Viru A, Smirnova T
Institute of Exercise Biology, University of Tartu, Estonia.
Sports Med. 1995 Feb;19(2):123-36. doi: 10.2165/00007256-199519020-00004.
Health is determined not only by the absence of disease, but also by an individual's resistance to pathogenic factors. In turn, resistance depends on the effectiveness of specific homeostatic regulation and the mechanism of general adaptation. Through the change in adaptivity, health may be increased or reduced. While it is difficult to predict which specific homeostatic mechanism will be necessary in various stages of life in the individual, it is more reliable to try to improve health, thereby increasing the effectiveness of the mechanism of general adaptation. Physical training results in a variety of changes in individuals. There are several changes which are essential both for increased exercise performance and for increasing adaptivity, by favouring the effectiveness of the mechanism of general adaptation. These changes: improve central nervous regulation and central nervous system functions; increase endocrine system capacity; increase energy potential; improve the capacity of the oxygen transport system; improve oxidation processes; increase metabolic and functional economy; increase functional stability; and increase the number of Na+,K+ -pumps. The influence of these changes on adaptivity is accomplished by the influence of exercise training on immunoactivities, and by the antisclerotic effect of training. The latter may be considered to be metabolic (actualised through the training effect on lipoprotein metabolism and aging-related calcium distribution) or mechanical (protection of tissues from sclerotic changes by their activities) effects. The training effects are specifically dependent upon performed exercises. Endurance exercise is considered to be the most important and widely recommended form of exercise for health improvement. Most of the training benefits (listed above) for increased adaptivity are induced by aerobic endurance training. Gymnastic exercises are indispensable in regard to mechanical antisclerotic effect. They are also essential influences on the central nervous system. Aerobic dance or aerobic rhythmic gymnastics are ways by which the positive effects of endurance and gymnastic exercise can be combined.
健康不仅取决于没有疾病,还取决于个体对致病因素的抵抗力。反过来,抵抗力又取决于特定稳态调节的有效性和一般适应机制。通过适应性的变化,健康状况可能会提高或降低。虽然很难预测个体在生命的各个阶段需要哪种特定的稳态机制,但试图改善健康状况,从而提高一般适应机制的有效性则更为可靠。体育锻炼会使个体发生多种变化。有几种变化对于提高运动表现和增强适应性至关重要,因为它们有利于一般适应机制的有效性。这些变化包括:改善中枢神经调节和中枢神经系统功能;提高内分泌系统能力;增加能量潜力;提高氧运输系统的能力;改善氧化过程;提高代谢和功能效率;增强功能稳定性;增加钠钾泵的数量。这些变化对适应性的影响是通过运动训练对免疫活性的影响以及训练的抗硬化作用来实现的。后者可被认为是代谢性的(通过对脂蛋白代谢和与衰老相关的钙分布的训练效果来实现)或机械性的(通过组织活动保护其免受硬化变化)作用。训练效果具体取决于所进行的运动。耐力运动被认为是改善健康最重要且被广泛推荐的运动形式。大多数上述增强适应性的训练益处是由有氧耐力训练诱导的。体操运动在机械抗硬化作用方面不可或缺。它们对中枢神经系统也有重要影响。有氧舞蹈或有氧韵律体操是将耐力运动和体操运动的积极效果结合起来的方式。