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运动改善心力衰竭所致认知障碍的潜在机制

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心力衰竭已成为世界范围内重要的公共卫生问题.认知障碍作为心力衰竭的重要并发症,严重影响心力衰竭患者的身心健康和生活质量.近年来,国内外研究探讨了心力衰竭导致认知障碍的机制,以及运动改善心力衰竭所致认知障碍的潜在机制.脑灌注不足及其引起的神经炎症、线粒体功能障碍、脑源性神经营养因子减少,以及心脏内分泌功能改变、肠道菌群紊乱可能是心力衰竭导致认知障碍的生物学机制.运动可能通过增加脑灌注、改善外周炎症和神经炎症、改善大脑线粒体功能、提高脑源性神经营养因子水平以及改善肠道菌群失调等多个方面,进而改善心力衰竭所致的认知障碍.
Potential Mechanisms by Which Exercise Improves Cognitive Impairment Caused by Heart Failure
Heart failure has become a significant public health problem worldwide.and cogni-tive impairment,as a critical complication,severely affects the physical and mental health as well as the quality of life of patients with heart failure.In recent years,researches at home and abroad have explored the mechanism of cognitive impairment caused by heart failure and the potential mechanism of exercise in improving cognitive impairment caused by heart failure.In-sufficient cerebral perfusion and its caused neuroinflammation,mitochondrial dysfunction,reduc-tion of brain-derived neurotrophic factor,as well as changes in cardiac endocrine function and dis-orders of gut microbiome may be the biological mechanisms of heart failure-induced cognitive im-pairment.Exercise may improve cognitive impairment caused by heart failure through multiple mechanisms,including increasing brain perfusion,improving peripheral inflammation and neuro-inflammation,improving mitochondrial function in the brain,increasing the level of brain-derived neurotrophic factor,and improving gut microbiome dysbiosis.

exerciseheart failurecognitive impairmentcerebral perfusioninflammation

赖雨、王世强、罗丹、杨鄂、马仁涛、郑华涛

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湖南工业大学,湖南株洲,412007

体质健康和运动健身湖南省重点实验室,湖南株洲,412007

运动 心力衰竭 认知障碍 脑灌注 炎症

中国博士后科学基金特别资助项目

2020T130489

2024

中国体育科技
国家体育总局体育信息研究所

中国体育科技

CSTPCDCSSCICHSSCD北大核心
影响因子:1.31
ISSN:1002-9826
年,卷(期):2024.60(7)