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    高温高湿环境下力竭运动后的外周疲劳特征及微高压氧恢复效应

    Peripheral Fatigue and Recovery Effects of Mild Hyperbaric Oxygen Therapy Following Exhaustive Exercise in Hot and Humid Conditions

    • 摘要:
      目的 探讨高温高湿环境对耐力项目运动员递增负荷至力竭运动后外周疲劳特征的影响,并进一步分析微高压氧治疗(mHBT)对高温高湿及常规环境下运动后恢复过程的作用。
      方法 共招募18名耐力项目运动员,采用2(环境:高温高湿环境、常规环境)×2(恢复方式:mHBT、被动恢复)的随机不完全交叉试验设计。每名受试者随机完成4种测试方案中的2种,每种方案9名受试者。受试者分别在高温高湿环境或常规环境中进行递增负荷至力竭运动,运动后接受mHBT或被动恢复(PR)。在运动前、运动后即刻及恢复后分别采集主观疲劳评分、核心温度、炎症和氧化应激等血液生化指标,并通过反向跳跃(CMJ)测试评估神经肌肉功能。
      结果 在环境效应方面,与常规环境条件相比,高温高湿环境下运动至力竭时间降低、核心温度升高(P<0.05)。在恢复效应方面,与运动前相比,PR恢复后丙二醛(MDA)升高(P<0.05),而mHBT恢复后MDA未见明显升高(P>0.05);在高温高湿环境下,与mHBT干预相比,PR干预中谷胱甘肽过氧化物酶(GSH-Px)降低(P<0.05);与运动前相比,恢复后肌酸激酶(CK)、乳酸脱氢酶(LDH)升高(P<0.05)。
      结论 高温高湿环境可缩短递增负荷运动至力竭时间并升高核心温度,提示其主要通过增加热应激负荷加速运动性疲劳发生。在短时恢复观察窗口内,氧化应激、炎症反应和骨骼肌损伤指标主要表现为运动诱导的变化,未显示一致的高温高湿环境特异性加重。单次mHBT干预可在一定程度上抑制运动后MDA升高,提示其可能有助于缓解运动后脂质过氧化反应,但对CMJ神经肌肉功能、炎症反应和骨骼肌损伤指标的即刻恢复作用有限。

       

      Abstract: Objective: To investigate the effects of a hot and humid environment on peripheral fatigue following incremental exercise to exhaustion in endurance athletes and to further evaluate the effects of mild hyperbaric oxygen therapy (mHBT) on post-exercise recovery under hot and humid versus temperate environmental conditions. Methods: Eighteen endurance athletes were recruited for a randomized incomplete crossover trial with a 2 (environment: hot and humid vs. temperate) × 2 (recovery modality: mHBT vs. passive recovery PR) factorial design. Each participant randomly completed two out of the four test protocols, with nine participants assigned to each protocol. Participants performed incremental exercise to exhaustion under either hot and humid or temperate conditions, followed by either mHBT or PR. Subjective fatigue ratings, core temperature, blood biomarkers of inflammation and oxidative stress were sampled, and neuromuscular function was assessed via countermovement jump (CMJ) tests before exercise, immediately after exercise, and after recovery. Results: Regarding the environmental effects, time to exhaustion was shorter and core temperature was higher during exercise in the hot and humid environment than under temperate conditions (P<0.05). Regarding the recovery effects, malondialdehyde (MDA) levels increased after PR compared with pre-exercise values (P<0.05), whereas no significant increase was observed after mHBT (P>0.05). Under hot and humid conditions, glutathione peroxidase (GSH-Px) levels were lower following PR than following mHBT (P<0.05). Creatine kinase (CK) and lactate dehydrogenase (LDH) levels were elevated after recovery compared with pre-exercise values (P<0.05). Conclusion: A hot and humid environment shortens the time to exhaustion during incremental exercise and increases core temperature, suggesting that greater thermal strain contributes to the accelerated development of exercise-induced fatigue. Within the short-term recovery period examined, biomarkers of oxidative stress, inflammation, and skeletal muscle damage predominantly reflected exercise-induced responses, with no consistent evidence of additional exacerbation attributable specifically to the hot and humid environment. A single session of mHBT may partially attenuate the post-exercise increase in MDA, suggesting a potential role in mitigating exercise-induced lipid peroxidation. However, its immediate effects on CMJ-derived neuromuscular function, inflammatory responses, and biomarkers of skeletal muscle damage appear to be limited.

       

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