不同型態離心運動對脈波傳導速率與脂締素之影響

Effects of Different Types of Eccentric Exercise on Pulse Wave Velocity and Adiponectin Response

10.3966/102472972015034801002

黃君秦(Chun-Chin Huang)；蔡政霖(Cheng-Lin Tsai)；王鶴森(Ho-Seng Wang)；丁詩同(Shih-Torng Ding)；林信甫(Hsin-Fu Lin)

心血管疾病 ； 動脈硬化 ； 肌肉損傷 ； 延遲性肌肉痠痛 ； 發炎反應 ； cardiovascular disease ； arterial stiffness ； muscle damage ； delayed onset muscle soreness ； inflammation

體育學報

48卷1期（2015 / 03 / 01）

19 - 31

繁體中文

緒論：心血管疾病（cardiovascular disease, CVD）在老年族群具有高盛行率，同時在 許多國家是造成死亡率上升的重要危險因子。近年研究發現中心脈波傳導速率（carotid-femoral pulse wave velocity, cfPWV）及脂締素（adiponectin, ADN）皆為血管疾病風險預測的臨床指標，其中脂締素被指出具有抗發炎及減緩動脈粥狀硬化作用。雖然離心運動後會引發短暫動脈硬化現象，但不同型態離心運動是否皆會影響cfPWV，且變化是否與ADN有關，目前仍不清楚。故本文主要目的為探討單次下坡跑（EE）與離心阻力運動（RE）對cfPWV與ADN的影響，並了解cfPWV與ADN變化之關係。方法：招募18名健康男性隨機分派至EE組（n=9）與RE組（n=9），正式測驗前分別測得跑步機攝氧峰值（VO2peak）（EE組）與下肢最大肌力（1RM）（RE組）後，其中EE組以75% VO2peak的速度進行30分鐘的下坡跑（-10°），RE組則在斜式腿部推舉機上以120%1RM進行單次離心阻力運動（6次/組，共計10組）。兩組在運動前、運動後90分鐘、24及48小時分別檢測得cfPWV、ADN、肌酸激酶（creatine kinese, CK）及C反應蛋白（C-reactive protein, CRP）。結果：EE組與RE組之CK於運動後各時間點均顯著上升，平均cfPWV也於運動後24（5.47 ± 0.59 m/s）及48（5.44 ± 0.68 m/s）小時顯著高於運動前（5.18 ± 0.47 m/s, p ＜ .05），但ADN及CRP濃度皆無顯著改變（p ＞ .05），cfPWV與AND變化僅在運動後90分鐘達顯著相關（r=- .51, p ＜ .05）。結論：從事不同型態離心運動均會引發肌肉損傷及短暫中心動脈硬化現象，但不會造成脂締素濃度的改變，顯示短暫動脈硬化現象與ADN無直接關係。

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