24小時超級馬拉松對跑者肝膽功能之影響

The Effects of 24 Hours Ultramarathon on Liver Function

黃奕仁(Yi-Jen Huang) ； 吳慧君(Huey-June Wu) ； 陳文茹(Wen-Ju Chen) ； 林孟賢(Meng-Shyan Lin)

《大專體育學刊》 6卷1期 (2004/02) Pp. 275-283

https://doi.org/10.5297/ser.200402_6(1).0023

摘要

The purpose of this study was to investigate the effects of a 24 hours ultramarathon race on the runner's liver function. Eleven participants' (average age 45.1±8.77 yr, height 166.8±6.23cm, weight 60.6±6.96kg) blood samples were obtained before, at the end, after 48 hours, and 9 days after the 2002 International 24h Race IAU Asia 24-Hour Championship for standard blood biochemical test. The results showed that at the end of race, runners' total-bilirubin (BIL-T) and direct-bilirubin (BIL-D) increased significantly (p＜.05), alkaline (ALP), GOT, GPT, LDH significantly increased 1.2, 14.5, 3.4, 3.8 folds respectively, total protein (TP), ALB, GLO, γ-GT did not change significantly. Forty-eight hours after the race, GOT, GPT, LDH were a little decreased but still 7.3, 3.6, 3.1 times higher than the original level. TP, ALB and GLO were decreased significantly, BIL-T, BIL-D, and ALP recovered to the original level before the race. Nine days after the race, most of the functional indexes recovered to standard levels, but the TP and ALB were still significantly lower than the original level. Working amounts were positively related to liver damage level. According to the results we concluded that after 24 hours ultramarathon race, runners' increasing liver enzyme level revealed the damage of liver cells, but the increasing BIL should be due to the higher removal rate of declined red blood cells and not due to the mean blockage of bile duct. More working amount induced more damage to the liver, but it could recover after approximately 9 days.

關鍵字

24小時超級馬拉松 ； 肝膽功能 ； 膽紅素 ； 肝臟酵素 ； 乳酸脫氫酶

並列摘要

The purpose of this study was to investigate the effects of a 24 hours ultramarathon race on the runner's liver function. Eleven participants' (average age 45.1±8.77 yr, height 166.8±6.23cm, weight 60.6±6.96kg) blood samples were obtained before, at the end, after 48 hours, and 9 days after the 2002 International 24h Race IAU Asia 24-Hour Championship for standard blood biochemical test. The results showed that at the end of race, runners' total-bilirubin (BIL-T) and direct-bilirubin (BIL-D) increased significantly (p＜.05), alkaline (ALP), GOT, GPT, LDH significantly increased 1.2, 14.5, 3.4, 3.8 folds respectively, total protein (TP), ALB, GLO, γ-GT did not change significantly. Forty-eight hours after the race, GOT, GPT, LDH were a little decreased but still 7.3, 3.6, 3.1 times higher than the original level. TP, ALB and GLO were decreased significantly, BIL-T, BIL-D, and ALP recovered to the original level before the race. Nine days after the race, most of the functional indexes recovered to standard levels, but the TP and ALB were still significantly lower than the original level. Working amounts were positively related to liver damage level. According to the results we concluded that after 24 hours ultramarathon race, runners' increasing liver enzyme level revealed the damage of liver cells, but the increasing BIL should be due to the higher removal rate of declined red blood cells and not due to the mean blockage of bile duct. More working amount induced more damage to the liver, but it could recover after approximately 9 days.

並列關鍵字

24 hours ultramarathon ； liver function ； BIL ； GOT ； GPT ； LDH

參考文獻

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