中年女性体力活动与端粒体的相关性及“万步行”干预效果的研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的分析40-59岁中年女性体力活动与端粒体长度的关系;通过“万步行”活动,研究基础PA水平不同的中年女性健身效果。方法实验1:71名40-59岁女性佩戴7天的加速度计,计算不同强度PA时间,测空腹血糖、血脂四项、外周血白细胞端粒体长度(T/S),研究PA与T/S值相关性。实验2:筛选出30名受试者,按照加速度计的结果分PA活跃和不足组,实施12周“万步行”活动。结束后分析受试者日行万步的完成情况、每日平均增加的步数,研究PA增加对机体身体成分、糖脂代谢、心肺耐力等的影响及存在的差异。结果实验1:(1)40-59岁女性52.11%的人属于PA不足,其中40-49岁达67.86%;(2)超重肥胖中72.73%存在PA不足,正常体重只有34.21%;(3)PA不足的血糖、TC、TG均高于PA活跃组,P<0.05, LDL-C明显高于活跃组P<0.01, HDL-C较PA活跃组低P<0.05;(4)年龄与T/S值的相关系数是-0.364,40-49岁、50-59岁PA水平与T/S值的R2分别为0.224、0.0719,BMI与T/S值相关系数是0.17,P值为0.156。实验2:(1)PA活跃和不足组“万步行”达标率分别为88.24%和46.15%,P<0.05;(2)PA不足组每日增加的步数多于活跃组(5427±2174VS3087±1281);(3)干预后,两组身体成分、血糖、TC、TG、LDL-C和HDL-C均有显著性改善,PA不足组改善程度最显著(P<0.05);(4)干预后PA不足和活跃组F.C分别提高1.07MET和0.63MET, P<0.01;(5)干预后,PA不足组的左、右PWV分别减慢92cm/s、63cm/s, PA活跃组PWV无变化。(6)在相同负荷下,两组的心率、SBP均较干预前下降,PA不足组的下降幅度最为明显,P<0.01。结论(1)中年女性50%存在PA不足,每周进行VPA的时间几乎为Omin;(2)40-49岁、超重肥胖女性的PA水平较低:(3)年龄、PA水平对端粒体长度影响较大,BMI的影响较小;(4)F.C水平较高者端粒体长度较长;(6)“万步行”活动对PA不足的女性改善效果更显著;(7)对基础PA水平较低的女性,只要能增加日行总步数,即使没有达到一万步的要求,也能获得较多的益处。
Purpose:The relationship between the level of physical activity (PA) and telomere length of40-59year-old women was analyzed, and the role of PA played on the body's anti-aging was explored; By the implementation of12weeks'ten-thousand footsteps activity, the fitness effect of different PA levels on middle-aged women was discussed.
     Method:Experiment1:Seventy-one40-59year-old women were required to wear accelerometer for seven days. Then the PA time of different intensity each day was calculated, fasting blood-glucose and four blood lipids indicators (TC, TG, HDL-C, and LDL-C) were tested, relative length of telomeres of peripheral blood leukocyte by the method of real-time fluorescent quantitation PCR was measured to analyze factors influencing T/S values and the relativity between PA and T/S value. The research was approved by the regional Ethics Committee.Written informed consent was obtained from each participant.
     Experiment2:Thirty participants were picked out from all of the experiment1participants, and divided into PA active group and PA insufficient group according to the accelerometer testing results, and then implement12weeks'ten-thousand footsteps activity to both groups and recorded the total step number each day by pedometer. After the end of the activity, the completion state of ten-thousand footsteps everyday task for both groups were analyzed based on the record sheet, and the average increasing steps for one day was calculated to study the effects of this intervention on body composition, glucose and lipid metabolism, cardiorespiratory endurance and differences between the two groups.
     Results:Experiment1:(1) Among these40-59year-old women,52.11%were lack of PA, and67.86%among40-49year-old women;(2)72.73%of the overweight women were lack of PA, while only34.21of this for normal weight women;(3) The serum glucose, TC, TG of PA insufficient group participants were higher than that of PA active group with a significant differences (P<0.05), and LDL-C also significantly higher than that of PA active group (P<0.01).As to HDL-C, it is lower of PA insufficient group than active group (P<0.05);(4) The relationship between age and T/S value shows a negative correlation with-0.364as correlation coefficient, and P=0.002. As for40-49year-old women, PA level was positively correlated with T/S value, R2=0.224, and for50-59year-old women, there showed a low correlation between PA level and T/S value, R2=0.0719, the correlation coefficient of BMI and T/S value was0.17, P=0.156. Experiment2:(1) The completion rate of PA active group for ten thousand footsteps walking task was88.24%, and46.15%for the PA insufficient group, which showed a significant difference (P<0.05) between the two groups;(2) The average increasing number in one day for PA insufficient group was significantly more than that of PA active group (5427±2174VS3087±1281);(3) After the exercise intervention, the body composition, blood glucose, TC, TG, LDL-C and HDL-C of participants in both groups were improved significantly, with a more significant improvement for PA insufficient group(P<0.05);(4) After the exercise intervention, the cardiorespiratory endurance for PA insufficient group rose from7.70MET to8.77MET, and8.19MET to8.82MET for PA active group,
     respectively increased1.07MET and0.63MET with a significant difference(P<0.01);(5) After the exercise intervention, ABI for both group showed no significant change (P>0.05). The left and right PWV slowing down degree for PA insufficient group was respectively92cm/s (P<0.05), and63cm/s, while there showed no significant change for that of PA active group.(6) Under the same exercise load, heart rate, systolic pressure increasing rate for both groups were declined, with a more significant decline for PA insufficient group and showed significant difference (P<0.01).
     Conclusions:(1)50%middle-aged women have PA insufficient problem, and the time for VPA each week is almost Omin;(2) PA level for40-49year-old women are significantly lower than that of50-59year-old women, and overweight women lower than normal weight women;(3) Age and PA level would affect telomere length of human peripheral blood leukocyte, but the effect of BMI on telomere length was quite small;(4) The telomere length of PA active person was significantly longer than that of PA insufficient person;(5)The telomere length of high cardiorespiratory endurance person was significantly longer than that of low cardiovascular endurance person;(6) The ten thousand footsteps walking can benefit the body composition and adjust the glucose and lipid metabolism of middle-aged women, especially for those lack of PA;(7) The ten thousand footsteps walking can significantly improve the cardiovascular endurance of middle-aged women, and shows a regulating effect on quantitative cardiovascular exercise reaction;(8) For those lack of basic PA middle-aged women, as long as largely increases the total number of steps for a day, even not complete the ten thousand footsteps task, their health could also benefit a lot. Compared to the absolute value of daily total steps number, daily footstep increasing number has a greater effect on health.
引文
[1]Whang W, Manson J E, Hu F B, et al. Physical exertion, exercise, and sudden cardiac death in women[J]. JAMA.2006,295(12):1399-1403.
    [2]Caspersen C J, Powell K E, Christenson G M Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research[J]. Public Health Rep.1985,100(2):126-131.
    [3]Dwyer G D. S.(2008)[J]. ACSMS Health-related physical fitness Assessment manual.
    [4]Pate R R, Pratt M, Blair S N, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine[J]. JAMA.1995,273(5):402-407.
    [5]Morris J N, Heady J A, Raffle P A, et al. Coronary heart-disease and physical activity of work[J]. Lancet.1953,265(6795):1053-1057.
    [6]General U S P H, Control C F D, Us P, et al. Physical activity and health:a report of the Surgeon General[M]. Jones \& Bartlett Learning,1996.
    [7]Waxman A. WHO global strategy on diet, physical activity and health[J]. Food Nutr Bull.2004, 25(3):292-302.
    [8]Dept. Of Services U S. Healthy people 2010:understanding and improving health[M].2nd ed. Washing:U.S. Dept. of Health and Human Services,2000.
    [9]Chasan-Taber L, Erickson J B, Nasca P C, et al. Validity and reproducibility of a physical activity questionnaire in women[J]. Med Sci Sports Exerc.2002,34(6):987-992.
    [10]朱颖俐,李春梅,关秀莲,等.吉林省监测人群慢病相关危险因素现状分析[J].疾病监测.2007(2):127-130.
    [11]Stephenson J, Bauman A, Armstrong T, et al. The cost of illness attributable to physical inactivity in Australia:a report prepared for the commonwealth department of health and aged care and the Australian sports commission[Z]. PHD publications,2000.
    [12]Mathers C D, Vos E T, Stevenson C E, et al. The burden of disease and injury in Australia[J]. Bull World Health Organ.2001,79(11):1076-1084.
    [13]Myers J, Kaykha A, George S, et al. Fitness versus physical activity patterns in predicting mortality in men[J]. Am J Med.2004,117(12):912-918.
    [14]Hu F B, Willett W C, Li T, et al. Adiposity as compared with physical activity in predicting mortality among women[J]. New England Journal of Medicine.2004,351(26):2694-2703.
    [15]Oguma Y, Shinoda-Tagawa T. Physical activity decreases cardiovascular disease risk in women: review and meta-analysis[J]. Am J Prev Med.2004,26(5):407-418.
    [16]Fulton J P. Physical activity and health[J]. Med Health R I.1996,79(5):193-195.
    [17]Warren T Y, Barry V, Hooker S P, et al. Sedentary behaviors increase risk of cardiovascular disease mortality in men[J]. Med Sci Sports Exerc.2010,42(5):879-885.
    [18]Biesma R G, Schouten L J, Dirx M J, et al. Physical activity and risk of ovarian cancer:results from the Netherlands Cohort Study (The Netherlands)[J]. Cancer Causes Control.2006,17(1): 109-115.
    [19]Patel A V, Rodriguez C, Pavluck A L, et al. Recreational physical activity and sedentary behavior in relation to ovarian cancer risk in a large cohort of US women[J]. Am J Epidemiol.2006, 163(8):709-716.
    [20]Slattery M L. Physical activity and colorectal cancer[J]. Sports Medicine.2004,34(4):239-252.
    [21]Samad A K, Taylor R S, Marshall T, et al. A meta-analysis of the association of physical activity with reduced risk of colorectal cancer[J]. Colorectal Dis.2005,7(3):204-213.
    [22]Calton B A, Lacey J V, Schatzkin A, et al. Physical activity and the risk of colon cancer among women:a prospective cohort study (United States)[J]. International journal of cancer.2006,119(2): 385-391.
    [23]Voskuil D W, Monninkhof E M, Elias S G, et al. Physical activity and endometrial cancer risk, a systematic review of current evidence[J]. Cancer Epidemiol Biomarkers Prev.2007,16(4):639-648.
    [24]Meigs J B, Mohr B, Barry M J, et al. Risk factors for clinical benign prostatic hyperplasia in a community-based population of healthy aging men[J]. J Clin Epidemiol.2001,54(9):935-944.
    [25]Buchner D M, Wagner E H, Others. Preventing frail health.[J]. Clinics in geriatric medicine. 1992,8(1):1.
    [26]H O Idrup S, S O Rensen T I A, Str O Ger U, et al. Leisure-time physical activity levels and changes in relation to risk of hip fracture in men and women[J]. American journal of epidemiology. 2001,154(1):60-68.
    [27]Waxman A. WHO global strategy on diet, physical activity and health[J]. Food Nutr Bull.2004, 25(3):292-302.
    [28]江崇民,张彦峰,蔡睿,等.2007年中国城乡居民参加体育锻炼现状分析[J].体育科学.2009(3):9-19.
    [29]邓士琳.武汉市女性体力活动及体力不足现状分析[J].中国公共卫生.2011(10):1312-1314.
    [30]王家宏,杨卫东,刘志民,等.国家公务员体力活动与健康问题的研究[J].体育科学.2002(1):12-14.
    [31]Krebs N F, Jacobson M S. Prevention of pediatric overweight and obesity[J]. Pediatrics.2003, 112(2):424-430.
    [32]Currie C, Gabhainn S N, Godeau E, et al. Inequalities in young people's health:HBSC international report from the 2005/2006 survey. Copenhagen:World Health Organization; 2008[J]. Health policy for children and adolescents.2008,5.
    [33]Troiano R P, Berrigan D, Dodd K W, et al. Physical activity in the United States measured by accelerometer[J]. Med Sci Sports Exerc.2008,40(1):181-188.
    [34]张洁,俞敏,陈雅萍,等.浙江省成年居民体力活动模式与影响因素研究[J].疾病监测.2008(4).
    [35]Olander E K, Fletcher H, Williams S, et al. What are the most effective techniques in changing obese individuals' physical activity self-efficacy and behaviour:a systematic review and meta-analysis[J]. Int J Behav Nutr Phys Act.2013,10(1):29.
    [36]Sperber N, Hall KS, Allen K, et al. The Role of Symptoms and Self-Efficacy in Predicting Physical Activity Change among Older Adults with Arthritis[J]. J Phys Act Health.2013(2).
    [37]Rodriguez-Romo G, Garrido-Munoz M, Lucia A, et al. [Association between the characteristics of the neighborhood environment and physical activity.][J]. Gac Sanit.2013.
    [38]Wareham N J, Jakes R W, Rennie K L, et al. Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study[J]. Public Health Nutr.2003,6(4):407-413.
    [39]Sallis J F, Saelens B E. Assessment of physical activity by self-report:status, limitations, and future directions[J]. Res Q Exerc Sport.2000,71(2 Suppl):S1-S14.
    [40]刘爱玲,马冠生,张倩,等.小学生7天体力活动问卷信度和效度的评价[J].中华流行病学杂志.2003,24(10):901-904.
    [41]Deng H B, Macfarlane D J, Thomas G N, et al. Reliability and validity of the IPAQ-Chinese:the Guangzhou Biobank Cohort study[J]. Med Sci Sports Exerc.2008,40(2):303-307.
    [42]Mckenzie T L. Observational measures of children's physical activity[J]. Journal of School Health.1991,61(5):224-227.
    [43]Vanhees L, Lefevre J, Philippaerts R, et al. How to assess physical activity? How to assess physical fitriess?[J]. Eur J Cardiovasc Prev Rehabil.2005,12(2):102-114.
    [44]Schoeller D A, van Santen E. Measurement of energy expenditure in humans by doubly labeled water method[J]. J Appl Physiol.1982,53(4):955-959.
    [45]冯建英,陈吉棣,刘晓鹏,等.儿童体操运动员的能量消耗[J].营养学报.1997,19(3):268-271.
    [46]刘爱玲,李艳平,宋军,等.加速度计对成人日常体力活动测量效度的研究[J].中华流行病学杂志.2005,26(3):197-200.
    [47]Tudor-Locke C, Williams J E, Reis J P, et al. Utility of pedometers for assessing physical activity:convergent validity[J]. Sports Med.2002,32(12):795-808.
    [48]De Cocker K A, De Bourdeaudhuij I M, Cardon G M. What do pedometer counts represent? A comparison between pedometer data and data from four different questionnaires[J]. Public Health Nutr.2009,12(1):74-81.
    [49]Leung W, Ashton T, Kolt G S, et al. Cost-effectiveness of pedometer-based versus time-based Green Prescriptions:the Healthy Steps Study[J]. Aust J Prim Health.2012,18(3):204-211.
    [50]Evenson K R, Catellier D J, Gill K, et al. Calibration of two objective measures of physical activity for children[J]. J Sports Sci.2008,26(14):1557-1565.
    [51]Nilsson A, Ekelund U, Yngve A, et al. Assessing physical activity among children with accelerometers using different time sampling intervals and placements[J]. Pediatric Exercise Science. 2002,14(1):87-96.
    [52]王超,陈佩杰,庄洁,等.加速度计以不同采样间隔测量儿童青少年日常体力活动时间的一致性研究[J].中国运动医学杂志.2012(9):759-765.
    [53]Freedson P S, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer[J]. Med Sci Sports Exerc.1998,30(5):777-781.
    [54]Lopes V P, Magalhaes P, Bragada J, et al. Actigraph calibration in obese/overweight and type 2 diabetes mellitus middle-aged to old adult patients[J]. J Phys Act Health.2009,6 Suppl 1:S133-S140.
    [55]陈佩杰,王人卫.体适能评定理论与方法[M].哈尔滨:黑龙江科学技术出版社,2005:79.
    [56]邓树勋,王建,乔德才.运动生理学[M].北京:高等教育出版,2005:329.
    [57]Brown W J, Mclaughlin D, Leung J, et al. Physical activity and all-cause mortality in older women and men[J]. Br J Sports Med.2012,46(9):664-668.
    [58]American College of Sports Medicine position statement on the recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults[J]. Med Sci Sports.1978, 10(3):7-10.
    [59]Care. C D O H. National Physical Activity Guidelines for Australians[M]. Brochure,1999.
    [60]Haskell W L, Lee I M, Pate R R, et al. Physical activity and public health:updated recommendation for adults from the American College of Sports Medicine and the American Heart Association[J]. Circulation.2007,116(9):1081-1093.
    [61]Tudor-Locke C, Hatano Y, Pangrazi R P, et al. Revisiting"'How Many Steps are Enough?"[J]. Medicine and science in sports and exercise.2008,40(7):537.
    [62]Sallis J F, Patrick K. Physical activity guidelines for adolescents:consensus statement[J]. Pediatric exercise science.1994,6:302.
    [63]Bidlle S, Sallis J F, Cavill N A. Young and active?:Young people and health enhancing physical activity:Evidence and implications[J]. London:Health Education Authority.1998.
    [64]Janssen I. Physical activity guidelines for children and youth[J]. Can J Public Health.2007,98 Suppl2:S109-S121.
    [65]Tudor-Locke C, Bassett D J. How many steps/day are enough? Preliminary pedometer indices for public health[J]. Sports Med.2004,34(1):1-8.
    [66]Duncan J S, Schofield G, Duncan E K. Step count recommendations for children based on body fat[J]. Prev Med.2007,44(1):42-44.
    [67]Tudor-Locke C, Craig CL, Beets MW, et al. How many steps/day are enough? for children and adolescents.[J]. Int J Behav Nutr Phys Act.2011,8:78.
    [68]ACOG committee opinion. Exercise during pregnancy and the postpartum period. Number 267, January 2002. American College of Obstetricians and Gynecologists[J]. Int J Gynaecol Obstet.2002, 77(1):79-81.
    [69]Davies G A, Wolfe L A, Mottola M F, et al. Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period[J]. Can J Appl Physiol.2003,28(3):330-341.
    [70]Madsen M, Jorgensen T, Jensen M L, et al. Leisure time physical exercise during pregnancy and the risk of miscarriage:a study within the Danish National Birth Cohort[J]. BJOG.2007,114(11): 1419-1426.
    [71]Tudor-Locke C, Craig C, Aoyagi Y, et al. How many steps/day are enough? For older adults and special populations[J]. Int J Behav Nutr Phys Act.2011,8:80.
    [72]Institute Of Medicine. Dietary reference intakes:energycarbohydrate,fiber, fat, fatty acids, cholesterol, protein,and amino acids[M]. Washington DC:National Academy Press,2002.
    [73]Saris W H, Blair S N, van Baak M A, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement[J]. Obes Rev.2003,4(2):101-114.
    [74]Donnelly J E, Blair S N, Jakicic J M, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults[J]. Med Sci Sports Exerc.2009,41(2):459-471.
    [75]Jakicic J M, Clark K, Coleman E, et al. American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults[J]. Med Sci Sports Exerc.2001,33(12):2145-2156.
    [76]Griffith J D, Comeau L, Rosenfield S, et al. Mammalian telomeres end in a large duplex loop[J]. Cell.1999,97(4):503-514.
    [77]Blackburn E H, Others. Structure and function of telomeres[J]. Nature.1991,350(6319): 569-573.
    [78]Gong J G, Costanzo A, Yang H Q, et al. The tyrosine kinase c-Abl regulates p73 in apoptotic response to cisplatin-induced DNA damage[J], Nature.1999,399(6738):806-809.
    [79]Valdes A M, Andrew T, Gardner J P, et al. Obesity, cigarette smoking, and telomere length in women[J]. Lancet.2005,366(9486):662-664.
    [80]Martin-Ruiz C M, Gussekloo J, van Heemst D, et al. Telomere length in white blood cells is not associated with morbidity or mortality in the oldest old:a population-based study[J]. Aging Cell.2005, 4(6):287-290.
    [81]Greider C W, Blackburn E H. The telomere terminal transferase of Tetrahymena is a ribonucleoprotein enzyme with two kinds of primer specificity[J]. Cell.1987,51(6):887-898.
    [82]张宗玉,范新青,童坦君.中国人外周血白细胞端区DNA长度随增龄缩短[J].生物化学杂志.1997,13(5):605-607.
    [83]Slagboom P E, Droog S, Boomsma D I. Genetic determination of telomere size in humans:a twin study of three age groups[J]. Am J Hum Genet.1994.55(5):876-882.
    [84]Kammori M, Nakamura K, Kawahara M, et al. Telomere shortening with aging in human thyroid and parathyroid tissue[J]. Exp Gerontol.2002,37(4):513-521.
    [85]Hakin-Smith V, Jellinek D A, Levy D, et al. Alternative lengthening of telomeres and survival in patients withglioblastoma multiforme[J]. Lancet.2003,361(9360):836-838.
    [86]Chai W, Du Q, Shay J W, et al. Human telomeres have different overhang sizes at leading versus lagging strands[J]. Mol Cell.2006,21(3):427-435.
    [87]Cawthon R M, Smith K R, O'Brien E, et al. Association between telomere length in blood and mortality in people aged 60 years or older[J]. Lancet.2003,361(9355):393-395.
    [88]Samani N J, Boultby R, Butler R, et al. Telomere shortening in atherosclerosis[J]. Lancet.2001, 358(9280):472-473.
    [89]Gil M E, Coetzer T L. Real-time quantitative PCR of telomere length[J], Mol Biotechnol.2004, 27(2):169-172.
    [90]Nordfjall K, Eliasson M, Stegmayr B, et al. Telomere length is associated with obesity parameters but with a gender difference[J]. Obesity (Silver Spring).2008,16(12):2682-2689.
    [91]Shammas M A. Telomeres, lifestyle, cancer, and aging[J]. Curr Opin Clin Nutr Metab Care. 2011,14(1):28-34.
    [92]Song Z, von Figura G, Liu Y, et al. Lifestyle impacts on the aging-associated expression of biomarkers of DNA damage and telomere dysfunction in human blood[J]. Aging Cell.2010,9(4): 607-615.
    [93]Valdes A M, Andrew T, Gardner J P, et al. Obesity, cigarette smoking, and telomere length in women[J]. Lancet.2005,366(9486):662-664.
    [94]Babizhayev M A, Savel'Yeva E L, Moskvina S N, et al. Telomere length is a biomarker of cumulative oxidative stress, biologic age, and an independent predictor of survival and therapeutic treatment requirement associated with smoking behavior[J]. Am J Ther.2011,18(6):e209-e226.
    [95]Furukawa S, Fujita T, Shimabukuro M, et al. Increased oxidative stress in obesity and its impact on metabolic syndrome[J]. J Clin Invest.2004,114(12):1752-1761.
    [96]Kim S, Parks C G, Deroo L A, et al. Obesity and weight gain in adulthood and telomere length[J]. Cancer Epidemiol Biomarkers Prev.2009,18(3):816-820.
    [97]Zhu H, Wang X, Gutin B, et al. Leukocyte telomere length in healthy Caucasian and African-American adolescents:relationships with race, sex, adiposity, adipokines, and physical activity[J], J Pediatr.2011,158(2):215-220.
    [98]Hoxha M, Dioni L, Bonzini M, et al. Association between leukocyte telomere shortening and exposure to traffic pollution:a cross-sectional study on traffic officers and indoor office workers[J]. Environ Health.2009,8:41.
    [99]Pavanello S, Pesatori A C, Dioni L, et al. Shorter telomere length in peripheral blood lymphocytes of workers exposed to polycyclic aromatic hydrocarbons[J]. Carcinogenesis.2010,31(2): 216-221.
    [100]Irie M, Asami S, Ikeda M, et al. Depressive state relates to female oxidative DNA damage via neutrophil activation[J]. Biochem Biophys Res Commun.2003,311(4):1014-1018.
    [101]von Zglinicki T. Oxidative stress shortens telomeres[J]. Trends Biochem Sci.2002,27(7): 339-344.
    [102]Epel E S, Blackburn E H, Lin J, et al. Accelerated telomere shortening in response to life stress[J]. Proc Natl Acad Sci U S A.2004,101(49):17312-17315.
    [103]Cassidy A, De Vivo I, Liu Y, et al. Associations between diet, lifestyle factors, and telomere length in women[J]. Am J ClinNutr.2010,91(5):1273-1280.
    [104]Jennings B J, Ozanne S E, Dorling M W, et al. Early growth determines longevity in male rats and may be related to telomere shortening in the kidney[J]. FEBS Lett.1999,448(1):4-8.
    [105]Farzaneh-Far R, Lin J, Epel E S, et al. Association of marine omega-3 fatty acid levels with telomeric aging in patients with coronary heart disease[J]. JAMA.2010,303(3):250-257.
    [106]Shen J, Gammon M D, Terry M B, et al. Telomere length, oxidative damage, antioxidants and breast cancer risk[J]. Int J Cancer.2009,124(7):1637-1643.
    [107]Tiainen A M, Mannisto S, Blomstedt P A, et al. Leukocyte telomere length and its relation to food and nutrient intake in an elderly population[J]. Eur J Clin Nutr.2012,66(12):1290-1294.
    [108]Jennings B J, Ozanne S E, Hales C N. Nutrition, oxidative damage, telomere shortening, and cellular senescence:individual or connected agents of aging?[J]. Mol Genet Metab.2000,71(1-2): 32-42.
    [109]Song Z, von Figura G, Liu Y, et al. Lifestyle impacts on the aging-associated expression of biomarkers of DNA damage and telomere dysfunction in human blood[J]. Aging Cell.2010,9(4): 607-615.
    [110]Werner C, Furster T, Widmann T, et al. Physical exercise prevents cellular senescence in circulating leukocytes and in the vessel wall[J]. Circulation.2009,120(24):2438-2447.
    [111]Blair S N, Kohl H R, Barlow C E, et al. Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men[J]. JAMA.1995,273(14):1093-1098.
    [112]Ludlow A T, Zimmerman J B, Witkowski S, et al. Relationship between physical activity level, telomere length, and telomerase activity[J]. Med Sci Sports Exerc.2008,40(10):1764-1771.
    [113]Cherkas L F, Hunkin J L, Kato B S, et al. The association between physical activity in leisure time and leukocyte telomere length[J]. Arch Intern Med.2008,168(2):154-158.
    [114]Radak Z, Taylor A W, Sasvari M, et al. Telomerase activity is not altered by regular strenuous exercise in skeletal muscle or by sarcoma in liver of rats[J]. Redox Rep.2001,6(2):99-103.
    [115]Collins M, Renault V, Grobler L A, et al. Athletes with exercise-associated fatigue have abnormally short muscle DNA telomeres[J]. Med Sci Sports Exerc.2003,35(9):1524-1528.
    [116]Rae D E, Vignaud A, Butler-Browne G S, et al. Skeletal muscle telomere length in healthy, experienced, endurance runners[J]. Eur J Appl Physiol.2010,109(2):323-330.
    [117]Ponsot E, Lexell J, Kadi F. Skeletal muscle telomere length is not impaired in healthy physically active old women and men[J]. Muscle Nerve.2008,37(4):467-472.
    [118]Cherkas L F, Hunkin J L, Kato B S, et al. The association between physical activity in leisure time and leukocyte telomere length[J]. Arch Intern Med.2008,168(2):154-158.
    [119]Kadi F, Ponsot E, Piehl-Aulin K, et al. The effects of regular strength training on telomere length in human skeletal muscle[J]. Med Sci Sports Exerc.2008,40(1):82-87.
    [120]戴剑松,李靖,顾忠科,等.应用计步器测量日常体力活动的研究[J].中国组织工程研究与临床康复.2008(35):6883-6887.
    [121]Bravata D M, Smith-Spangler C, Sundaram V, et al. Using pedometers to increase physical activity and improve health:a systematic review[J]. JAMA.2007,298(19):2296-2304.
    [122]Hultquist C N, Albright C, Thompson D L. Comparison of walking recommendations in previously inactive women[J]. Med Sci Sports Exerc.2005,37(4):676-683.
    [123]Pal S, Cheng C, Ho S. The effect of two different health messages on physical activity levels and health in sedentary overweight, middle-aged women[J]. BMC Public Health.2011,11:204.
    [124]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志.2011(8).
    [125]中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006.
    [126]Matthew C E. Calibration of accelerometer output for adults[J]. Med Sci Sports Exerc.2005, 37(11 Suppl):S512-S522.
    [127]Cawthon R M. Telomere length measurement by a novel monochrome multiplex quantitative PCR method[J]. Nucleic Acids Res.2009,37(3):e21.
    [128]O'Callaghan N J, Fenech M. A quantitative PCR method for measuring absolute telomere length[J]. Biol Proced Online.2011,13:3.
    [129]钟英成,罗朋立,靳国恩,等.荧光实时定量PCR检测端粒长度[J].临床和实验医学杂志. 2008(4).
    [130]王晶.PCR方法检测端粒长度[D].昆明医学院,2006.
    [131]Welk G. Physical Activity Assessments for Health-Related Research[M]. Champaign, IL: Human Kinetics,2002:107-108.
    [132]Fudge B W, Wilson J, Easton C, et al. Estimation of oxygen uptake during fast running using accelerometry and heart rate[J]. Med Sci Sports Exerc.2007,39(1):192-198.
    [133]丁冬,汪丽萍,张锡斌,等.吉林省居民体力活动与慢性病的关系[J].中国卫生工程学.2008(4):238-239.
    [134]戴月,潘晓群,袁宝君,等.江苏地区成人体力活动情况调查与分析[J].中国实用医药.2007(3):97-99.
    [135]洪忻,殷晓梅,梁亚琼,等.南京市居民体力活动与2型糖尿病关系[J].中国公共卫生.2008(9):1128-1130.
    [136]谢朝军,谭晓东,潘敬菊,等.武汉市大学生体力活动现况调查研究[J].公共卫生与预防医学.2007(5).
    [137]Haskell W L, Lee I M, Pate R R, et al. Physical activity and public health:updated recommendation for adults from the American College of Sports Medicine and the American Heart Association[J]. Med Sci Sports Exerc.2007,39(8):1423-1434.
    [138]Jackowska M, Hamer M, Carvalho L A, et al. Short sleep duration is associated with shorter telomere length in healthy men:findings from the Whitehall Ⅱ cohort study[J], PLoS One.2012,7(10): e47292.
    [139]Al-Attas O S, Al-Daghri N M, Alokail M S, et al. Adiposity and insulin resistance correlate with telomere length in middle-aged Arabs:the influence of circulating adiponectin[J]. Eur J Endocrinol. 2010,163(4):601-607.
    [140]Cassidy A, De Vivo I, Liu Y, et al. Associations between diet, lifestyle factors, and telomere length in women[J]. Am J Clin Nutr.2010,91(5):1273-1280.
    [141]Nettleton J A, Diez-Roux A, Jenny N S, et al. Dietary patterns, food groups, and telomere length in the Multi-Ethnic Study of Atherosclerosis (MESA)[J]. Am J Clin Nutr.2008,88(5):1405-1412.
    [142]Okereke O I, Prescott J, Wong J Y, et al. High phobic anxiety is related to lower leukocyte telomere length in women[J]. PLoS One.2012,7(7):e40516.
    [143]Takubo K, Nakamura K, Izumiyama N, et al. Telomere shortening with aging in human liver[J]. J Gerontol A Biol Sci Med Sci.2000,55(11):B533-B536.
    [144]Martens U M, Brass V, Sedlacek L, et al. Telomere maintenance in human B lymphocytes[J]. Br J Haematol.2002,119(3):810-818.
    [145]Osthus I B, Sgura A, Berardinelli F, et al. Telomere length and long-term endurance exercise: does exercise training affect biological age? A pilot study[J]. PLoS One.2012,7(12):e52769.
    [146]Cherkas L F, Hunkin J L, Kato B S, et al. The association between physical activity in leisure time and leukocyte telomere length[J]. Arch Intern Med.2008,168(2):154-158.
    [147]Tzanetakou I P, Katsilambros N L, Benetos A, et al. "Is obesity linked to aging?":adipose tissue and the role of telomeres[J]. Ageing Res Rev.2012,11(2):220-229.
    [148]王正珍主译ACSM运动测试与运动处方指南[M].第8版.北京:人民卫生出版社,2010: 97.
    [149]Siegel P, Brackbill R, Heath G, et al. The epidemiology of walking for exercise:implications for promoting activity among sedentary groups[J]. Am J Public Health.1995,85(5):706-710.
    [150]Jackson A S, Sui X, Hebert J R, et al. Role of lifestyle and aging on the longitudinal change in cardiorespiratory fitness[J]. Arch Intern Med.2009,169(19):1781-1787.
    [151]Bendix L, Gade M, Staun P, et al. Leukocyte Telomere Length and Physical Ability among Danish Twins age 70+[J]. Mech Ageing Dev.,132(11):568-572.
    [152]Krauss J, Farzaneh-Far R, Puterman E, et al. Physical fitness and telomere length in patients with coronary heart disease:findings from the Heart and Soul Study[J]. PLoS One.2011,6(11):e26983.
    [153]Harris S E, Deary I J, Macintyre A, et al. The association between telomere length, physical health, cognitive ageing, and mortality in non-demented older people[J]. Neurosci Lett.2006,406(3): 260-264.
    [154]Mathur S, Ardestani A, Parker B, et al. Telomere length and cardiorespiratory fitness in marathon runners[J]. J Investig Med.2013,61(3):613-615.
    [155]Ross R, Janssen I. Physical activity, total and regional obesity:dose-response considerations[J]. Med Sci Sports Exerc.2001,33(6 Suppl):S521-S527, S528-S529.
    [156]郑黎强,余金明,李觉,等.冠心病及等危症住院患者踝臂指数及下肢外周动脉疾病患病率调查[J].中国动脉硬化杂志.2007(11).
    [157]Aboyans V, Lacroix P, Ferrieres J, et al. [Ankle-brachial index:an essential component for the screening, diagnosis and management of peripheral arterial disease][J]. Arch Mal Coeur Vaiss.2004, 97(2):132-138.
    [158]Xu Y, Li J, Luo Y, et al. The association between ankle-brachial index and cardiovascular or all-cause mortality in metabolic syndrome of elderly Chinese[J]. Hypertens Res.2007,30(7):613-619.
    [159]Feringa H H, Bax J J, van Waning V H, et al. The long-term prognostic value of the resting and postexercise ankle-brachial index[J]. Arch Intern Med.2006,166(5):529-535.
    [160]Willum-Hansen T, Staessen J A, Torp-Pedersen C, et al. Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population[J]. Circulation.2006,113(5):664-670.
    [161]Tomiyama H, Yamashina A, Arai T, et al. Influences of age and gender on results of noninvasive brachial-ankle pulse wave velocity measurement--a survey of 12517 subjects[J]. Atherosclerosis. 2003,166(2):303-309.
    [162]Sui X, Lamonte M J, Laditka J N, et al. Cardiorespiratory fitness and adiposity as mortality predictors in older adults[J]. JAMA.2007,298(21):2507-2516.
    [163]Blair S N, Kohl H R, Barlow C E, et al. Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men[J]. JAMA.1995,273(14):1093-1098.
    [164]王正珍主译ACSM运动测试与运动处方指南[M].北京:人民卫生出版社,2010:169.
    [165]Filipovsky J, Ducimetiere P, Safar M E. Prognostic significance of exercise blood pressure and heart rate in middle-aged men[J]. Hypertension.1992,20(3):333-339.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700