تأثیر تمرین هوازی بر غلظت پلاسمایی آنزیم مبدل آنژیوتنسین (ACE) زنان یائسه

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 کارشناس ارشد، گروه فیزیولوژی ورزش، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه مازندران، بابلسر، ایران

2 دانشیار، گروه فیزیولوژی ورزش، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه مازندران، بابلسر، ایران

3 استادیار، گروه فیزیولوژی ورزش، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه مازندران، بابلسر، ایران

چکیده

مقدمه: آنزیم مبدل آنژیوتنسین (ACE یا Angiotensin-converting enzyme) مترشحه از اندوتلیال عروق، یکی از عوامل اصلی تنظیم فشار خون می‌باشد. هدف این پژوهش بررسی اثر یک دوره تمرین هوازی بر غلظت پلاسمایی ACE در زنان یائسه بود.روش‌ها: آزمودنی‌های این پژوهش شامل 14 زن یائسه (65-40 ساله) بودند. سطوح پلاسمایی ACE، شاخص‌های پیکرسنجی، اکسیژن مصرفی بیشینه (max2VO) و فشار خون سیستولیک و دیاستولیک پیش و پس از یک دوره برنامه‌ی تمرینی ارزیابی شد. برنامه‌ی تمرین هوازی در هفته‌ی اول با شدت 45-40 درصد حداکثر ضربان قلب ذخیره بود و به تدریج در هفته‌ی هشتم به 80-70 درصد حداکثر ضربان قلب ذخیره رسید.یافته‌ها: پس از 8 هفته تمرین هوازی، سطوح پلاسمایی ACE به طور معنی‌داری در آزمودنی‌ها افزایش یافت (020/0 = P). کاهش معنی‌دار دور کمر نیز در زنان یائسه مشاهده شد (001/0 > P). اکسیژن مصرفی بیشینه در آزمودنی‌ها افزایش معنی‌دار داشت (001/0 = P). تغییرات سطوح پلاسمایی ACE ارتباط منفی و معنی‌داری با تغییرات دور کمر (020/0 = P و 601/0- = r)، تغییرات وزن (010/0 = P و 630/0- = r) و تغییرات BMI (Body mass index) (010/0 = P و 637/0- = r) داشت.نتیجه‌گیری: تمرین هوازی موجب افزایش سطوح پلاسمایی ACE در زنان یائسه بدون تغییر معنی‌داری در ترکیب بدنی و فشار خون آن‌ها می‌شود. مطالعات بیشتر با تعداد آزمودنی‌های زیادتر به منظور تأیید این نتیجه ضرورت دارد. 

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Aerobic Training on Concentration of Plasma Angiotensin-Converting Enzyme (ACE) in Postmenopausal Women

نویسندگان [English]

  • Maryam Mirhaj 1
  • Elahe Talebi-Garakani 2
  • Rozita Fathi 2
  • Alireza Safarzadeh 3
1 Department of Exercise Physiology, School of Physical Education and Sport Science, University of Mazandaran, Babolsar, Iran
2 Associate Professor, Department of Exercise Physiology, School of Physical Education and Sport Science, University of Mazandaran, Babolsar, Iran
3 Assistant Professor, Department of Exercise Physiology, School of Physical Education and Sport Science, University of Mazandaran, Babolsar, Iran
چکیده [English]

Background: Angiotensin converting enzyme (ACE) is secreted from vascular endothelium. This enzyme is one of the main determinants of blood pressure regulation. This study aimed to investigate the effect of aerobic training on plasma concentration of angiotensin-converting enzyme in postmenopausal women.Methods: 14 postmenopausal women (40-65 years old) were enrolled. Plasma levels of angiotensin-converting enzyme, anthropometric indices, maximal oxygen uptake (VO2max), and systolic and diastolic blood pressure were measured before and after a training program. The exercise intensity started by 40-45% of maximum heart rate reserve for the first week and gradually received to 70-80% of maximum heart rate reserve in eight weeks.Findings: The plasma levels of angiotensin-converting enzyme after 8 weeks of aerobic exercise significantly increased (P = 0.020). In addition, a significant decrease in waist circumference was observed (P < 0.001). Maximal oxygen uptake increased significantly, too (P < 0.001). There was significant negative correlation between the changes in angiotensin-converting enzyme and the changes in waist circumference (P = 0.020, r = -0.601), weight (P = 0.020, r = -0.63) and body mass index (BMI) (P = 0.010, r = -0.637).Conclusion: This study indicated that aerobic training could increase plasma levels of angiotensin-converting enzyme in postmenopausal women, without significant changes in body composition and blood pressure. Further studies with more numbers of subjects are needed to confirm these results.

کلیدواژه‌ها [English]

  • Angiotensin-converting enzyme
  • Aerobic training
  • Blood Pressure
  • Fat percentage
  • Body composition
  1. Rahimian Mashhad Z, Attarzade Hoseyni SR, Aryannejhad J. The effect of aerobic training and diet on cardiovascular risk factors and blood pressure in overweight and obese women with hypertension. Iran J Endocrinol Metab 2010; 12(4): 376-84. [In Persian].
  2. Sturrock E, Natesh R, van Rooyen J, Acharya K. Structure of angiotensin I-converting enzyme. Cell Mol Life Sci 2004; 61(21): 2677-86.
  3. Paul M, Poyan MA, Kreutz R. Physiology of local renin-angiotensin systems. Physiol Rev 2006; 86(3): 747-803.
  4. Hooper NM, Turner AJ. An ACE structure. Nat Struct Biol 2003; 10(3): 155-7.
  5. Firoozrai M, Sharifi AM, Najafi M, Hosseini Gohari L. Angiotensin converting enzyme(ACE) activity, levels of lipids and apolipoproteins in patients with coronary artery disease. Razi J Med Sci 2008; 14(57): 151-6. [In Persian].
  6. Cooper R, McFarlane-Anderson N, Bennett FI, Wilks R, Puras A, Tewksbury D, et al. ACE, angiotensinogen and obesity: a potential pathway leading to hypertension. J Hum Hypertens 1997; 11(2): 107-11.
  7. Arvay G, Szathmary G, Reuter M. Changes in angiotensin-converting enzyme activity and angiotensin I level in asthmatic and healthy children after submaximal physical work. J Allergy Clin Immunol 1982; 69(2): 178-80.
  8. Wang P, Holst C, Andersen MR, Astrup A, Bouwman FG, van Otterdijk S, et al. Blood profile of proteins and steroid hormones predicts weight change after weight loss with interactions of dietary protein level and glycemic index. PLoS One 2011; 6(2): e16773.
  9. Day SH, Williams C, Folland JP, Gohlke P, Williams AG. The acute effects of exercise and glucose ingestion on circulating angiotensin-converting enzyme in humans. Eur J Appl Physiol 2004; 92(4-5): 579-83.
  10. Engeli S, Bohnke J, Gorzelniak K, et al. Weight loss and the renin-angiotensin-aldosterone system. Hypertension 2005; 45(3): 356-62.
  11. Dwyer GB, Davies SE. ACSM's health-related physical fitness assessment manual. 2nd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2008.
  12. Jackson AS, Pollock ML, Ward A. Generalized equations for predicting body density of women. Med Sci Sports Exerc 1980; 12(3): 175-81.
  13. Taribiyan B, Baghaiee B, Attarzadeh Hosseini SR. Effect of eight week moderate exercise training on angiotensin converting enzyme gene expression and angiotensin II activity in middle-aged men. Razi J Med Sci 2012; 19(102): 53-64. [In Persian].
  14. Harp JB, Henry SA, DiGirolamo M. Dietary weight loss decreases serum angiotensin-converting enzyme activity in obese adults. Obes Res 2002; 10(10): 985-90.
  15. Berggren JR, Hulver MW, Houmard JA. Fat as an endocrine organ: influence of exercise. J Appl Physiol (1985 ) 2005; 99(2): 757-64.
  16. Sanders J, Harris J, Cooper J, Gohlke P, Humphries SE, Montgomery H, et al. Lack of change in serum angiotensin-converting enzyme activity during the menstrual cycle. J Renin Angiotensin Aldosterone Syst 2006; 7(4): 231-5.
  17. Abdulla J, Burchardt H, Abildstrom Z, Kober L, Torp-Pedersen C. The angiotensin converting enzyme inhibitor trandolapril has neutral effect on exercise tolerance or functional class in patients with myocardial infarction and reduced left ventricular systolic function. Eur Heart J 2003; 24(23): 2116-22.
  18. Carreira MA, Tavares LR, Leite RF, Ribeiro JC, Santos AC, Pereira KG, et al. Exercise testing in hypertensive patients taking different angiotensin-converting enzyme inhibitors. Arq Bras Cardiol 2003; 80(2): 133-32.
  19. Fyhrquist F, Dessypris A, Immonen I. Marathon run: effects on plasma renin activity, renin substrate, angiotensin converting enzyme, and cortisol. Horm Metab Res 1983; 15(2): 96-9.
  20. Woods D, Sanders J, Jones A, Hawe E, Gohlke P, Humphries SE, et al. The serum angiotensin-converting enzyme and angiotensin II response to altered posture and acute exercise, and the influence of ACE genotype. Eur J Appl Physiol 2004; 91(2-3): 342-8.
  21. Vaziri ND, Wang XQ, Ni ZN, Kivlighn S, Shahinfar S. Effects of aging and AT-1 receptor blockade on NO synthase expression and renal function in SHR. Biochim Biophys Acta 2002; 1592(2): 153-61.
  22. Wang Z, Koike T, Li P, Jiang H, Natsume Y, Mu L, et al. Effects of angiotensin II AT1 receptor inhibition and exercise training on insulin action in rats on high-fat diet. Life Sci 2012; 90(9-10): 322-7.
  23. Makhanova NA, Crowley SD, Griffiths RC, Coffman TM. Gene expression profiles linked to AT1 angiotensin receptors in the kidney. Physiol Genomics 2010; 42A(3): 211-8.
  24. Podhorska-Okolow M, Dziegiel P, Gomulkiewicz A, Dolinska-Krajewska B, Murawska-Cialowicz E, Jethon Z, et al. The role of AT1 and AT2 angiotensin receptors in the mechanism of apoptosis in renal tubular cells after physical exercise. Rocz Akad Med Bialymst 2004; 49(Suppl 1): 8-10.
  25. Dahlof B, Devereux RB, Kjeldsen SE, Julius S, Beevers G, de FU, et al. Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet 2002; 359(9311): 995-1003.
  26. Keidar S, Heinrich R, Kaplan M, Aviram M. Oxidative stress increases the expression of the angiotensin-II receptor type 1 in mouse peritoneal macrophages. J Renin Angiotensin Aldosterone Syst 2002; 3(1): 24-30.
  27. Stevens VA, Saad S, Poronnik P, Fenton-Lee CA, Polhill TS, Pollock CA. The role of SGK-1 in angiotensin II-mediated sodium reabsorption in human proximal tubular cells. Nephrol Dial Transplant 2008; 23(6): 1834-43.
  28. Jones JM, Park JJ, Johnson J, Vizcaino D, Hand B, Ferrell R, et al. Renin-angiotensin system genes and exercise training-induced changes in sodium excretion in African American hypertensives. Ethn Dis 2006; 16(3): 666-74.
  29. Brothers RM, Haslund ML, Wray DW, Raven PB, Sander M. Exercise-induced inhibition of angiotensin II vasoconstriction in human thigh muscle. J Physiol 2006; 577(Pt 2): 727-37.
  30. Fagard RH. Exercise is good for your blood pressure: effects of endurance training and resistance training. Clin Exp Pharmacol Physiol 2006; 33(9): 853-6.
  31. Bayati M, Farzad B, Gharakhanlou R, Agha-Alinejad H. A practical model of low-volume high-intensity interval training induces performance and metabolic adaptations that resemble 'all-out' sprint interval training. J Sports Sci Med 2011; 10(3): 571-6.
  32. McKay BR, Paterson DH, Kowalchuk JM. Effect of short-term high-intensity interval training vs. continuous training on O2 uptake kinetics, muscle deoxygenation, and exercise performance. J Appl Physiol (1985 ) 2009; 107(1): 128-38.
  33. Burgomaster KA, Howarth KR, Phillips SM, Rakobowchuk M, Macdonald MJ, McGee SL, et al. Similar metabolic adaptations during exercise after low volume sprint interval and traditional endurance training in humans. J Physiol 2008; 586(1): 151-60.