运动训练改善了关动脉内皮功能,但不会改变患有外周动脉疾病的患者的炎症生物标志物:系统审查和元分析
Junghoon Lee1, Aliasghar Zarezadehmehrizi1, Emily C LaVoy1
1Laboratory of Integrated Physiology, Department of Health and Human Performance, University of Houston, 3875 Holman St, Houston, TX, 77204-6015, USA.
Journal of cardiovascular translational research
|October 23, 2023
概括
运动训练通过增加手臂动脉流媒扩张 (FMD) 来改善外围动脉疾病 (PAD) 患者的血管功能. 然而,运动并没有显著改变这一群体中关键的炎症生物标志物.
科学领域:
- 心血管医学 心血管医学
- 运动生理学 运动生理学
- 炎症研究 炎症研究
背景情况:
- 周围动脉疾病 (PAD) 的特点是血管功能受损和系统性炎症增加.
- 运动训练 (EX) 是PAD的基石疗法,但其对血管功能和炎症的精确影响需要系统评估.
研究的目的:
- 系统地审查运动训练对手臂动脉流媒扩张 (FMD) 和PAD患者炎症生物标志物的影响.
- 确定最佳的运动参数,以改善血管功能和减少PAD的炎症.
主要方法:
- 对包括患有PAD (年龄≥18岁) 的患者在内的研究的系统综述.
- 纳入标准:结构化炼训练 (≥2周),测量手臂动脉口病,测量血液炎症生物标志物.
- 18项研究符合分析的纳入标准.
主要成果:
- 在PAD患者中,运动训练显著增加了手臂动脉口炎.
- 没有观察到运动对C-反应蛋白,互白素-6或瘤坏死因子-α的显著影响.
- 与强度运动相比,中等强度的运动在口和口炎中显示出更大的改善.
结论:
- 运动训练可以提高PAD的血管功能,正如改善的口炎所证明的那样.
- 血管功能的改善似乎独立于系统性炎症标志物的变化.
- 中等强度的运动可能更有利于改善PAD患者的口炎.
相关概念视频
Exercise and Cardiovascular Response
834
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
834
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
14
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
14
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
11
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
11
Peripheral Artery Disease I: Introduction
9
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
9
Exercise and Cardiac Output
1.1K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.1K


