衰老和身体活动对左心室合规性的影响
Armin Arbab-Zadeh1, Erika Dijk, Anand Prasad
1Institute for Exercise and Environmental Medicine, Presbyterian Hospital, and University of Texas Southwestern Medical Center, Dallas, Tex 75231, USA.
Circulation
|September 15, 2004
概括
久坐不动的衰老显著降低了左心室的服从性,影响了透缩功能. 然而,耐力训练保留了这一关键的心脏功能,可能会防止老年人心力衰竭.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 运动生理学 运动生理学
背景情况:
- 衰老与左心室服从性降低有关,这可能是老年人心力衰竭的潜在因素.
- 目前尚不清楚这种下降是否是由于衰老或减少体力活动.
研究的目的:
- 为了研究生活方式对左心室在衰老中的遵从性的影响.
- 为了比较久坐不动的老年人,运动大师和年轻人的心脏功能.
主要方法:
- 肺动脉导管治疗用于确定斯塔林和左心室压力-体积曲线.
- 测量包括肺毛细管压力和左心室终端透缩体积.
- 用下体负压和盐水输液来操纵心脏填充.
主要成果:
- 与年轻对照人相比,久坐不动的老年人表现出左心室服从性降低,导致心脏压力升高和心肌壁应激.
- 大师赛的运动员显示左心室顺应性得到保护,压力-体积曲线与年轻成年人无法区分.
- 运动员和久坐不动的老年人中,中风的体积更高,而收缩性相似.
结论:
- 衰老中的久坐不动的生活方式与左心室服从性降低和腹功能障碍有关.
- 持续的耐力训练可以在老年人中保持心室合规性.
- 运动可能是预防老年人心力衰竭的关键.
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