有氧運動與高糖餐後動脈硬化之探討

The effect of aerobic exercise on postprandial hyperglycemia-induced arterial stiffening

10.6223/qcpe.202112_35(4).0005

薛智元(Chih-Yuan Hsueh)；童亢(Kong Tong)；林信甫(Hsin-Fu Lin)

動脈功能 ； 發炎反應 ； 心血管疾病 ； vascular function ； inflammatory response ； cardiovascular disease

中華體育季刊

35卷4期（2021 / 12 / 01）

251 - 259

繁體中文

高糖飲食可能會造成動脈硬化，進一步增加罹患心血管疾病的風險；有氧運動則有助於改善動脈硬化。此外，相關研究指出，有氧運動能夠改善高糖餐後引起之動脈硬化、內皮細胞功能損害等問題。因此，執行有氧運動以降低餐後高血糖所引發之心血管問題，為避免飲食引發血管負面效應的可能策略之一。本篇主要統整有氧運動改善高糖餐後動脈硬化之相關文獻，並將其中的運動處方、適用對象、改善指標等進行歸納。期望透過此回顧，提供不同族群改善高糖餐後動脈硬化的運動處方。綜合過去的研究結果發現，長時間（30-60分鐘）或多次短時間（每日累計達30分鐘）之中強度有氧運動，可能改善高糖餐後動脈硬化的現象。此外，餐後運動在抑制餐後高血糖的效果可能更適合需要妥善控制血糖之心血管疾病患者。

Postprandial hyperglycemia has been demonstrated to cause arterial stiffening and subsequent risk of cardiovascular disease (CVD). Additionally, aerobic exercise's beneficial effect was recently shown to attenuate the increase in postprandial arterial stiffness and endothelial function impairment. Therefore, finding effective aerobic exercise engagement to reduce vascular function's adverse effects becomes an indispensable challenge for healthy populations and CVD patients. We reviewed the most recent literature in these regards and aimed to discover effective aerobic exercise prescriptions in preventing the arterial stiffening induced by postprandial hyperglycemia. After a systematic review, a long duration (30-60min) or brief bouts (30min per day) of moderate-intensity aerobic exercise may improve postprandial arterial stiffness. In addition, it seems more suitable for CVD patients to suppress postprandial hyperglycemia by post-meal exercise.

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