12周神经肌肉电刺激训练改善肥胖中年女性代谢风险的研究  

Twelve weeks training with neuromuscular electrical stimulation on abdominal region for improving the metabolic risks in middle-aged women with simple abdominal obesity

作　　者：黄力平[1] 王勇军[1] 田强[1] 章礼勤[1] 于诗情[1] 曹龙军[1] 

机构地区：[1]天津体育学院运动人体科学系,天津300381

出　　处：《中国康复医学杂志》2008年第6期487-490,共4页Chinese Journal of Rehabilitation Medicine

基　　金：天津市自然科学基金支持(05YFJMJC05400)

摘　　要：目的:观察12周经皮神经肌肉电刺激训练结合减肥教育对腹部肥胖中年女性血液代谢指标的影响,为探索降低腹部肥胖者代谢风险方法提供实验依据。方法:选取腹部肥胖中年女性受试者30例,随机分为实验组和对照组,每组各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(30Hz、300μs,通断比为1∶3),刺激强度为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:①与对照组相比,训练后实验组体重、BMI、腰围和臀围显著降低(P<0.05);腹内脂肪厚度显著减少(P<0.05),腹直肌肉厚度显著性增加(P<0.05)。②实验前后比较,实验组血清TG、INS、LEP水平和IRI都有显著性降低(P<0.01,P<0.001)。③与对照组相比,训练后实验组血清CHO、LDL、TG、GLU水平下降显著(P<0.05),HDL变化不明显(P>0.05);血清INS、LEP水平及IRI显著降低(P<0.05)。结论:12周经皮神经肌肉电刺激训练结合减肥教育显著改善腹部肥胖中年女性的机体代谢,正性调节血糖、血脂,减轻胰岛素抵抗和瘦素抵抗,效果优于单纯减肥教育。Objective：To investigate the metabolic profile improvements after 12 weeks neuromuscular electrical stimulation training on abdomens of women with simple abdominal obesity.Method：Thirty women with simple abdominal obesity, 50±5.88 （40--60） years old, volunteered to participate in the experiment after health screening and medical examination. The participants were randomly divided into training group（15 subjects） and control group （15 subjects）. The training group was given neuromuscular electrical stimulating training on rectus-abdominis muscles around umbilicus for 12 weeks, which protocol was 30min a day with frequency 30Hz, wave width 300 μs, on and off ratio 1：3, intensity10--20mA. Both groups took part in rehabilitation education for body weight control once a week. Result： ①Training group showed a lower BW, BMI, WC and HC than those in control group（P〈0.05） after the program. Training group had thinner visceral fat thickness （P〈0.05） and greater rectus-abdominis muscle thickness （P〈0.05） measured by ultrasonography than those in control group after 12 weeks intervention. The subcutaneous fat thickness didn＇t significantly change after intervention in both groups （P〉0.05）. ② The serum TG, insulin, leptin and IRI in training group reduced significantly reduced when 12 weeks intervention finished （P〈0.01, P〈0.001）. Those blood lipids profile didn＇t change significantly in control group after 12 weeks intervention（P〉0.05）. ③The serum CHO, LDL, TG, and GLU levels reduced significantly in training group than those in control group（P〈 0.05）. The serum insulin, leptin levels, insulin resistance index decreased significantly in training group compared with those in control group （P〈0.05）. Conclusion：The serum glucose, lipids, insulin resistance and leptin resistance decreased significantly after 12 weeks electrical stimulation program the women suffered from abdominal obesity, while the rehabilitation education only for weight contro

关 键 词：神经肌肉电刺激 单纯腹部肥胖 胰岛素 瘦素 

分 类 号：R589.2[医药卫生—内分泌]