改善单纯性肥胖大学生身体成分的运动处方  

Exercise prescription for improving the body composition of undergraduates with simple obesity

作　　者：邹卫国[1] 唐建倦[1] 莫清华 

机构地区：[1]南华大学体育部,湖南省衡阳市421001 [2]衡阳市第一人民医院肿瘤科,湖南省衡阳市421000

出　　处：《中国临床康复》2005年第48期143-145,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:采用有氧运动处方对大学生单纯性肥胖进行干预,观察食干预条件下合理有氧运动配合静力练习的运动处方对治疗单纯性肥胖的作用。方法:2004-03/06,选定南华大学2003级男性重度单纯性肥胖大学生20名,随机选取自愿参加运动者10名作为运动组,另外10名作为对照组。对20名单纯性肥胖大学生进行体质量、血压、体脂和血脂(总胆固醇:用酶反应试剂药盒测定,三酰甘油:乙酰丙酮微量测定法)检测,并为运动组10名大学生开出运动处方,运动处方分为4个阶段,即1～5/6～10/11～14/15～18周)。每次训练时间50～80min,运动频度为3～5次/周,共18周。运动强度基本维持在:靶心率(次/min)=最大心率×(50%～70%),最大心率(次/min)=220-年龄。主要内容为静力练习和有氧跑,再灵活安排一些学生喜好的运动项目,跑的距离和时限随训练阶段的推移,强度呈阶梯式上升,训练中未对受试者进行饮食干预。对照组正常参加体育课和课外体育活动,不改变生活方式与节奏。观察两组大学生运动前后的体质量、体脂、血压及血脂变化。结果:参与观察的男性重度单纯性肥胖大学生20名全部进入结果分析,无脱落者。运动组训练18周后与对照组相比,体质量、体脂、血压均有所下降。其中体质量、收缩压、舒张压差异有显著性[(72.8±3.4),(87.9±2.9)kg;(114.0±2.25),(124.5±3.0)mmHg(1mmHg=0.133kPa);(66.8±3.8),(69.8±3.0)mmHg,t=4.65,3.76,3.27,P<0.05]。运动训练18周后,10名学生血清总胆固醇、三酰甘油、低密度脂蛋白胆固醇、载脂蛋白B、载脂蛋白AI均值均有不同程度的下降,其中三酰甘油、高密度脂蛋白胆固醇及载脂蛋白B与运动前比较,差异有显著性意义[(1.2±0.1),(1.9±0.2)mmol/L;(4.3±0.0),(0.9±0.0)mmol/L;(0.5±0.0),(0.8±0.0)g/L;t=3.67,5.31,5.11,P<0.05]。结论:非饮食干预条件下的有氧运动配合静力练习有助于降低单纯性肥胖大学生的血压、AIM： Adopting the aerobic exercise prescription to intervene on the simple obesity of university students, to observe the effect of reasonable aerobic exercise matching static exercise prescription for simple obesity under diet intervention. METHODS： Twenty male undergraduates with severe simple obesity in 2003 grade of Nanhua University from March to June 2004. Ten volunteers were selected randomly as exercise group, and other 10 as control group. The body mass, blood pressure, body lipid and blood lipid （total cholesterol was tested with enzyme test kit; triacylglycerol was tested with acetylacetone micromethod） were detected in the 20 undergraduates. Exercise prescription was given to the 10 students of exercise group. It included 4 phases： 1-5/6-10/11-14/15-18 weeks, training for 50-80 minutes every week, frequency of exercise was 3-5 times a week for 18 weeks totally. Exercise intensity ranged mainly： target heart rate （times per minute） = maximal heart rate x（50%-70%）, maximal heart rate （times per minute） = 220-age. Principal content was static exercise and aerobic running, adding some student-liked items. Distance and limited time were pushed with the training phase, and the intensity increased gradually. During the training there was no diet intervention. The undergraduates in the control group joined the physical education and physical activity normally without changing the life style and rhythm. The changes of body mass, body lipid, blood pressure and blood lipid were observed in undergraduates of the two groups before and after exercise. RESULTS： Twenty male undergraduates with severe simple obesity who joined the observation were all involved in the result analysis, without dropout. The body mass, body lipid and blood pressure decreased after training for 18 weeks in the exercise group as compared with the control group. The difference of body mass, systolic pressure and diastolic pressure was significant [（72.8±3.4）, （87.9±2.9）kg; （114.0±2.25）, （124.5±3.0�

关 键 词：肥胖症/病理生理学 胆固醇/代谢 血压 运动(Exercise)/生理学 肥胖症/代谢 

分 类 号：R589.2[医药卫生—内分泌]