首页|有氧联合抗阻运动降低动脉异常人群内皮损伤和炎症水平

有氧联合抗阻运动降低动脉异常人群内皮损伤和炎症水平

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目的 研究24周有氧联合抗阻运动对动脉异常人群内皮损伤和炎症水平的影响,并比较ICAM-1、hs-CRP、TNF-α和HCY因子的抗炎价值.方法 将30名动脉异常者随机分为对照组和有氧联合抗阻运动组.实验前后分别检测糖脂代谢指标、血管功能指标和炎症水平.结果 1)24周运动干预后,有氧联合抗阻运动组 TC、TG、两侧 ABI、hs-CRP 和 HCY 较实验前显著性下降(p<0.05);LDL-C、FBG、GSP、SBP、两侧 baPWV、ICAM-1 和 TNF-α 非常显著性下降(p<0.01);HDL-C 非常显著性升高(p<0.01).2)baPWV 与 TC、TG、FINS、SBP、HCY、ICAM-1和hs-CRP显著性正相关(p<0.05);ABI与FINS显著性正相关,与HDL-C显著性负相关(p<0.05).3)TNF-α在诊断运动改善炎症水平时有较高的灵敏性和特异性.结论 24周有氧联合抗阻运动可显著降低动脉异常患者的血糖、血脂浓度,改善血管内皮功能及炎症水平.心血管危险因素、炎症因子的改善与baPWV、ABI存在显著相关关系.血清TNF-α的降低在评估运动的抗炎作用上有更好的诊断价值.
Aerobic Combined Resistance Exercise Can Reduce the Level of Endothelial Injury and Inflammation in Patients with Abnormal Arteries
Objective To investigate the effects of 24-week aerobic combined anti-resistance exercise on endothelial injury and inflam-mation in patients with abnormal arteries,and to compare the anti-inflammatory value of ICAM-1,hs-CRP,TNF-α and HCY.Methods 30 patients with abnormal arteries were randomly divided into control group and aerobic combined resistance exercise group.Glucose and lipid metabolism indexes,vascular function indexes and inflammation levels were measured before and after the experi-ment.Results 1)After 24 weeks of exercise intervention,TC,TG,bilateral ABI,hs-CRP and HCY in aerobic combined resistance exercise group were significantly decreased compared with those before the experiment(p<0.05).LDL-C,FBG,GSP,SBP,bilateral baPWV,ICAM-1 and TNF-α were significantly decreased(p<0.01).HDL-C was significantly increased(p<0.01).2)baPWV was positively correlated with TC,TG,FINS,SBP,HCY,ICAM-1 and hs-CRP(p<0.05).ABI was positively correlated with FINS and negatively correlated with HDL-C(p<0.05).3)TNF-α has high sensitivity and specificity in diagnosing exercise to improve inflamma-tion levels.Conclusion 24 weeks of aerobic combined anti-resistance exercise can significantly reduce blood glucose and blood lipid concentration in patients with arterial abnormalities,improve vascular endothelial function and inflammation level.baPWV and ABI were significantly correlated with the improvement of cardiovascular risk factors and inflammatory factors.The reduction of serum TNF-α has a better diagnostic value in evaluating the anti-inflammatory effects of exercise.

aerobic combined resistance exercisearterial abnormalitiesendothelial injuryvascular functioninflammation

孙蕾、李宁川

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扬州大学体育学院,江苏扬州 225127

有氧联合抗阻运动 动脉异常 内皮损伤 血管功能 炎症

教育部人文社会科学研究项目

23YJA890009

2024

湖北体育科技
湖北省体育科学研究所

湖北体育科技

影响因子:0.329
ISSN:1003-983X
年,卷(期):2024.43(2)
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