长期神经肌肉电刺激训练干预中年女性腹部肥胖的随机对照研究  

Randomized controlled study of 12 week training on abdominal region by neuromuscular electrical stimulation in women with simple ventral obesity

作　　者：王勇军[1,2] 黄力平[1] 田强[1] 曹龙军[1] 周石[1,3] 

机构地区：[1]天津体育学院运动人体科学系,天津市300381 [2]山东省泰安市泰安中心医院康复科 [3]澳大利亚南十字星大学

出　　处：《中国康复医学杂志》2008年第1期26-29,共4页Chinese Journal of Rehabilitation Medicine

基　　金：天津市自然科学基金资助(05YFJMJC05400)

摘　　要：目的:观察长期经皮神经肌肉电刺激训练结合减肥康复教育干预中年女性单纯性腹部肥胖的疗效,为探索降低腹部肥胖的方法提供实验依据。方法:选取单纯性腹部肥胖女性46例(50±5.88岁),参加实验的人数为30例,随机分为实验组和对照组各15例。实验组受试者每天进行30min腹直肌神经肌肉电刺激训练,频率为30Hz,波宽为300μs,通断比为1∶3,电流强度为10—20mA,持续12周。对所有受试者每周进行减肥康复教育1次。结果:实验组单纯性腹部肥胖中年女性训练后较训练前BMI、腰围和臀围显著降低(P<0.001),腰围与臀围比值差异无显著性(P>0.05);对照组训练前后各项指标无变化(P>0.05);训练后实验组体重、BMI、腰围和臀围较对照组显著降低(P<0.05);训练后显著减少单纯性腹部肥胖中年女性腹内脂肪(P<0.05),腹直肌肌肉厚度显著性增加(P<0.05),皮下脂肪厚度无显著性变化(P>0.05)。结论:长期神经肌肉电刺激训练和减肥康复教育相结合可以显著改善中年女性单纯性腹部肥胖者身体形态,降低腹内脂肪含量,效果明显优于单纯的减肥康复教育。Objective：To investigate the efficacy of neuromuscular electrical stimulation on the abdominal region in women with simple abdominal obesity in order to offer experimental clues for lowering the health hazard of abdomen obesity.Method：Thirty women with simple abdominal obesity, 50±5.88 years old, volunteered to participate in the experiment. The participants were randomly divided into training group and control group, each 15 subjects. The training group was given neuromuscular electrical stimulating training 30min per day on the rectus-abdominis muscles around umbilicus： with frequency 30Hz, pulse width 300 μs, on and off ratio 1：3, intensity 10-20mA. Both groups participant in workshops for body weight control once a week. Result：The women after 12 week electrical stimulating training showed lower BMI,WC, and HC than those in pre-training（P〈0.001） and no significant difference was found in BW and WHR of them as comparing with pre-training （P〉0.05）. In the control group the BW, BMI, WC, and HC did not show significant change during experimental period （P〉0.05）. Compared with control group, in experiment group BW, BMI, WC,and HC decreased significantly （P〈0.05）. The women in training group had thinner thickness of visceral fat and greater thickness of rectus-abdominis muscle measured by ultrasonography than those in control group after 12 week intervention （P〈0.05）. Conclusion： Twelve week training with neuromuscular electrical stimulation on the rectus-abdominis muscle is a potent visceral fat lossing method for the women suffered from simple ventral obesity. It＇s effect is better than only education for weight control.

关 键 词：神经肌肉电刺激 腹部肥胖 超声检查 

分 类 号：R589.2[医药卫生—内分泌]