Acute effects of binge drinking following aerobic exercise on autonomic and hemodynamic recovery in young men: a randomized crossover trial.

IF 4.6 3区 医学 Q1 CLINICAL NEUROLOGY
Yun Wook Kim, Chang Jin Han, Tae Gu Choi, Byul Kim, Hyun Jeong Kim, Sae Young Jae
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引用次数: 0

Abstract

Purpose: Impaired autonomic and hemodynamic recovery after acute aerobic exercise is linked to greater susceptibility to sudden cardiovascular events. Binge drinking can increase cardiovascular risk, partly through elevations in heart rate, blood pressure, and sympathetic activity, yet alcohol is commonly consumed after exercise. We tested whether binge drinking after acute aerobic exercise delays autonomic and hemodynamic recovery in young men.

Methods: In a randomized crossover design, 14 young men (mean age 25 years; body mass index 25.1 kg/m2) completed a 30-min treadmill run at 55-60% of heart rate reserve, followed immediately by water (360 mL) or alcohol (soju; 360 mL containing 60 g ethanol). Autonomic function was assessed using heart rate variability (HRV); hemodynamics included heart rate, brachial blood pressure, and rate-pressure product (RPP). Measurements were obtained at baseline and at 1 h and 2 h postexercise.

Results: Breath alcohol concentration increased after alcohol ingestion at 1 h (0.08 ± 0.02) and 2 h (0.06 ± 0.02) postexercise (condition × time, p < 0.001). Compared with water, postexercise alcohol delayed autonomic recovery, with persistently reduced HRV and a sustained shift toward sympathetic predominance (higher SNS index, lower PNS index; condition × time, all p ≤ 0.002). Heart rate and rate-pressure product also remained elevated during recovery in the alcohol condition.

Conclusions: Binge drinking after aerobic exercise delays autonomic recovery and increases myocardial oxygen demand in young men, supporting avoidance of alcohol during the early postexercise period.

有氧运动后酗酒对年轻男性自主神经和血流动力学恢复的急性影响:一项随机交叉试验。
目的:急性有氧运动后自主神经和血流动力学恢复受损与突发心血管事件的易感性增加有关。酗酒会增加患心血管疾病的风险,部分原因是心率、血压和交感神经活动升高,但酒精通常是在运动后摄入的。我们测试了急性有氧运动后酗酒是否会延迟年轻男性自主神经和血流动力学的恢复。方法:在随机交叉设计中,14名年轻男性(平均年龄25岁,体重指数25.1 kg/m2)以55-60%的心率储备完成30分钟的跑步机跑步,随后立即喝水(360 mL)或酒精(烧酒;360 mL含60 g乙醇)。采用心率变异性(HRV)评估自主神经功能;血流动力学包括心率、肱血压和心率压积(RPP)。在基线和运动后1小时和2小时测量。结果:运动后1 h(0.08±0.02)和2 h(0.06±0.02)饮酒后呼气酒精浓度升高(条件×时间,p < 0.001)。与水相比,运动后酒精延迟自主神经恢复,持续降低HRV,持续向交感神经优势转移(SNS指数较高,PNS指数较低;条件×时间,均p≤0.002)。在酒精条件下恢复期间,心率和心率压产物也保持升高。结论:有氧运动后狂饮延迟自主神经恢复,增加心肌需氧量,支持在运动后早期避免饮酒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Autonomic Research
Clinical Autonomic Research 医学-临床神经学
CiteScore
7.40
自引率
6.90%
发文量
65
审稿时长
>12 weeks
期刊介绍: Clinical Autonomic Research aims to draw together and disseminate research work from various disciplines and specialties dealing with clinical problems resulting from autonomic dysfunction. Areas to be covered include: cardiovascular system, neurology, diabetes, endocrinology, urology, pain disorders, ophthalmology, gastroenterology, toxicology and clinical pharmacology, skin infectious diseases, renal disease. This journal is an essential source of new information for everyone working in areas involving the autonomic nervous system. A major feature of Clinical Autonomic Research is its speed of publication coupled with the highest refereeing standards.
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