急性阻力運動對心肌灌流與左心室耗能指標變化之影響－規律阻力與混合訓練族群比較

Chang-Lun Shu; Shiou-Shu Huang; Lian-Yu Lin; Hsin-Fu Lin

doi:10.6222/pej.202309_56(3).0003

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P285 - 298

社会科学 > 体育学

DOI： 10.6222/pej

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急性阻力运动对心肌灌流与左心室耗能指标变化之影响－规律阻力与混合训练族群比较

Effects of acute resistance exercise on myocardial perfusion and left ventricular energy waste: Comparisons between habitually resistance-trained only and combined exercise-trained populations

舒章纶(Chang-Lun Shu) ；黄袖舒(Shiou-Shu Huang) ；林亮宇(Lian-Yu Lin) ；林信甫(Hsin-Fu Lin)

体育学报； 56 卷 3 期 (2023 / 09 / 01) ， P285 - 298

繁体中文;英文 DOI： 10.6222/pej.202309_56(3).0003

脉波传导速度；心脏收缩间隔指标；心肌内膜下活力率； pulse wave velocity ； systolic time intervals ； subendocardial viability ratio

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摘要 │ 参考文献 (33) │ 国际计量

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Introduction: We aimed to compare differences in pulse wave velocity (PWV) parameters between resistance-trained individuals and those without habitual aerobic training and to investigate whether the changes in myocardial perfusion and left ventricular energy waste in response to different intensities of acute resistance exercise differed between the groups. Methods: This study used a repeated measures design. Twenty-two habitually resistance-trained men were recruited and divided into a combined exercise-trained group (aerobic and resistance exercise training [RT+ET]; mean age = 23 ± 1 years; n = 11) and a resistance-trained only group (RT; mean age = 25 ± 1 years; n = 11) based on self-reported weekly aerobic exercise time (>150 minutes/week as recommended). Subjects were randomly assigned to perform a single bicep-curl at 40% or 80% 1RM (10 repetitions/set, 5 sets), respectively, after performing different PWV tests (ultrafast local carotid PWV and carotid- femoral and brachial-ankle PWV) and one-repetition maximum of bicep curls (1RM). The exercise sessions were performed at least 24 hours apart. Radial arterial waveforms were acquired before and after exercise using a vascular tonometer to obtain carotid blood pressure, subendocardial viability ratio (SEVR), and left ventricular energy waste. Systolic time intervals (STI) were also used to assess cardiac sympathetic activity. Results: The RT group had a higher PWV than the RT+ET group in all arterial stiffness measures, although these differences were not significant. A single bicep curl exercise at different intensities did not cause a significant increase in carotid arterial pressure in either group. Following exercise, RT showed an increase in carotid pulse pressure at 80% 1RM (p = .07), a significant decrease in SEVR (p = .02), and an increase in left ventricular energy waste (p = .08), which was significantly higher than that in the RT+ET group (p = .02). However, no significant changes in myocardial perfusion and left ventricular energy waste were observed in the RT+ET group after exercise. No significant changes of STI index were observed in either group. Conclusions: The attenuation of cardiac stress induced by an acute bout of high-intensity resistance exercise appears to be better in habitually combined exercise-trained young adults than in their resistance-trained only counterparts, indicating the importance of combining aerobic exercise with a regular training program in this population.

参考文献 ( 33 ) 〈TOP〉

王玉青, Y.-C.,林信甫, H.-F.(2019)。运动後低血压与血流动力学分析之文献回顾。中华体育季刊，33(4)，219-229。
连结：
Anyfanti, P.,Gkaliagkousi, E.,Triantafyllou, A.,Dipla, K.,Zarifis, H.,Arseniou, P.,Lazaridis, A.,Douma, S.(2019).Noninvasive assessment of myocardial perfusion in different blood pressure phenotypes and its association with arterial stiffness indices.American Journal of Hypertension,32(6),557-563.
Casey, D. P.,Nichols, W. W.,Braith, R. W.(2008).Impact of aging on central pressure wave reflection characteristics during exercise.American Journal of Hypertension,21(4),419-424.
Chemla, D.,Nitenberg, A.,Teboul, J. L.,Richard, C.,Monnet, X.,le Clesiau, H.,Valensi, P.,Brahimi, M.(2008).Subendocardial viability ratio estimated by arterial tonometry: A critical evaluation in elderly hypertensive patients with increased aortic stiffness.Clinical and Experimental Pharmacology and Physiology,35(8),909-915.
Cheng, H. M.,Chuang, S. Y.,Hsu, P. F.,Chou, P.,Chen, C. H.(2005).Systolic time intervals revisited: Correlations with Nterminal pro-brain natriuretic peptide in a community population.Heart Vessels,20(6),256-263.

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