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運動訓練介入對左心室構造功能之影響

Effects of Exercise Training Intervention on the Left Ventricular Structure and Function

摘要


This study examined the effects of exercise training intervention on the left ventricular structure and function. Twenty-four males (mean age 20.4±1.7 years, height 174±5.3 cm, weight 72.0±12.5 kg) were randomly assigned to exercise (B) and control (C) groups. The magnetic resonance imaging was used to measure the end diastolic and systolic left ventricular mass, left ventricular wall thickness, end diastolic volume, end systolic volume, stroke volume, cardiac output, ejection fraction, peak ejection rate and peak filling rate. The cardiovascular endurance was assessed by Sensor Medics 2900 combination treadmill. Subjects underwent all tests at baseline after one-year training. The exercise training intensity was 75% of VO(subscript 2max) running and the duration time was 45 minutes, three days per week. The resistant training was two days per week, two sets and 12-15 repetitions recommended by ACSM. The control group maintained their life-style. The result showed that Group B was significantly higher than group C in end-diastolic left ventricular mass (98.7±4.0g vs. 85.8±3.8 g, p<.05) and end-systolic left ventricular mass (126.3±3.2 vs. 113.8±3.0 g, p<.05). Group E was significantly higher than group C in left ventricular wall thickness (posterior of apex: 8.1±0.6 vs. 6.0±0.6 mm, septum of apex: 7.7±0.5 vs. 6.1±0.5 mm, and septum of medial: 7.7±0.5 vs. 6.7±0.4 mm p<.05). However, there was no significant difference in end-diastolic volumes, end-systolic volumes, stroke volume, cardio output, ejection fraction, peak ejection rate, and peak filling rate (p>.05) between the two groups. Group E was significantly higher than group C in maximal oxygen uptake (57.0±1.7 vs. 47.8±1.7 ml•kg^(-1)•min^(-1) and 4.0±0.1 vs. 3.6±0.1, L•min^(-1), p<.05). It was concluded that there were significant improvements on cardiovascular endurance, left ventricular mass, left ventricular wall thickness but no effects on the left ventricular function after exercise training.

關鍵字

運動訓練 左心室 磁振造影

並列摘要


This study examined the effects of exercise training intervention on the left ventricular structure and function. Twenty-four males (mean age 20.4±1.7 years, height 174±5.3 cm, weight 72.0±12.5 kg) were randomly assigned to exercise (B) and control (C) groups. The magnetic resonance imaging was used to measure the end diastolic and systolic left ventricular mass, left ventricular wall thickness, end diastolic volume, end systolic volume, stroke volume, cardiac output, ejection fraction, peak ejection rate and peak filling rate. The cardiovascular endurance was assessed by Sensor Medics 2900 combination treadmill. Subjects underwent all tests at baseline after one-year training. The exercise training intensity was 75% of VO(subscript 2max) running and the duration time was 45 minutes, three days per week. The resistant training was two days per week, two sets and 12-15 repetitions recommended by ACSM. The control group maintained their life-style. The result showed that Group B was significantly higher than group C in end-diastolic left ventricular mass (98.7±4.0g vs. 85.8±3.8 g, p<.05) and end-systolic left ventricular mass (126.3±3.2 vs. 113.8±3.0 g, p<.05). Group E was significantly higher than group C in left ventricular wall thickness (posterior of apex: 8.1±0.6 vs. 6.0±0.6 mm, septum of apex: 7.7±0.5 vs. 6.1±0.5 mm, and septum of medial: 7.7±0.5 vs. 6.7±0.4 mm p<.05). However, there was no significant difference in end-diastolic volumes, end-systolic volumes, stroke volume, cardio output, ejection fraction, peak ejection rate, and peak filling rate (p>.05) between the two groups. Group E was significantly higher than group C in maximal oxygen uptake (57.0±1.7 vs. 47.8±1.7 ml•kg^(-1)•min^(-1) and 4.0±0.1 vs. 3.6±0.1, L•min^(-1), p<.05). It was concluded that there were significant improvements on cardiovascular endurance, left ventricular mass, left ventricular wall thickness but no effects on the left ventricular function after exercise training.

參考文獻


林瑞興、吳銘庭(2003)。磁共振造影對分析運動員心臟形態構造、功能之應用。中華體育。17(4),81-88。
Abernethy, W. B.,Choo, J. K.,Hutter, A. M.(2003).Echocardiographic characteristics of professional football players.Journal of the American College of Cardiology.41(2),280-284.
Cain, P. A.,Ahl, R., Hedstrom, E.,Ugander, M.,Allansdotter-Johnsson, A.,Friberg, P.,Marild, S.,Arheden, H.(2005).Physiological determinants of the variation in left ventricular mass from early adolescence to late adulthood in healthy subjects.Clinical Physiology and Functional Imaging.25(6),332-339.
D´Andrea, A.,Limongelli, G,Caso, P.,Sarubbi, B.,Pietra, A. D.,Brancaccio, P.,Cice, G.,Scherillo, M.,Limongelli, F.,Calabro, R.(2002).Association between left ventricular structure and cardiac performance during effort in two morphological forms of athlete´s heart.International Journal of Cardiology.86(2),177-184.
Fagard, R.(2003).Athlete´s heart.Heart.89(12),1445-1461.

被引用紀錄


陳秀蘭(2009)。臺北市國小教師疲勞程度與運動行為和心肺適能之比較研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-1610201315152040
吳合進(2010)。台南市高中職教師運動行為與疲勞程度及生活壓力之研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-1610201315194678

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