Arterial stiffness and sedentary lifestyle: Role of oxidative stress

Arterial stiffness and sedentary lifestyle: Role of oxidative stress
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DOI:
10.1016/j.vph.2015.05.017
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发表时间:
2016-04-01
影响因子:
4
通讯作者:
Davi, Giovanni
Davi, Giovanni
中科院分区:
医学2区
文献类型:
--
作者:
Lessiani, Gianfranco;Santilli, Francesca;Davi, Giovanni

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久坐不动的生活方式是心血管疾病发展的危险因素,并导致血管功能和动脉壁硬化的可量化损害。我们测试了氧化应激作为身体活动不活跃的受试者动脉僵硬度(AS)的决定因素的假设,并在完成8周高强度运动训练(Er)后挑战这些过程的可逆性。AS在ET前后进行评估,用Vicorder设备测量颈动脉至股动脉脉搏波速度(PWV)。在基线和ET后,参与者进行尿液收集和空腹采血。测定尿8-iso-PGF(2 α)(体内脂质过氧化的标志物)、总胆固醇、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇以及甘油三酯浓度。PWV在ET完成后显著降低(p < 0.0001),并且与尿8-iso-PGF(2 α)直接相关(Rho = 0.383,p = 0.021)。ET后,心血管适应性改善[峰值耗氧量(p < 0.0001),峰值心率(p < 0.0001)]。然而,除了甘油三酯显著降低(p = 0.022)外,未观察到血脂谱改善。在整个研究期间,PWV和甘油三酯显著相关(Rho = 0.466,p = 0.005)。在我们以前久坐的受试者中,PWV水平也与尿8-iso-PGF(2 α)相关。我们的结论是,定期体育锻炼可能是一种天然的抗氧化剂策略,降低氧化应激,从而AS程度。(C)2015爱思唯尔公司All rights reserved.
Sedentary lifestyle is a risk factor for the development of cardiovascular disease, and leads to a quantifiable impairment in vascular function and arterial wall stiffening. We tested the hypothesis of oxidative stress as a determinant of arterial stiffness (AS) in physically inactive subjects, and challenged the reversibility of these processes after the completion of an eight-week, high-intensity exercise training (Er).AS was assessed before and after ET, measuring carotid to femoral pulse wave velocity (PWV) with a Vicorder device. At baseline and after ET, participants performed urine collection and underwent fasting blood sampling. Urinary 8-iso-PGF(2 alpha), an in vivo marker of lipid peroxidation, total, HDL and LDL cholesterol, and triglyceride concentrations were measured.ET was associated with significantly reduced urinary 8-iso-PGF(2 alpha)(p < 0.0001) levels. PWV was significantly reduced after ET completion (p < 0.0001), and was directly related to urinary 8-iso-PGF(2 alpha)(Rho = 0.383, p = 0.021). After ET, cardiovascular fitness improved [peak oxygen consumption (p < 0.0001), peak heart rate (p < 0.0001)]. However, no improvement in lipid profile was observed, apart from a significant reduction of triglycerides (p = 0.022). PWV and triglycerides were significantly related (Rho = 0.466, p = 0.005) throughout the study period. PWV levels were also related to urinary 8-iso-PGF(2 alpha) in our previously sedentary subjects. We conclude that regular physical exercise may be a natural antioxidant strategy, lowering oxidant stress and thereby the AS degree. (C) 2015 Elsevier Inc. All rights reserved.