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绝经前和绝经后女性中连续坐姿对中心和外周心血管功能的影响。

The impact of uninterrupted sitting on central and peripheral cardiovascular function in pre-menopausal and post-menopausal women.

机构信息

School of Natural, Social and Sport Sciences, University of Gloucestershire, Gloucester, UK.

Centre for Cardiovascular Health and Ageing, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.

出版信息

Eur J Appl Physiol. 2024 Oct;124(10):3021-3029. doi: 10.1007/s00421-024-05502-6. Epub 2024 May 27.

Abstract

Independently, both prolonged uninterrupted sitting and the onset of menopause negatively impact markers of cardiovascular risk. Whether their combination augment these responses additively remains unknown. This study assessed whether prolonged uninterrupted sitting causes greater central and peripheral cardiovascular dysfunction in post-menopausal women compared to pre-menopausal women. To address this, 23 healthy women (13 pre-menopausal [43.77 ± 4.30 years] and 10 post-menopausal [57.20 ± 8.55 years]) sat uninterrupted for 2-h. Carotid-femoral pulse wave velocity (cf-PWV), pulse wave analysis (PWA), lower limb venous pooling (HHb), and calf circumference were assessed pre-and post-sitting using general linear mixed models, with age as a covariate. Changes in MAP over time (both between and within groups) was assessed using a two-way repeated-measures-ANOVA. There were no significant interactions for any outcome measures. However, for cf-PWV, there was a significant main effect of group (Δ = 0.854 ± 0.354 m s; p = 0.026, ηp = 0.707). For PWA, only heart rate (HR) and pressure forwards (Pf) showed significant main effects 13 of time [Δ = 6 ± 1 bts-min, p < 0.001, ηp = 0.861] and group [Δ = 3.893 ± 1.450 mmHg, p = 0.016, ηp = 0.271], respectively. Both HHb (Δ = 2.737 ± 0.952, p = 0.009, ηp = 0.742) and calf circumference (Δ = 0.812 ± 0.128 cm, p < 0.001, ηp = 0.863) significantly increased over time. Whilst post-menopausal women demonstrated greater overall arterial stiffness (increased cf-PWV at baseline), there was no difference in cardiovascular response (central or peripheral) to 2-h of prolonged sitting between the pre- and post-menopausal women.

摘要

独立地,长时间不间断的静坐和绝经都会对心血管风险标志物产生负面影响。它们的组合是否会叠加这些反应尚不清楚。本研究评估了长时间不间断的静坐是否会导致绝经后女性比绝经前女性的中心和外周心血管功能障碍更大。为了解决这个问题,23 名健康女性(13 名绝经前[43.77±4.30 岁]和 10 名绝经后[57.20±8.55 岁])连续静坐 2 小时。使用一般线性混合模型,以年龄为协变量,在静坐前后评估颈动脉-股动脉脉搏波速度(cf-PWV)、脉搏波分析(PWA)、下肢静脉充血(HHb)和小腿周长。使用双向重复测量方差分析评估 MAP 在时间上的变化(组间和组内)。对于任何结果测量,都没有显著的交互作用。然而,对于 cf-PWV,组间存在显著的主要影响(Δ=0.854±0.354 m s;p=0.026,ηp=0.707)。对于 PWA,只有心率(HR)和压力前向(Pf)显示出时间上的显著主要影响[Δ=6±1 bts-min,p<0.001,ηp=0.861]和组间的显著主要影响[Δ=3.893±1.450 mmHg,p=0.016,ηp=0.271]。HHb(Δ=2.737±0.952,p=0.009,ηp=0.742)和小腿周长(Δ=0.812±0.128 cm,p<0.001,ηp=0.863)在时间上均显著增加。虽然绝经后女性的动脉僵硬程度总体较高(基线时 cf-PWV 增加),但绝经前和绝经后女性在长时间静坐 2 小时后的心血管反应(中心或外周)没有差异。

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