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体育锻炼可降低轻度高血压患者血浆纤维蛋白原水平

[Physical training exercise reduces the plasma levels of fibrinogen in subjects with mild hypertension].

作者信息

Bettega D, Zanettini R, Ferretti M

机构信息

Centro Emofilia e Trombosi, Angelo Bianchi Bonomi, IRCCS Ospedale Maggiore Policlinico, Università degli Studi di Milano.

出版信息

Ann Ital Med Int. 1995 Jul-Sep;10(3):167-70.

PMID:7577313
Abstract

We evaluated the behaviour of plasma fibrinogen in subjects undergoing physical training in a prospective non-controlled open study, carried out in 14 sedentary, mildly hypertensive individuals (mean age 52 +/- 5 years). Subjects underwent 3 months of controlled physical training (3 times a week) tailored to reach, at each session, 80-90% of maximal heart rate based upon a baseline test. Before and after the period of training, resting systolic and diastolic blood pressure, 24-hour systolic and diastolic blood pressure, plasma fibrinogen, body mass index (BMI), maximum oxygen consumption (VO2max), serum cholesterol and triglycerides were evaluated. After training VO2 max increased (24 +/- 5 vs 30 +/- 5 mL/Kg/min, p < 0.01); there were no variations in BMI (24 +/- 2 vs 23 +/- 2 Kg/m2, p = 0.35), cholesterol (220 +/- 30 vs 213 +/- 36 mg/dL, p = 0.41) or triglycerides (117 +/- 51 vs 118 +/- 37 mg/dL, p = 0.58). Resting systolic (148 +/- 10 vs 133 +/- 10 mmHg, p < 0.01) and diastolic blood pressure (97 +/- 5 vs 85 +/- 6 mmHg, p < 0.01) and 24-hour systolic (135 +/- 6 vs 129 +/- 5 mmHg, p < 0.01) and diastolic blood pressure (86 +/- 7 vs 81 +/- 6 mmHg, p < 0.01) decreased; plasma fibrinogen also decreased (324 +/- 60 vs 278 +/- 53 mg/dL, p < 0.01). Eight individuals tested 5 months after cessation of training, showed a return of fibrinogen, blood pressure and VO2 max to baseline values.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在一项前瞻性非对照开放性研究中,我们评估了进行体育锻炼的受试者血浆纤维蛋白原的变化情况。该研究纳入了14名久坐不动的轻度高血压个体(平均年龄52±5岁)。受试者接受了为期3个月的有控制的体育锻炼(每周3次),每次锻炼根据基线测试将心率达到最大心率的80 - 90%。在训练前后,评估了静息收缩压和舒张压、24小时收缩压和舒张压、血浆纤维蛋白原、体重指数(BMI)、最大耗氧量(VO2max)、血清胆固醇和甘油三酯。训练后VO2max增加(24±5 vs 30±5 mL/Kg/min,p < 0.01);BMI(24±2 vs 23±2 Kg/m2,p = 0.35)、胆固醇(220±30 vs 213±36 mg/dL,p = 0.41)或甘油三酯(117±51 vs 118±37 mg/dL,p = 0.58)无变化。静息收缩压(148±10 vs 133±10 mmHg,p < 0.01)和舒张压(97±5 vs 85±6 mmHg,p < 0.01)以及24小时收缩压(135±6 vs 129±5 mmHg,p < 0.01)和舒张压(86±7 vs 81±6 mmHg,p < 0.01)下降;血浆纤维蛋白原也下降(324±60 vs 278±53 mg/dL,p < 0.01)。8名个体在停止训练5个月后进行测试,结果显示纤维蛋白原、血压和VO2max恢复到基线值。(摘要截断于250字)

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