Helpful to Live Healthier? Intermittent Hypoxic/Ischemic Training Benefits Vascular Homeostasis and Lipid Metabolism with Activating SIRT1 Pathways in Overweight/Obese Individuals.

IF 3.9 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Obesity Facts Pub Date : 2024-01-01 Epub Date: 2024-01-05 DOI:10.1159/000536093
Xueqiao Jiao, Moqi Liu, Rui Li, Jialu Li, Lu Wang, Guowei Niu, Liming Wang, Xunming Ji, Chunmei Lv, Xiuhai Guo
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Abstract

Introduction: The present study aimed to investigate whether and how normobaric intermittent hypoxic training (IHT) or remote ischemic preconditioning (RIPC) plus normoxic training (RNT) has a synergistic protective effect on lipid metabolism and vascular function compared with normoxic training (NT) in overweight or obese adults.

Methods: A total of 37 overweight or obese adults (36.03 ± 10.48 years) were randomly assigned to 3 groups: NT group (exercise intervention in normoxia), IHT group (exercise intervention in normobaric hypoxic chamber), and RNT group (exercise intervention in normoxia + RIPC twice daily). All participants carried out the same 1-h exercise intervention for a total of 4 weeks, 5 days per week. Physical fitness parameters were evaluated at pre- and postexercise intervention.

Results: After training, all three groups had a significantly decreased body mass index (p < 0.05). The IHT group had reduced body fat percentage, visceral fat mass (p < 0.05), blood pressure (p < 0.01), left ankle-brachial index (ABI), maximal heart rate (HRmax) (p < 0.05), expression of peroxisome proliferator-activated receptor-γ (PPARγ) (p < 0.01) and increased expression of SIRT1 (p < 0.05), VEGF (p < 0.01). The RNT group had lowered waist-to-hip ratio, visceral fat mass, blood pressure (p < 0.05), and HRmax (p < 0.01).

Conclusion: IHT could effectively reduce visceral fat mass and improve vascular elasticity in overweight or obese individuals than pure NT with the activation of SIRT1-related pathways. And RNT also produced similar benefits on body composition and vascular function, which were weaker than those of IHT but stronger than NT. Given the convenience and economy of RNT, both intermittent hypoxic and ischemic training have the potential to be successful health promotion strategies for the overweight/obese population.

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有助于更健康地生活?--间歇性缺氧/缺血性训练可通过激活超重/肥胖者的 SIRT1 通路,改善血管稳态和脂质代谢。
导言:本研究旨在探讨与常氧训练(NT)相比,常压间歇缺氧训练(IHT)或远程缺血预处理(RIPC)加常氧训练(RNT)是否以及如何对超重或肥胖成人的脂质代谢和血管功能产生协同保护作用:将 37 名超重或肥胖成人(36.03 ± 10.48 岁)随机分配到 3 个组:NT组(常压缺氧状态下的运动干预)、IHT组(常压缺氧状态下的运动干预)和RNT组(常压缺氧状态下的运动干预 + 每天两次RIPC)。所有参与者都进行了同样的一小时运动干预,共持续四周,每周五天。在运动干预前后对体能参数进行评估:结果:训练后,三组的体重指数均明显下降(P < 0.05)。IHT组降低了体脂率、内脏脂肪量(p < 0.05)、血压(p < 0.01)、左ABI、HRmax(p < 0.05)、PPARγ的表达(p < 0.01),增加了SIRT1(p < 0.05)、VEGF(p < 0.01)的表达。RNT组降低了腰臀比、内脏脂肪量、血压(P < 0.05)和心率最大值(P < 0.01):结论:与纯常氧训练相比,IHT能通过激活SIRT1相关通路有效减少超重或肥胖者的内脏脂肪量并改善血管弹性。而 RNT 也对身体成分和血管功能产生了类似的益处,这些益处弱于 IHT,但强于常氧训练。鉴于RNT的方便性和经济性,间歇缺氧训练和缺血训练都有可能成为超重/肥胖人群的成功健康促进策略。
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来源期刊
Obesity Facts
Obesity Facts 医学-内分泌学与代谢
CiteScore
6.80
自引率
5.60%
发文量
77
审稿时长
6-12 weeks
期刊介绍: ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.
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