3项运动对脂肪肝和高脂血症及体重指数干预效果的研究  

The effects of three types of exercise interventions on fatty liver, high blood lipid and body mass index

作　　者：邱耀辉[1] 黄喜顺[1] 吴义森[1] 兰宇频[1] 罗美瑄[1] 

机构地区：[1]解放军175医院健康管理中心,漳州363000

出　　处：《中华保健医学杂志》2011年第3期228-230,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨游泳、登山、步行3项运动对脂肪肝、高脂血症和体重指数的干预效果。方法选择316例健身运动志愿者自选运动方式,分为游泳组、登山组和步行组,根据运动的形式、时间、频率和强度制定各组运动干预方案,统计干预前后各观察指标的变化。结果干预后异常指标≥2项恢复至正常参考值范围者113例(35.76%),未改善或略有加重者17例(5.38%)。其中,脂肪肝重度减轻至中度以下者3例(12.50%),中、轻度减轻或恢复正常者103例(43.83%),加重2例(0.77%);高脂血症恢复至正常者中高TC者57例(50.89%)、高TG者101例(52.88%)、其中混合升高者43例(46.74%),未改善或加重者11例(5.21%);体重指数肥胖降至超重以下者21例(26.25%),超重恢复至正常者53例(43.44%),未改善或加重者4例(1.98%)。游泳、登山、步行运动对3种健康危险因素干预有效率分别为脂肪肝50.59%、46.27%、12.15%,高脂血症18.67%、31.11%、25.27%,超重肥胖40.00%、26.67%、13.73%,干预前后的差异均有统计学意义(P<0.05)。结论游泳、登山、步行3项运动对脂肪肝、高脂血症和肥胖、超重均有明显的改善作用,而游泳相对于登山和步行对脂肪肝的干预效果更明显。Objective To study the intervention effects of three types of exercise- swimming, climbing and walking on fatty liver,high blood lipid and body mass index. Methods The study first classifies 316 cases into three groups- swimming group,climbing group and walking group,then formulates different intervention plans according to their exercise form,time,frequency and intensity,and finally records and analyzes the changes of observation indicators before and after interventions. Results After intervention,there were 113 subjects（35.76%）who had two or more abnormal indicators return to the normal extent,and 17 subjects（5.38%）whose indicators were not improved and even slightly more severe. Among those fatty liver cases,3（12.50%）were reduced from high level to below mild level,103（43.83%）mild or middle level cases were improved or even back to normal,and 2（0.77%）cases were worsened. As to high blood lipid,57（50.89%）TC cases,101（52.88%）TG cases and 43（46.74%）combined cases returned to normal while 11（5.21%）cases＇ conditions were not improved or even worsened. Among those individuals who have weight problems,21 obese cases＇ indexes were reduced to below overweight（26.25%）,53（43.44%）overweight cases regained normality while 4（1.98%）cases were not improved or even got worse. The differences caused by three-type-exercise intervention on three health risks were statistically significant. Conclusions All the three types of exercise can significantly improve the treatment of fatty liver,high blood lipid and overweight/obesity. Compared with the other two types of exercise,swimming has better intervention effect on fatty liver.

关 键 词：脂肪肝 高脂血症 体重指数 运动处方 早期干预 

分 类 号：R575[医药卫生—消化系统]