有氧运动对肥胖青少年颈总动脉血流动力学和结构的影响

Wenxia Shi, Ling Cao, Xianzhe Xu
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摘要

目的随着青少年肥胖人群的急剧增加,肥胖引发的一系列心血管疾病,尤其是动脉粥样硬化,严重威胁着青少年的生命健康。本研究旨在探讨有氧运动干预对肥胖青少年颈总动脉血流动力学和结构的影响。方法40例肥胖青少年(18±2岁)随机分为实验组(EG;n = 20)和对照组(CG;N = 20)。实验组接受12周的有氧运动训练(AET),对照组不进行任何运动干预。对CG和EG的颈动脉进行检查和比较。评估两组患者颈动脉反应。采用彩色多普勒超声检测运动干预前后颈总动脉管径及轴流。用血压计同时测量左肱动脉心率、收缩压和舒张压。结果与CG组比较,EG组外周阻力明显改善(22.90±6.70 VS 29.58±8.71)。p<0.01),收缩压(123.57±7.36 VS 130.25±6.79)。p<0.05),除舒张压外。AET后血流速度(0.28±0.05 VS 0.21±0.05)。p<0.01)和壁面剪应力(6.25±0.90 VS 4.97±1.54)。p<0.05)显著升高,且仅在EG上差异有统计学意义。与CG相比,血管直径持续增大,但EG和CG之间无差异。结论持续12周的定期有氧运动能有效改变肥胖青少年颈总动脉的动态参数,但对动脉内径无明显影响。这些结果表明,12周的有氧运动可以在短时间内引起循环功能内颈总动脉血流量的一些变化。但颈总动脉结构的改变需要经过长期的血流刺激。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OR-022 Effects of aerobic exercise on the hemodynamics and structure of the common carotid artery in obese adolescents
Objective With the population of obese adolescents increases dramatically, a series of cardiovascular diseases, especially atherosclerotic, are triggered by obese which seriously threatens the life and health of teenagers. The aim of this study is to investigate the effects of aerobic exercise intervention on the hemodynamics and structure of the common carotid artery in obese adolescents. Methods  Forty obese adolescents (18 ± 2years) were randomly assigned into the experimental group (EG; n = 20) and control group (CG; n = 20). EG undertook 12 weeks of aerobic exercise training (AET), CG had not any exercise intervention. The carotid artery of both CG and EG were examined and compared. Carotid artery responses were assessed in both groups. Color doppler ultrasound was used to determine the tube diameter and axial flow of the common carotid before and after exercise intervention. The heart rate, systolic and diastolic blood pressure were simultaneously measured on the left brachial artery by a sphygmomanometer. Results Compared with CG, there were improvements of EG in peripheral resistance (22.90±6.70 VS 29.58±8.71. p<0.01) and Systolic blood pressure (123.57±7.36 VS 130.25±6.79. p<0.05) were verified after AET, except diastolic blood pressure. Following AET, blood flow velocity (0.28±0.05 VS 0.21±0.05. p<0.01) and wall shear stress (6.25±0.90 VS 4.97±1.54. p<0.05) increased prominently, which were also significant differences only in EG. In contrast, the vascular diameter demonstrated consistently upper compared with CG, but no differences between EG and CG. Conclusions  Regular aerobic exercise lasting 12 weeks could effectively change the dynamic parameters of the common carotid artery in obese adolescents, but no changes in arterial diameter. These findings indicated that 12 weeks of aerobic exercise can induce some changes of the common carotid artery blood flow within the circulation function in a short time. But the changing in common carotid arteries structure is needed after a long-term blood flow to the stimulation.
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