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研究生: 劉家芸
Liou, Chia-Yun
論文名稱: 支鏈胺基酸增補對單次運動後記憶力、注意力與腦氧含量之影響
Contribution of Branched-Chain Amino Acids to Cerebral Functions of Memory and Attention, and Oxygenation after a Bout of Exercise
指導教授: 湯馥君
Tang, Fu-Chun
學位類別: 碩士
Master
系所名稱: 人類發展與家庭學系
Department of Human Development and Family Studies
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 99
中文關鍵詞: 血清素5-羥基引朵醋酸中樞疲勞前額葉氧合作用認知表現
英文關鍵詞: serotonin, 5-hydroxyindoleacetic acid, central fatigue, prefrontal cortex oxygenation, cognitive performance
DOI URL: https://doi.org/10.6345/NTNU202203343
論文種類: 學術論文
相關次數: 點閱:187下載:17
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  • 本研究探討一次高劑量支鏈胺基酸增補對耐力運動後生理、生化代謝之影響,及支鏈胺基酸、中樞疲勞、腦血氧含量與認知學習記憶力、注意力之關聯。
    本雙盲研究召募大學體育系之健康男生20人 (22 ± 2歲) 計數平衡後,分成二組:控制組 (安慰劑組, 麥芽糊精40克/次) 10名、實驗組 (支鏈胺基酸組, 支鏈胺基酸 40克/次;白胺酸54%, 異白胺酸19%, 纈胺酸27%) 10名,交叉前、後各僅增補1次,增補當日進行1小時之耐力跑步,運動強度70~75% 最大保留心跳率。增補前、後與運動前、後均採血與取尿,以測量血液生化值:葡萄糖、乳酸、胺基酸、血清素與肌酸激酶濃度;及收集尿液參數:比重、吸光值、酸鹼值、肌酸酐、尿素氮與5-羥基引朵醋酸濃度。並以近紅外線光譜儀與認知測驗 (工作記憶力、選擇注意力與分散注意力測驗),探討支鏈胺基酸增補與耐力運動對腦部前額葉血氧飽和變化與認知學習記憶力與注意力之影響。
    統計分析後,研究結果發現支鏈胺基酸增補可維持耐力運動後恢復期血漿葡萄糖、麩醯胺酸、丙胺酸、纈胺酸、白胺酸、支鏈胺基酸與總受測胺基酸濃度,並利於維持體內氮之平衡。相較於無支鏈胺基酸增補者,支鏈胺基酸增補降低血漿游離色胺酸與支鏈胺基酸比值 (p < .05),降低運動後血清血清素 (p < .05) 和尿液5-羥基引朵醋酸 (p < .05) 濃度,且增加運動後恢復期選擇注意力和分散注意力測驗執行時,前額葉含氧血紅素和總血紅素之百分變化率 (p < .05),同時也提升選擇注意力之表現。相較於支鏈胺基酸增補者,麥芽糊精增補提升運動前工作記憶力之表現 (p < .05),於運動後之恢復期也提升組內分散注意力之表現 (p < .05)。
    綜上所述,支鏈胺基酸增補有助於減少中樞疲勞的傾向,且有利於認知測驗執行時,腦血流量與血氧運送,提升了選擇注意力之表現。

    To investigate the influences of acute branched-chain amino acid (BCAA) supplementation and endurance exercise on amino acid metabolism, cerebral functions of memory and attention, and prefrontal cortex oxygenation, a double-blind, counter-balanced, and cross-over study was undertaken. Twenty healthy male athletes (22 ± 2 y) were recruited and divided into two groups: placebo group (n = 10, maltodextrin 40 g/bout) and BCAAs group (n = 10, BCAAs 40 g/bout; leucine 54%, isoleucine 19%, valine 27%). On the testing day, the participants performed 1 hour running with an intensity of 70~75% heart rate reserved maximum. Blood and urine samples were collected before and after both the supplementation and endurance running. Blood concentrations of glucose, lactate, selective amino acids, 5-hydroxytryptamine (5-HT) and creatine kinase were measured. In addition to urinary specific gravity, absorbance and pH value, urinary concentrations of creatinine, urea nitrogen and 5-hydroxyindoleacetic acid (5-HIAA) were also determined. Cognitive tests (working memory, selective attention and divided attention) and functional Near-Infrared Spectroscopy were employed to understand the effects of BCAA supplements and endurance exercise on cerebral functions of memory and attention, and oxygenation.
    After statistical analysis, the plasma homeostasis of glucose, glutamine, alanine, valine, leucine, BCAAs and total selective amino acid concentrations were maintained with BCAA supplement, and also the nitrogen metabolism of the body at recovery. Compared with the placebo group, BCAA supplement reduced the ratio of f-tryptophan (f-TRP)/BCAAs (p < .05), the concentrations of serum 5-HT (p < .05), and urinary 5-HIAA (p < .05) after endurance running. It also increased oxygenation of the prefrontal cortex during the selective attention and divided attention tests at recovery (p < .05), along with a significant performance improvement on the selective attention test. Maltodextrin supplement improved the performance on the working memory test before running (p < .05), and enhanced the performance on the divided attention test at recovery (p < .05).
    Branched-chain amino acid supplementation tended to reduce central fatigue, and increase cerebral blood flow and blood oxygen delivery during cognitive tests, which enhanced the performance on the selective attention test after a bout of exercise.

    中文摘要i 英文摘要iv 誌謝v 目次vi 圖次xi 表次xiii 第一章 緒論1 第一節 研究動機1 第二節 研究目的2 第三節 名詞定義3 第二章 文獻探討4 第一節 支鏈胺基酸代謝4 第二節 支鏈胺基酸增補與運動6 一、支鏈胺基酸增補與運動生理6 二、支鏈胺基酸增補與肌肉損傷7 第三節 支鏈胺基酸增補與中樞疲勞8 一、血清素之生合成與代謝8 二、中樞疲勞假說10 第四節 前額葉血氧飽和變化與認知學習13 一、近紅外線光譜與前額葉血氧飽和變化13 二、運動與認知功能14 三、營養增補與認知功能14 第五節 文獻探討總結15 第三章 研究方法17 第一節 研究流程17 第二節 研究對象18 第三節 研究設計與流程18 一、實驗地點18 二、實驗設計18 三、實驗流程19 四、實驗飲食19 第四節 研究工具及方法21 一、資料收集與測量方法21 (一) 基本資料21 (二) 問卷調查21 (三) 近紅外線光譜儀前額葉血氧飽和變化之測定22 (四) 認知測驗24 (五) 心跳測量26 (六) 檢體收集26 (七) 血球容積比26 二、檢體生化分析27 (一) 血液27 (二) 尿液32 第五節 統計分析36 第四章 研究結果37 第一節 支鏈胺基酸增補與耐力運動37 一、描述性統計資料37 二、飲食攝取狀況37 三、運動引致感覺變化38 四、血液生化分析40 (一) 血漿葡萄糖40 (二) 血漿乳酸41 (三) 血漿胺基酸42 (四) 血清肌酸激酶46 五、中樞疲勞相關之生化值47 (一) 血漿游離色胺酸與支鏈胺基酸比值47 (二) 血清血清素47 (三) 尿液5-羥基引朵醋酸47 六、尿液參數分析49 (一) 尿液比重49 (二) 尿液吸光值49 (三) 尿液酸鹼值49 (四) 尿液尿素氮49 第二節、支鏈胺基酸增補與認知測驗執行時前額葉血氧飽和百分變化率51 第三節、支鏈胺基酸增補與認知測驗表現55 一、測驗作答正確率之分析55 二、測驗作答反應時間之分析55 第四節、相關分析58 一、支鏈胺基酸增補與耐力運動對生化值與尿液參數影響之相關分析58 二、支鏈胺基酸增補與耐力運動對生化值與選擇注意力測驗執行時前額葉含氧血紅素百分變化率之相關分析59 三、支鏈胺基酸增補與耐力運動對生化值與認知測驗表現之相關分析--60 第五章 討論61 第一節、支鏈胺基酸增補與耐力運動61 一、運動引致感覺變化與肌肉損傷61 二、血液生化分析62 (一)血漿葡萄糖62 (二)血漿乳酸62 (三)血漿胺基酸63 (四)中樞疲勞相關生化值64 三、尿液參數分析64 第二節、前額葉血氧飽和百分變化率與認知測驗表現66 第三節 相關性探討67 一、生化值之相關分析與尿液參數之相關分析67 二、生化值與執行選擇注意力測驗時的前額葉含氧血紅素百分變化率之相關分析68 三、生化值與認知測驗表現之相關分析69 第六章 結論與建議70 第一節 結論70 一、支鏈胺基酸增補與耐力運動對生化值變化之影響70 二、支鏈胺基酸增補與耐力運動對前額葉血氧百分變化率及認知表現之影響70 第二節 建議71 參考文獻72 附錄1、三軍總醫院人體試驗審議會人體試驗計畫同意函86 附錄2、飲食、運動與生活習慣問卷91 附錄3、運動引致感覺量表95 附錄4、受試者之運動專長96 附錄5.1、三項認知測驗執行時前額葉含氧血紅素飽和變化之統計資料97 附錄5.2、三項認知測驗執行時前額葉去氧血紅素飽和變化之統計資料98 附錄5.3、三項認知測驗執行時前額葉總血紅素飽和變化之統計資料99

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