用户名: 密码: 验证码:
老年人健步走的减脂效果与脂联素等基因多态性的关联性研究
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:研究健步走对中老年人BMI、体成分等体测量指标和血液、脂肪细胞因子的影响,及与过氧化物酶增殖物活化受体γ2、脂联素等基因多态性的关联性,探讨可用于制定中老年人个性化运动处方的分子标记。
     方法:将92名中老年(50-65岁)单纯型肥胖患者,随机分为实验组(70人)和对照组(22人),实验组根据BMI进行分组,BMI≥25为肥胖组,23≤BMI<25为超重组。通过递增负荷运动试验测定其功能能力F.C.,从而推算靶心率。有氧健步走作为主要方式,运动强度范围为开始的40%-50%F.C.至50%-65%F.C.,有效运动时间分别为40min/次,运动频率为5次/周,运动周期为3个月。
     通过实验研究得出以下结论:
     1.健步走可以降低中老年超重、肥胖人群的BMI、体重、腰围、腰臀比、腹部皮褶、游离脂肪酸。
     2.健步走是中老年肥胖人群降低体脂%、血脂,提高脂联素水平,改善体测量指标的有效健身方法。
     3.APM-1 T45G基因TT基因型与BMI、体重、血脂指标独立关联,TG基因型与体脂%、脂联素独立关联。TT、TG基因型均可考虑作为运动的基因敏感标记。APM-1基因G 276 T多态性变化规律与T45G多态性相似,运动后GT基因型与BMI、体重、体脂%、总胆固醇、低密度脂蛋白胆固醇独立关联。GT基因型可以考虑作为预测运动减脂敏感效果的基因标记。
     4.PPARγ2 Pro12Ala基因CC基因型与BMI、体重、总胆固醇、低密度脂蛋白胆固醇独立关联。PPARγ2 C161T基因CC基因型与血脂、脂联素、游离脂肪酸独立关联。CC基因型可以考虑作为预测血液、体质量指标运动敏感效果的基因标记。
Objects:The paper is to find out how gene polymorphism sign follows the genovatiation and which genetype is more sensible to exercise,by exploring the relation between walking exercise,BIM,body constit, blood bodymeasure,and phenotype,also with the connection between PPARγ2 gene,adiponectin,and gene adipose cell factor being considered, thus to offer the theoretical basis for individualization exercise prescription of the old and the molecule signal
     Method:By survey investigation and health examination,92 person(aged between 50-65),including fracture-type and adipositas-type,are choosen and randomly divided to EG(70) and CG(22).According BMI,those with BMI≥25 being adipositas,those with 23≤BMI<25 being overweight.By taking the maximal cycle ergometer exercise,their functional capacity(F.C) and target heart rate are to be determined.It is set that the exercise intensity is 40%-50%F.C.-50%-65%,the efficient time of FC is 40min/once, exercise frequency is 5times/week,the exercise circle is 3months,all of which is to interview the connection between phenotype and gene polymorphism sign.
     CONCLUSIONS:
     1.walking Exercise can significant decrease the body fat,BIM, weight,WHR,WC,ABSW and FFA of overweight- group and obesity- group.
     2.walking Exercise is a in effect method which can decrease the fat%,blood fat of the obesity people and increase the ADPN level, improve body measure index of the old fat people,
     3.The correlation research between aerobic walking interfering the fat of the old and the APM-lgene T45G polymorphism shows,TT gene type have a independence correlation with BMI,weight,TC,LDLC.While TG gene type have a independence correlation with fat%,and ADPN.thus TT、 TG gene type are capable of being the sensitive gene signal of exercise,while it seems the principle of APM-1 geneG276 polymorphism' s change is the same as that of T45G.After exercise,GT gene have a independence correlation with BMI,weight,fat%,TC,and LDLC,thus GT gene type are capable of being the sensitive gene signal of exercise as estimation defatting
     4.The correlation research between aerobic walking interfering the fat of the old and the PPARγ2 Pro12Ala polymorphism shows,CC gene type have a independence correlation with BMI,weight,TC,LDLC.The PPARγ2 C161T polymorphism shows,CC gene type have a independence correlation with blood fat,ADPN,FFA,thus CC gene type are capable of being the sensitive gene signal of exercise as estimation blood,body quality guideline
引文
[1].中国卫生部疾病控制司。中国成年人超重和肥胖症预防控制指南(试行) 2003,3:6-101
    [2]黄悦琴,预防医学[M]北京大学医学出版社,2004,2(1):108。
    [3]Sharron Dalton著,范志红 译,减肥与体重控制,中国轻工业出版社 P1。
    [4]傅浩坚,杨锡让运动生理学进展质疑与思考北京北京体育大学出版社,2000:140
    [5]孙志娟 黄之瑜 肥畔的研究进展[J]。生理科学进展,2001,32(1):39-44
    [6]文红为 肖平。成人肥胖标准的制定与减肥运动处方的研究[J]。武汉体育学院学报2002.36(1):49-50。
    [7]马力宏,肥胖与遗传[J].天津体育学院学报.1998,13(3):7。
    [8]中国肥胖问题工作组数据汇总分析协作组.我国成年人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志,2002,23(1):5-10
    [9]王梅.我国不同腰臀比的职工其身体机能、素质状况的分析研究[D].北京体育大学 1999年硕士学位论
    [10]邢文华 体质测量与评价 北京体育大学 1986
    [11]陈明达等 实用体质学北京医科大学、中国协和医科大学联合出版社 1993年12月
    [12]邢文华、叶国雄等体育测量与评价.人民体育出版社.1992
    [13]Chan JM,Rimm EB,Colditz GA,Stampfer MJ,Willett WC.Obesity,fat distribution,and weight gain as risk factors for clinical diabetes in men.Diabetes Care.1994;17:961-969
    [14]Heymsfield SB,Smith R,Aulet M.Appendicular skeletal muscle muscle mess:measurement by dualphoton absorptiometry.Am J Clin Nutr.1990;52:214-218。
    [15]Kushner RF.Body weight and mortality.Nutr Rev.1993;51:127-136
    [16]Lean ME,Han TS,Morrison CE.Waist circumference as ameasure for indicating need for weight management.BMJ,1995,311:158-161。
    [17]武阳丰.我国中老年人群的超重率和肥胖率:现状及发展趋势.中国肥胖问题研讨会.
    [18].王从容,姜玉玲运动减肥?药物减肥?[J]天津体育学院学报,1999,14(1):15-7
    [19]齐可民.儿童肥胖研究进展[J].中国实用儿科杂志,2004,19(3):177-179。
    [20]Punyadeera C,Zorenc AH,Koopman R,et al.The Effect sof Exercise and Adipose Tissue Lipolysis on PlasmaAdiponectin Concentration and Adiponectin ReceptorExpression in Human Skeletal Muscle[J].Eur J EndocrinolJT 4,2005,152(3):427-436
    [21]李世成,运动、膳食与脂肪细胞因子体育科学2006年(第26卷)第4期 71-76
    [22]Fruebis J,Tsao TS,Javorschi S,et al.Proteolytic cleavage product of 30-kDa adipocyte complement-related protein increases fatty acid oxidation in muscle and causes weight loss in mice[J].Proc Natl Acad Sci U S A,2001,98(4):2005-10.
    [23]Berg AH,Combs TP,Du XL,et al.The adipocyte-secreted protein Acrp30 enhances hepatic insulin ac-tion.Nature Med,2001;7(8):947
    [24]Maeda N,Shimomura I,Kishida K,etal.Diet-indrced insulin resistance in mice lacking adiponectin/ACRP 30[J].Nat Med,2002 Jul;8(7):731-7.
    [25]Matsubara M,Maruoka S,Katayose.Inverse relationship between plasma adiponectin concentrations in normal-weight and obese women.Eur J Endocrinol,2002,147:173-180
    [26]Diez JJ,Iglesias P.The role of the novel adipocyte-derived hormone adiponectin in human disease.Eur JEndocrinol,2003;148:343
    [27]Hu E,Liang P,Spiegelman BM,et al.AdipoQ is a novel adipose-specific gene dysregulated in obesity[j].J Biol Chem.1996 May 3;271(18):10697-703
    [28]Arita Y,Kihara S,Ouchi N,et al.Paradoxical decrease of an adipose-specific protein,adiponectin,in obesity[j].Biochem Biophys Res Commun.1999 Apr 2;257(1):79-83
    [29]Nassis GP,Papantakou K,Skenderi K,et al.Aerobic exercise training improves insulin sensitivity without changes in body weight,body fat,adiponectin,and inflammatory markers in overweight and obese girls[J].Metabolism,2005,54(11):1472-9.
    [30]Unger RH.Lipotoxic diseases.Annu Rev Med,2002,53:319-336
    [31]Meirharghe A,et al.A genetic polymorphism of the peroxisome proliferator activated receptor gemma gene influence plasma leptin lev-els in obese human[J].Hum Mol Genet,1998,7(3):435-440.
    [32]李强 Leptin,receptor and signal transduction第三军医大学学报 Acad J Sec Mil Med Univ 2007 Jul;28(7)752-753
    [33]陈吉隶.有氧运动、基因表达和慢性病(J).中国运动医学杂志,2002,21(1):PP:61-65.
    [34]Hotamisligil GS,Shargill NS,Spiegelman BM.Adipose expression oftu-mor necrosis factor alpha:Direct role in obesity- linked insulin resis-tance,1993,259:87.
    [35]Constantine T,Sigo S,Loannis Kyrou,et al.Circulating Tumor Necrosis Factor Alpha Concentrations Are Higher in Abdominal Versus Peripheral Obesity[J].Metabolism,1999,48(10):1 332-1 335.。
    [36]Wang JL,Qian XM,ChinookoNS,et al.Polyethylene glycolated recoB-MInant TNF receptor I improves insulitis and reduces incidence of sponta-neous and cyclophosphamide-accelerated diabetes in nonobese diabetic mice.Endocrinology,2002,143(9):3490-3497.
    [37]diabetes:mutation analysis and population study.Diabetes,2002,51:860-862
    [38]Ukkola O,Antero Y,Kes? niemi A,Tremblay et al.:Two variants in the resistin gene and the response to long-term overfeeding.European Journal of Clinical Nutrition(2004)58,654-659.
    [39].McTernan CL,Mc Teman PG,Herte AL,et al.Resistin,central obesity,and type 2 diabetes [J].Lancet,2002,359:46-47.
    [40]Gleeson M.Interleukins and exercise.J Physiology,2000,529:1.
    [41].Bastard JP,Maachi M,Nhieu JT van,et al.Adipose tissue IL-6 content correlates with resistance to insulin activation of glucose uptake both in vivo an in vitro[J].J Clin Endocrinol Metab,2002;87:2084-2089.
    [42]Elbrecht A,Chen Y,Cullinan CA,et al.Molecula cloning,expression and characterization of human peroxisome pro-liferator activated receptorγlandγ2.Biochem Biophys Res Com-mun 1996;224:431.
    [43]Bem - ben M G.Age- related pattern in body composition fox men aged20-70yr[J].Med Sci Sports Exerc.1995,27(2) 1:264-269.
    [44]冯美云,等运动生物化学[M]北京:人民体育出版社,1999,395-397.
    [45]池建.对老年人骨矿含量、体成份和肌力特征研究[J].北京京体育大学学报.1997,(3)20:25-30.
    [46]丛琳,等,运动对糖尿病大鼠瘦素受体基因水平与功能的影响[J]·体育科学,2001,21(4):54-57
    [47].Nakamura N.,Uzawa H.,Maeda H.,et al.Physical fitness--its contribution to serum high density lipoprotein.Atherosclerosis.1983;48:173-183
    [48]张勇等.低密度脂蛋白受体与脂蛋白代谢及其运动调节的可能机制.北京.体育科学.1997.(17)6
    [49]Googyear L.J.etal immediate and delay effects of marathon running on lipids and lipoprotein in women.Med Sci sports ererc.1990,(22):5.588-592
    [50]张勇,颜宜苣,杨锡让等.单纯肥胖症脂质代谢紊乱的运动防治Ⅰ:有氧运动对饮食诱导肥胖大鼠肝脏低密度脂蛋白受体活性调节的影响.中国运动医学杂志,1998,17(4):293-295.
    [51]Velasquez- Mieyer PA,Cowan PA,Arheart KL etal.Suppression of in-sulin secretion is associated with weight loss and altered macronutri-ent intake and preference in a subset of obese adults.International Journal of Obesity,2003,(27);219 226
    [52]孙长颢,等.肥胖基因的研究进展-基因表达的影响因素[J]·国外医学卫生学分册,1998,25(2):68-69·
    [53]ComuzzieAG,AllisonDB.The search for human obesity genes[J].Sci-ence,1998,280(5368):1374-1377.
    [54]郭锡熔,实用人类肥胖病因的遗传学研究;儿科临床杂志第21卷第11期2006年6月:1-2
    [55]Rothman,K.J.,S.Greenland,and A.M.Walker.Concepts of interaction.Am.J.Epidemiol.1980,112:467-470.
    [56]PerusseL,ChagnonYC,Weisnagel SJ,et al.The human obesitygenemap:The 2000update[J].Obes Res,2001,9(2):135-169
    [57]McFadden,E.R.,Jr.,and I.A.Gilbert.Current concepts:exercise-induced asthma.New Engl.J.Med.1994,330:1362-1367,
    [58]Rothman,K.J.,S.Greenland,and A.M.Walker.Concepts of interaction.Am.J.Epidemiol.1980,112:467-470.
    [59].Montgomery H,larkson P,Bamard M,et al.Angiotensin -converting - enzyme gene insertion/deletion polymorphism and response to physical training.Lancet,1999,353:541 - 5.86.
    [60]Rigat B,Hubert C,Alhence-Gelas F.An insertion/deletion polymor-phism in the angiotenism-converting enzyme levels.J Clin Invest,1990,86:1343-1346.
    [61]Evans AE,Poirier O,Kee F,et al.Polymorphism of the ACE gene in sub-jects who die from connary heart disease.QJM,1994,87:211-214.
    [62]胡扬,王刘强.PPAR家族与运动能力研究进展.体育科学,2005,(11)
    [63]王正珍有氧运动对糖调节受损人群胰岛素敏感性影响效果的研究北京体育大学2006届博士学位(毕业)论文2006年4月
    [64].张培珍.血脂异常的中老年人调脂运动处方的研究.北京体育大学2004年博士学位论文
    [65]Ren D,Collingwood TN,Rebar EJ,et al.PPARγ,knowdown by engineered transcription factors:exogenous PPARγ2 but not PPARγ1 reactivates adipogenesis[J]Genes Dev,2002,98:5306 5311.
    [66]庞卫君,李影,卢荣华,等.脂肪细胞分化过程中的分子事件[J].细胞生物学杂志,2005,27-497 500.
    [67]Hu E,Liang P,Spiegelman BM.Adipose is a novel adidpose specific gene dysregulated in obesity[J].J Biol Chem,1996,271:10697 10703.
    [68]Tontonoz P,Hu E,Spiegelman BM.Regulation of adipocyte gene expression and differentiation by peroxisome proliferator activated receptor gamma[J].Curt Opin Genet Dev,1995,5:571-576.
    [69]周丽斌,陈民道.脂肪组织:从脂肪储存库到内分泌器官[J].国外医学内分泌学分册,2005,25(5):8-10
    [70]张乾勇_PPAR的结构与功能及其生物学作用(J)国外医学·卫生学分册,2000,27(5):284.
    [71]Ristow M,Muller-Wieland D,Kahn R.Obesity associated with amutation in a genetic regulator of adipocyte differentiation.NEngl J Meal,1998,339:953-959.
    [72]王娜 张志文PPARγ调节与糖脂质代谢生理科学进展2005年第36卷第3期:240
    [73]Compfield LA,Smith FL,Guisez Y,et al.Recombinant mouse ob protein:evidence for a peripheral signal linking adiposity and central neural networks[J]Science,1995,269(5223):546-549.
    [74]Deeb S S,Fajas L,Nemoto M,et al.A Prol2Ala substitution in PPARy2 associated with decreased receptor activity,lower body mass index and impaired insulin sensitivity[J].Nat genet,1998,20:284-287.
    [75].Agarwal SK,Vogel K,Magoffin DA.Leptin antagonizes IGF-I augmentation of FSH-stimulated oestradiol production in human granulosa cells [abstract].Hum Reprod 1997;12:68.
    [76]项坤三,陆惠娟,贾伟平,等.过氧化质体增殖物激活的受体γ2-Prol2Ala变异对常见代谢病的影响.中华内分泌代谢杂志2000;3:164-168.
    [77]Vidal-Puig AJ et al.Peroxisome Proliferator-activated Receptor Gene Expression in Human Tissues J Clin Invest,1997,99:2416.
    [78]宁光,脂肪内分泌功能与胰岛素抵抗,中华老年多器官疾病杂志,2005,3
    [79]顾卫琼,洪洁,张翼飞,等·肥胖人群中血清瘦素,游离脂肪酸和脂联素水平的相互关系·中 华内分泌代谢杂志,2003、6(9)3:169-171)
    [80].Kissebah AH,Sonnenberg GE,Myklebust J,Goldstein M,Broman K,James RG,Marks JA,Krakower GR,Jacob HJ,Weber J,Martin L,Blangero J,Comuzzie AG.Quantitative trait loci on chromosomes 3 and 17 influence phenotypes of the metabolic syndrome.Proc Natl Acad Sci U S A.2000;97(26):14478-83.
    [81]Vionnet N,Hani EH,Dupont S,Gallina S,Francke S,Dotte S,De Matos F,Durand E,Lepretre F,Lecoeur C,Gallina P,Zekiri L,Dina C,Froguel P.Genomewide search for type w diabetes-susceptibility locus for early-onset diabetes on chromosome 3q27-qter and independent replication of a type 2-diabetes locus on chromosome 1q21-24.AM J Hum Genet.2000;67:1470-1480
    [82]Hara K,Philippe Boutin,Yasumichi Mori,et al.Genetic variation in the gene encoding adiponectin is associated with an increased risk of type 2 diabetes in the Japanese population.Diabetes.2002;51:536-540
    [83]Menzaghi C,Ercolino T,Di Paola R,Berg AH,Warram JH,Scherer PE,Trischitta V,Doria A.A haplotype at the adiponectin locus is associated with obesity and other features of the insulin resistance syndrome.Diabetes.2002;51(7):2306-12
    [84]Frank B,Hu,Doria A,Trivia Ii,et.al.Genetic variation at the adiponectin locus and risk of typc 2 diabetes in Women.Diabetes,2004,53:209-213.
    [85]Takahashi M,Arita Y,Yamagata K,et al.Genomic structure and mutations in adipose specific gene,adiponectin.Int J Obes Relat Metab Disord.2000.24:861-868.
    [86]Kissebah AH Sonnenberg GE,Myklebust J etal Quantitative trait loci on chromosomes 3and 17 influence phenotypes of the metabolic syndrome.Proc Natl Acad SciU S A.2000.97:1 4478-14483.
    [87]Jang Y,Lee JH,Kim OY,et al.The SNP 276 G -> T polymorphismin the adiponectin (ACDC) gene is more strongly associated withinsul in resistance and cardiovascular disease risk than SNP45T ->G in nonobese / nondiabeti c Korean men independent of abdominaladiposity and circulating plasma adiponectin.Met abolism,2006,55(1):59-66.
    [88]Mackevics V,Heid IM,Wagner SA,et al.The adiponect in gene isassociated with adiponectin levels but not with characteristics ofthe insulin resistance syndrome in healthy Caucasians.Eur J HumGenet,2006,14(3):349-356.
    [89]Nakatani K,Noma K,Nishioka J,et al.Adiponectin gene variationassociates with the increasing risk of type 2 diabetes in non2diabetic Japanese subjects.Int J Mol Med,2005,15(1):173 -177.
    [90]董艳,李果,骆天红,等.脂联素基因多态性与2型糖尿病的关系.上海第二医科大学学报,2004,24(12):101-103.
    [91]翟冰,叶玲,刘建伟,等.北京社区人群脂联素和过氧化物酶增殖物活化受体γ2基因多态性及其交互作用与2型糖尿病的关系.中国临床康复,2006,10(4):28-31.
    [92]Vasseur F,Hellbecque N,Dina C,et al.Single-nucleotide polymor-phism haplotypes in the both proximal promoter and exon 3 of theAPM1 gene modulate adipocyte-secreted adiponectin hormone lev-els and contribute to the genetic risk for type 2 diabetes in FrenchCaucasians.Hum Mol Genet,2002,11(21):2607-2614
    [93]陈名道.脂肪细胞产物与肥胖和代谢综合征[J].中华内分泌代谢杂志,2003,19(3):161-163
    [94]崔克勤,杨红珍,言红健,郭雅卿,程勇Ⅱ型糖尿病中心型肥胖胰岛素抵抗相关性研究,现代康复2001年第5卷第2期
    [95]Freedman DS,Jacobsen SJ,Barboriak JJ,et al.Body fat distribution and male/female differences in lipidsand lipoproteins[J].Circulation,1990,81:1 498
    [96].李光伟 陈燕燕 张景玲等 胰岛素抵抗是糖耐量正常人群糖耐量恶化的最重要危险因素[J].中华内分泌代谢杂志2000,16(1):74-77
    [97].李振华,脂肪细胞分化作用及其分子调控机理,激光生物学报,2000,9
    [98]李晓霞,等 人类脂联素与PPAR.相互作用的分子机制及与运动的关联性研究山东体育学院学报2007.12(6)46-50
    [99]Unwin N,Shaw J,Zimmet P,et al.Impaired glucose tolerance and impaired fasting glycaemia:the current status on definition and intervention[J].Diabet Med,2002,19(9):708-723
    [100]国家体育总局群体司.2002年国民体质监测报告.第1版 北京体育大学出版社.2002:33-36
    [101]Hansson L,Zanchetti A,Carrut hers SG,et al.Effect s of intensive blood2pressure lowering and low2dose aspirin in patient s wit h hy-pertension:principal results of the Hypertension Optimal Treat- ment(HOT) randomisedt rail.HOT Study Group[J].Lancet,1998,351:1755-1762
    [102]国家“九五”科技攻关课题协作组.我国中年人群心血管病主要危险因素流行现状及从80年代至90年代末的变化趋势[J].中华心血管病杂志,2001,29:74-79
    [103]汪恕萍 肥胖与相关疾病的危害及其后果的评估与探讨 辽宁实用糖尿病杂志2001年第9卷第2期8-12
    [104]童坦君,张宗玉.医学老年学-衰老与长寿.第1版.北京:人民卫生出版社.1995
    [105]American college of Sports Medicine Position Stand.Exercise and Physical Activity for Older Adults,1998
    [106]谭晓缨.中老年人体脂研究进展.上海体育学院学报.2000;24(2):56
    [107]Seven A Danner,et al.Effects of physical exercise on blood lipids and adipose tissue composition in young health,Atherosclerosis 1984,53:83
    [108]杨长山,田勇强 运动锻炼影响脂代谢的研究进展[J]体育科学研究,1999,3(2)42
    [109]傅力等运动与脂代谢的研究进展[J]中国运动医学杂志,1997,(1):424
    [110]陈吉棣等运动在减肥综合措施中的地位[J],中国运动医学杂志。1989(3):170
    [111]Word Health Organization.Obesity:Preventing and Managing the Global Epidemic.Geneva:WHO,1998
    [112]Rornijin,J A,E.F.Coyle,L.S.Sidossis,et al.substract metabolism during different exercise intensities in endurance-traind woman.J Appl Physilo.2000,88:1707-1714
    [113]Achten J,et al.Determination of exercise intensity that elicits maximal fat oxidation,Med.Sci.Sports Exerc.2002,34(1):92-97
    [114]杨长山,田勇强.运动锻炼影响脂代谢的研究进展.体育科学研究.1999.3(2);42
    [115]白玉龙.运动对老年人身体构成的影响.现代康复.1997.2(1):126
    [116]赵连成,周北凡,武阳丰等.体重指数与死亡的前瞻性研究.中华流行病学杂志.2002;23(1):24-27
    [117]Brtmner D.,Weisbort J.,Meshulam N.,et al.Relation of serum total cholesterol and high densitylipoprotein cholesterol percentage to the incidence of definite coronary events:twenty-year follow-up of the donolo-tel aviv prospective coronary artery disease study.Am J Cardiol.1987;59:1271-1276
    [118]Assmann G.and Schulte H.Relation of high-density lipoprotein cholesterol and triglycerides toincidence of atherosclerotic coronary artery disease(the PROCAM experience).Am J Cardiol.1992;70:733-73
    [119]Tall A.R.An overview of reverse cholesterol transport.Eur Heart J.1998;19:A31-A35
    [200]Saku K.,Zhang B.,Ohta T.,et al.Quantity and function of high density lipoprotein as an indicator ofcoronary atherosclerosis.J Am Coll Caordiol.1999;33:436-443
    [201]廖八根等.中老年人业余体育活动、体质与冠心病危险因素.中国运动医学杂志,2000,3:261
    [202]许豪文 运动和脂肪代谢(文献综述)体育与科研1980,4:39-45。
    [203]Kiens B,Jorgensen I,Lewis S,et al.Increased plasma HDL-cholesterol and apo A-1 in sedentary middle-aged men after physical conditioning.Eur J Clin Invest.1980,10:203-209.
    [204]Leon AS,Rice T,Mandel S,et al.Blood lipid response to 20 weeks of supervised exercise in a large biracial population:the HERITAGE Family Study.Metabolism.2000,49:513-520.
    [205]Motoyama M,Sunami Y,Kinoshita F,et al.The effects of long-term low intensity aerobic training and detraining on serum lipid and lipoprotein concentrations in elderly men and women.Eur J Appl Physiol Occup Physiol.1995,70(2):126-131(Abstract).
    [206]史亚丽,辛晓林,王昌留 等.有氧游泳运动对老年高血脂大鼠脂代谢影响的研究.北京体育大学学报.2004,8(27):1053-1054.
    [207]徐晓阳,纪仲秋.运动生物化学[M1.桂林:广西师范大学出社,2000:41-42.
    [208]Blair SN.Physical fitness and incidence of hypertension in healthy norm otensive men and woman,JAMA,1984;252:487
    [209]松浦秀夫,非药物疗法的效果.内科.1995;75:4556 Kelley GA.Aerobic exercise and resting blood pressure among women:a meta-analysis.Prev Med.1999Mar;28(3):264
    [210]Petrella RJ.Howeffective is exercise training for the treatment of hypertension? Chin J Sport Med 1998 Jul;8(3):224
    [211]Halbert JA,et al.The effectiveness of exercise training in lowering blood pressure:a meta-analysis of 56 Kelley GA.Aerobic exercise and resting blood pressure among women:a meta-analysis.Prev Med.1999 Mar;28(3):264
    [212]余振球,马长生.实用高血压学,北京:科学出版社,1993:77-79,369-377
    [213]林华,于文谦.人体衰老机理及有氧运动对延缓衰老的作用.体育学刊.20002:28
    [214]Hulver MW,Zheng D,TannerCJ,et al.Adiponectin is not altered with exercise training despite enhanced insulin action[J].Am J Physiol Endocrinol Metab JT -- American journal of physiology,Endocrinology and metabolism,2002,283:E861-865.
    [215]Keith NF 1 Non2esterifiedfatt yacidmetabolismand postprandialli 2paemia[J]Atherosclerosis,1998,141(Suppl1):S41-S46
    [216]Shon EM,SreekumaranN,MichaelDJ 1 Insulinre gulationoffree fatt yacidmetabolism[J]1Diabetes,1999,48:10-14
    [217]Leonardi O,Mints G,HussainM A,et al.Beta-cell aPoPtosis in the Pathogenesis of human tyPe 2 diabetes mellitus.EurJ EndocrinOI,2003,149(2):99-102.
    [218]Gasteyger C,Tremblay A.MetabolieimPactofbodyfatdistribution.J Endoerinollnvest,2002,25(10):876-83.
    [219]Miller W,Auchus R,Geller D.The regulation of 17,20 lyase activity.Steroids 1997;62:133.
    [220]Takahashi M,Arita Y,Yamagata K,et al.Genomicst ructure and mutations in adipose specific gene,adipone2ctin.Int J Obes,2000,24(11):8612868.
    [221]Kondo H,Shimomura I,Mat sukawa Y,et al.A candi2 date gene for the insulin resistance syndrome.Diabetes,2002,51(9):2 325-2328.
    [222]Zietx B,Barth N,Scholmerich J,et al.Gly15 Gly poly2morphism within the human adipocyte2specific apM gene but not Tyrlll His polymorphism is associated with higher levels of cholesterol and LDL2cholesterol in cauca2sian patient s with type 2 diabetes.EXP Clin EndocrinolDiabetes,2001,109(3):320-325.
    [223]Moon MK,Cho YM,Jung HS,etal.Genetic polymorphisms in peroxisome proliferator-activated receptor gamma are associated with Type 2 diabetes mellitus and obesity in the Korean population[J].Diabet Med,2005,22(9):1161-1166
    [224]Yamauchi T,Kamon J,Waki H,et al.The fat2derived hor2mone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity[J].Nat Med,2001,7:941-946.
    [225]Bacci S,Menzaghi C,Ercolino T,et al.The +276 G/T Single Nucleotide Polymorphism of the Adiponectin Gene Is associated With Coronaiy.Artery Disease in Type 2Diabetic Patients[J].Diabetes care,2004;27(8):2015-2020
    [226]李昕,PPAR_及apM1基因多态性与多囊卵巢综合征肥胖异质性的相关研究复旦大学博士学位论文,2006.4
    [227]Viormet N,Hani EH,Dupont S,et al.Genomewide search for type 2 diabetes2susceptibility genes in French whites:evidence for anovel susceptibility locus for early2onset diabetes on chromosome 3q272qter and independent replication of a type 22diabetes locus onchromosome 1q21 24[J].Am J Hum Genet,2000,67:1 470-1480.
    [228]Kissebah AH,Sonnenberg GE,Myklebust J,et al.Quantitativetrait loci on chromosomes 3 and 17 influence phenotypes of the metabolic syndrome[J].Proc Natl Acad Sci USA,2000,97:14478-14483.
    [229]傅茂,程桦,李秀钧,等.过氧化物酶增殖体激活受体γ2基因Prol2Ala变异与2型糖尿病的关系.中华医学遗传学杂志,2002,19:234-238
    [230]Fu M,Chen H,Li X,et al.Association of Prol2Ala variant in peroxisome proliferator.activated receptor.gamma2 gene with type 2 diabetes mellitus.ZhonghHa Yi XHe Yi Chuan XHe Za Zhi.2002,19:234-238.
    [231]Auwerx J.PPAR γ,the ultimate thrifty gene.Diabetologia,1999,42:1033-1049.
    [232]Vidal-Puig AJ,Considine RV,Jimenez-Linan M,et al.Peroxisome proliferator-activated receptor gene expression in human tissues:efects of obesity,weight loss,and regulation by insulin and glucocorticoids.J Clin Invest,1997,99:2416-2422.
    [233]KaharaT,Takamura T,Hayakawa T,et al.PPARgammagene polymorphism is associated with exercise mediated changes of insulin resistance in healthy men.Metabolism.2003,52(2):209-212.
    [234]Ahluwalia M,Evans M,Morris K,et al.The influence of the Prol2Ala mutation the PPAR-gamma receptor gene on metabolic and clinc char- acteristic in treatment-native patients with type 2 diabetes.Diabetes,Obesity and Metabolism,2002,(4):3762378.
    [235]Masugi J,Tamorl Y,Mori H,et al.Inhibitory efect ofa praline-toalanine substitution at codon 1 2 of pemxisome pmliferator-activated receptor-gamma 2 on thiazolidinedione-induced adipogenesis.Bioc hem BiophysRes Commun.2000.268:178-82.
    [236]Yu JG,Javorschi S,Hevener AL,et al.The effect of thiazolidinedione on plasma adiponectin levels in normal,obese,and type 2 diabetic sub-jects.Diabetes,2002,51:2968-2974.
    [237]Wang XL,Oosterhof J,Natalia D.Peroxisome proliferators-activated-receptorγC 161→T polymorphism and coronary artery disease[J].Cardiovascul Res,1999,44:588-594.
    [238]Chao TH,Li YH,Chen JH,et al.The 161TT genotype in the exon 6 of the perolisome-proliferator-activated receptor gamma gene is associated with premature acute myocardial infarction and increased lipid perolidation in habitual heavy smokers[J].Clin Sci,2004,107(5):461-466.
    [239]闰振成等.代谢综合证PPARγC161T基因多态性与颈动脉损害的相关研究[J].中华医学杂志,2004,84(17):543-547
    [240]万静等.过氧化物酶体增殖物激活受体yC161T基因多态性与冠心病的关系[J].中华心血管病杂志,2004,32 2):131-134
    [241]罗素新 脂联素和PPARY的基因多态性与冠心病及其危险因素的相关性研究重庆医科大学博士学位论文2006
    [242]Harak,OkadaT,Tobek,et al.TheProl2AlaPol ymorphism inPPAR mayConferResistancetoT ype2Diabetes[J].BiochemBiphysResCommun,2000,271:212.
    [243]RistowM,Muller 2WielandD,PfeifferA,et al.Obesity ssociatedwithaMutationinaGeneticRe gulatorof AdipocyteDifferentiation[J].NEn glJMed,1998,339:953-95.

© 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