Yaroshenko Y Y, Zorban Y G, Kuznetsov N K, Kakurin A G, Popov V K, Yazulin V L
Hypokinetic Physiology Laboratory, Athens, Greece.
Wien Klin Wochenschr. 1998 Mar 27;110(6):225-31.
The aim of this study was to evaluate the effect of an acute rigorous bed rest (ABR) (abrupt confinement to a rigorous bed rest regimen) and a rigorous bed rest (RBR) regimen on serum concentrations of thyroid hormones and lipids. The studies were done during seven days of a pre bed rest period and during seven days of an ABR and RBR period. Thirty endurance trained male volunteers aged 22 to 26 years with a peak oxygen uptake of 66.0 mL.min-1.kg-1 and running an average of 14.0 km.day-1 were chosen as subjects. They were divided equally into three groups: (one) ten athletes placed under ambulatory conditions served as ambulatory control subjects (ACS), (two) ten athletes subjected to an acute rigorous bed rest regimen served as acute bed rested subjects (ABRS) and (three) ten athletes submitted to a rigorous bed rest regimen served as rigorous bed rested subjects (RBRS). For the simulation of the effect of ABR the ABRS group was submitted abruptly to a rigorous bed rest regimen. They did not have any prior knowledge of the exact date and time when they would be asked to submit to the RBR. For the simulation of the effect of RBR the RBRS group was subjected to a rigorous bed rest regimen on a predetermined date and time known to them right from the start of the study. During the pre bed rest period and during the ABR and RBR periods serum concentrations of thyroxine (T3), triiodothyronine (T4), thyroid-stimulating hormone (TSH), cholesterol, triglycerides, total protein and albumin were measured. In the ABRS and RBRS groups serum concentrations of T3, T4, TSH, cholesterol, triglycerides, total protein and albumin increased significantly when compared with the ACS group. Serum concentrations of thyroid hormones and lipids in the ABRS group increased much faster and were more pronounced than in the RBRS group. It is concluded that exposure to RBR and, especially, to ABR conditions induces significant increases in serum concentrations of thyroid hormones and lipids. These changes occurred much earlier and were much greater in the ABRS group than in the RBRS group.
本研究的目的是评估急性严格卧床休息(ABR,即突然限制在严格的卧床休息方案下)和严格卧床休息(RBR)方案对甲状腺激素和血脂血清浓度的影响。研究在卧床休息前七天以及ABR和RBR期间的七天内进行。选取了30名年龄在22至26岁之间、峰值摄氧量为66.0 mL·min⁻¹·kg⁻¹且平均每天跑步14.0公里的耐力训练男性志愿者作为研究对象。他们被平均分为三组:(一)十名处于非卧床状态的运动员作为非卧床对照受试者(ACS);(二)十名接受急性严格卧床休息方案的运动员作为急性卧床休息受试者(ABRS);(三)十名接受严格卧床休息方案的运动员作为严格卧床休息受试者(RBRS)。为模拟ABR的效果,ABRS组被突然置于严格的卧床休息方案下。他们事先并不知道会在何时被要求进行严格卧床休息。为模拟RBR的效果,RBRS组在研究开始时就已知的预定日期和时间接受严格卧床休息方案。在卧床休息前期间以及ABR和RBR期间,测量血清甲状腺素(T3)、三碘甲状腺原氨酸(T4)、促甲状腺激素(TSH)、胆固醇、甘油三酯、总蛋白和白蛋白的浓度。与ACS组相比,ABRS组和RBRS组的血清T3、T4、TSH、胆固醇、甘油三酯、总蛋白和白蛋白浓度显著升高。ABRS组甲状腺激素和血脂的血清浓度升高速度更快且更为明显,高于RBRS组。研究得出结论,暴露于RBR条件下,尤其是ABR条件下,会导致甲状腺激素和血脂的血清浓度显著升高。这些变化在ABRS组比在RBRS组出现得更早且程度更大。