中低强度跑台运动结合低频振动干预对阿霉素诱发的心脏毒性作用和骨质疏松的影响研究
Effects of moderate-low intensity treadmill exercise combined with low frequency vibration intervention on doxorubicin-induced cardiotoxicity and osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2019.02.016
中文关键词:  癌症  阿霉素  骨质疏松  心肌毒性  运动干预
英文关键词:cancer  adriamycin  osteoporosis  myocardial toxicity  exercise intervention
基金项目:
作者单位
傅文生1* 张庭然2 1.重庆商务职业学院重庆 401331 2.西南大学体育学院国家体育总局体质评价与运功机能监控重点实验室重庆 400715 
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中文摘要:
      目的 探讨运动干预对于阿霉素引发的机体性毒性和骨质疏松的影响效果,为具有癌症患者体适能的恢复制定具有可操作性的运动处方提供理论参考。方法 本研究采用50只小鼠,将所有小鼠进行1周的适应性喂养并在这一周内对小鼠骨密度和骨质代谢进行前测(骨密度、骨质代谢);对小鼠进行分组:安静对照组(control group,C组,n=10)、阿霉素对照组(Dox group,D组,n=10)、跑台运动+阿霉素组(run+Dox group,RD组,n=10)、振动训练+阿霉素组(vibration+Dox group,VD组,n=10)、跑台+振动+阿霉素组(run+vibration+Dox group,RVD组,n=10)组,RD组、VD组、RVD组开始执行运动方案,C组和D组小鼠在笼内正常喂养活动;在D组、RD组、VD组、RVD组在进行运动干预的第15天开始,每天腹腔注射方式对小鼠进行Dox给药,连续10 d。C组小鼠在同一周期内每日注射等量的生理盐水,整个实验周期为8周,8周后进行后测(骨密度、骨质代谢、心脏超声波图像、心脏功能)。结果 心室后壁收缩(PWs)、心脏后壁舒张(PWd)指标,D组心室厚度显著低于C组,RD组、VD组厚度显著高于D组,且显著低于C组;RVD组心室厚度显著高于D组。心室间隔收缩(IVSs)指标,D组心室厚度显著低于C组,RD组、VD组厚度显著高于D组,且显著低于C组后壁舒张;心室中膈壁舒张厚度(IVSs)、心室内径舒张(IDs),心脏收缩时心室壁相对厚度(RWTs)各组差异不具有统计学意义。骨密度指标D组、RD组、VD组后测结果显著低于前测。C组、RVD组后测与前测差异不具有统计学意义。D组后测结果显著低于C组。RD组、VD组后测结果显著高于D组,且显著低于C组;RVD组后测结果显著大于D组。Ca2+、ALP、BGP、TRACP5b指标,D组、RD组、VD组、RVD组后测结果显著高于前测。D组后测结果显著低于C组,RD组、VD组后测结果显著低于D组,且显著高于C组;RVD组后测结果显著低于D组、RD组、VD组、显著高于C组。结论 低强度跑步运动结合低强度振动训练对于利用阿霉素进行治疗的癌症患者具有较高的可操作性,且其能够对阿霉素诱发的骨质疏松具有较好预防和治疗作用。
英文摘要:
      Objective: To investigate the effect of exercise intervention on the toxic effects and osteoporosis induced by doxorubicin, and to provide a theoretical reference for the development of a practical exercise prescription for the recovery of fitness in cancer patients. METHODS: In this study, 50 mice were used, all mice were fed adaptive for 1 week and bone density and bone metabolism were measured in advance during this week (bone density, bone metabolism); Grouping, control group (C group n=10), doxorubicin control group (DOX group, group D, n=10), treadmill exercise + doxorubicin group (Run+Dox group, RD group n =10), vibration training + adriamycin group (Vibration+Dox group, VD group n=10), treadmill+vibration + doxorubicin group (Run+ Vibration+Dox group, RVD group n=10) group, RD group , VD group and RVD group started exercise program. C group and D group mice were fed normally in cages; D group, RD group, VD group and RVD group began daily intraperitoneal injection on the 15th day of exercise intervention. The mice were dosed with DOX for 10 consecutive days. C mice in group C were injected with the same amount of physiological saline in the same cycle. The whole experiment period was 8 weeks, and post-test (bone density, bone metabolism, cardiac ultrasound images, and heart function) was performed after 8 weeks. Results: Ventricular posterior wall contraction (PWs), posterior wall diastolic (PWd) index, ventricular thickness in group D was significantly lower than that in group C (p<0.05), RD group, VD group thickness was significantly higher than that in group D (p<0.05) ,and significantly lower than C group (p<0.05); RVD group ventricular thickness was significantly higher than D group (p<0.05), its thickness is lower than C group, higher than RD group and VD group, but not statistically significant Significance (p>0.05). Ventricular septal contraction (IVSs) index, the ventricular thickness in group D was significantly lower than that in group C (p<0.05), and the thickness of RD group and VD group was significantly higher than that of group D (p<0.05), and was significantly lower than that of group C in posterior wall dilation ( p<0.05); Ventricular diastolic thickness (IVSs) in the ventricle; Ventricular ventricular contractions (IDs); Ventricular diastolic (IDs); ventricular wall relative thickness (RWTs) during systole; ventricular relative thickness (RWTs) during diastole For other indicators, there was no significant difference among the groups (p>0.05). The bone mineral density index had no significant difference among the groups before the test, p>0.05. The post-test results of group D, RD, and VD were significantly lower than those before the test, p<0.05. There was no significant difference between post-test and pretest in group C and RVD, p>0.05. The post-test results in group D were significantly lower than those in group C (p<0.05 RD group). The post-test results in group VD were significantly higher than group D (p<0.05), and significantly lower than group C (p<0.05); the post-test results of RVD group were significant. Greater than D group. 2) Ca2, ALP, BGP and TRACP5b indicators did not show significant differences in each group, p>0.05. The post-test results of group D, RD group, VD group, and RVD group were significantly higher than those before the test, p<0.05. There was no significant difference between posttest and pretest in group C, p>0.05. The post-test results of group D were significantly lower than that of group C (p<0.05). The post-test results of RD group and VD group were significantly lower than that of group D (p<0.05), and significantly higher than that of group C (p<0.05). Post-test results of RVD group Significantly lower than the D group, RD group, VD group (p <0.05), significantly higher than the C group (p <0.05). Conclusion: The use of doxorubicin may lead to thinning of heart wall and decrease of blood flow in the heart of mice, and treadmill intervention and vibration intervention will inhibit the thickness of left ventricular wall thickness and heart induced by doxorubicin in a certain extent. Blood flow was reduced, and treadmill combined with vibration intervention significantly inhibited adriamycin-induced left ventricular wall thickness and cardiac blood flow in mice. The use of doxorubicin may lead to decreased bone mineral density and increased bone resorption in mice. Low-intensity running exercises combined with low-intensity vibration training have high operability for cancer patients treated with doxorubicin, and they are able to Doxorubicin-induced osteoporosis has a good preventive and therapeutic effect.
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