不同运动方式对运动员血清抗菌多肽(Hepcidin)的影响
Effects of Different Exercise on the Serum Hepcidin of Athletes:A Meta-Analysis
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摘要: 抗菌多肽(Hepcidin)是机体铁稳态的负调节子,在运动性铁缺乏的发生中发挥重要作用。目的:采用Meta分析定量评价不同运动方式对运动员血清Hepcidin浓度的影响。方法:分别以急性运动和耐力运动的运动员在运动前后的血清Hepcidin浓度为统计量,检索截至2016年4月的相关文献,制定文献筛选标准,对纳入的研究进行Meta分析、异质性检验和发表偏倚检验。结果:涉及急性运动的研究11项(135名运动员)和耐力运动研究7项(88名运动员)纳入Meta分析。急性运动后运动员血清Hepcidin增加幅度为51.94%(SMD=1.640,95%CI1.357,1.923,z=11.37,P<0.01)。耐力运动Hepcidin增加幅度为25.13%(SMD=0.863,95%CI0.550,1.177,z=7.24,P<0.01)。检验均未发现显著发表偏倚。结论:急性运动和耐力运动均使运动员Hepcidin增加,急性运动增加幅度高于耐力运动,为防止运动性贫血发生,运动员应在训练期间增加铁补充。Abstract: Hepcidin is a main negative regulator of iron metabolism,which plays an important role in iron deficiency in athletes.Objective:The present study investigated the changes of Hepcidin concentrations in different exercise using Meta analysis.Methods:Searched related literature before April.2016 and identify including and excluding criteria.The serum Hepcidin concentrations in athletes before and after the endurance and acute exercise were selected,and then heterogeneity test,regression analysis for heterogeneity and publication bias were made.Results:11 studies were related to acute exercise including 135 athletes and 7 studies were related to endurance exercise including 88 athletes.Hepcidin concentrations were increased by 51.94% in acute exercise:(SMD=1.640,95% CI1.357,1.923,z=11.37,P<0.01).Hepcidin was increased by 25.13% in endurance exercise:SMD=0.863,95% CI0.550,1.177,z=7.24,P<0.01).Both Egger's and Begg's test revealed that there were no significant publication bias found.Conclusions:Hepcidin concentrations were increased both after acute and endurance exercise;the increase range in acute exercise was higher than that of endurance exercise.Iron supplementation would be helpful to maintain iron homeostasis in athletes.
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