Medicine, Department of Physical Therapy and Rehabilitation Sciences, Baltimore, MD, USA.

出版信息

Sports Med Health Sci. 2023 Nov 21;6(1):54-62. doi: 10.1016/j.smhs.2023.11.003. eCollection 2024 Mar.

Abstract

Poor cardiorespiratory fitness may mediate vascular impairments at rest and following an acute bout of exercise in young healthy individuals. This study aimed to compare flow mediated dilation (FMD) and vascular augmentation index (AIx75) between young adults with low, moderate, and high levels of cardiorespiratory fitness before and after an acute bout of aerobic exercise. Forty-three participants (22 men; 21 women) between 18 and 29 years of age completed the study. Participants were classified into low, moderate, and high health-related cardiorespiratory fitness groups according to age- and sex-based relative maximal oxygen consumption (O max) percentile rankings. FMD was performed using Doppler ultrasound and AIx75 was performed using pulse wave analysis at baseline and 60-min after a 30-min bout of treadmill running at 70% O max. A significant interaction ( ​= ​0.047;  ​= ​0.142) was observed, with the moderate fitness group exhibiting a higher FMD post-exercise compared with baseline ([6.7% ​± ​3.1%] vs. [8.5% ​± ​2.8%],  ​= ​0.028;  ​= ​0.598). We found a significant main effect of group for AIx75 ( ​= ​0.023;  ​= ​0.168), with the high fitness group exhibiting lower AIx75 compared to low fitness group ([-10% ​± ​10%] vs. [2% ​± ​10%], respectively,  ​= ​0.019;  ​= ​1.07). This was eliminated after covarying for body fat percentage ( ​= ​0.489). Our findings suggest that resting FMD and AIx75 responses are not significantly influenced by cardiorespiratory fitness, but FMD recovery responses to exercise may be enhanced in individuals with moderate cardiorespiratory fitness levels.

摘要

在年轻健康个体中,心肺适能较差可能会介导静息时以及急性运动后的血管损伤。本研究旨在比较低、中、高心肺适能水平的年轻成年人在急性有氧运动前后的血流介导的血管舒张(FMD)和血管增强指数(AIx75)。43名年龄在18至29岁之间的参与者(22名男性;21名女性)完成了该研究。参与者根据基于年龄和性别的相对最大耗氧量(O₂max)百分位数排名被分为低、中、高健康相关心肺适能组。在基线以及以70% O₂max进行30分钟跑步机跑步后60分钟时,使用多普勒超声进行FMD检测,使用脉搏波分析进行AIx75检测。观察到显著的交互作用(P = 0.047;η² = 0.142),与基线相比,中等适能组运动后FMD更高([6.7% ± 3.1%] 对 [8.5% ± 2.8%],P = 0.028;η² = 0.598)。我们发现AIx75存在显著的组间主效应(P = 0.023;η² = 0.168),与低适能组相比,高适能组的AIx75更低(分别为[-10% ± 10%] 对 [2% ± 10%],P = 0.019;η² = 1.07)。在对体脂百分比进行协变量调整后,这种差异消失(P = 0.489)。我们的研究结果表明,静息时的FMD和AIx75反应不受心肺适能的显著影响,但心肺适能水平中等的个体对运动的FMD恢复反应可能会增强。

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