中等强度有氧和抗阻运动对超重及肥胖的糖调节受损患者血脂及胰岛素抵抗的影响  

Effects of moderate intensity aerobic and resistant exercises on blood lipid and insulin resistance in overweight and obese people with impaired glucose regulation

作　　者：麻晓君 戴霞[1] 陆丽荣 罗祖纯 韦春[2] 

机构地区：[1]广西医科大学第一附属医院,南宁530021 [2]广西医科大学护理学院,南宁530021

出　　处：《广西医科大学学报》2017年第4期534-537,共4页Journal of Guangxi Medical University

基　　金：广西医疗卫生适宜技术研究与开发课题资助项目(No.S201413_03);广西研究生教育创新计划课题资助项目(No.YCSZ2015111)

摘　　要：目的:研究中等强度有氧和抗阻运动对超重及肥胖的糖调节受损(IGR)患者血脂及胰岛素抵抗的影响。方法:将64例超重及肥胖的IGR患者随机分为3组:抗阻组(19例)、有氧组(23例)和对照组(22例)。抗阻组采用抗阻运动进行训练,有氧组进行中等强度有氧训练,对照组不予特殊干预。观察3组干预前及干预3个月、6个月、12个月后的体重指数(Ibm)、腰围身高比(WHtR)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)变化。结果:干预后,抗阻组和有氧组胰岛素抵抗、BMI、WHtR、TC、TG、LDL-C水平显著降低,HDL-C水平明显升高(P<0.05或P<0.01),且抗阻组各指标略优于有氧组,但两组比较差异无统计学意义(P>0.05)。结论:中等强度有氧和抗阻运动均能有效改善超重及肥胖的IGR患者BMI、血脂异常及胰岛素抵抗。Objective：To study the effects of moderate intensity aerobic and resistant exercises on blood lipid and insulin resistance in overweight and obese people with impaired glucose regulation （IGR）. Methods： 64 overweight and obese patients with IGR were randomly divided into 3 groups： a resistant training group （ n =19）, an aerobic training group （ n =23） and a control group （no special intervention, n ：22）. The body mass index （BMI）, waist-to-height ratio （WHtR） and total cholesterol （TC）, triglyceride （TG）, low density lipoprotein cholesterin （LDL-C）, high density lipoprotein cholesterin （HDL-C） in serum were detected before and after 3, 6 and 12 months of intervention. Results： The insulin resistance, BMI, WHtR and the levels of TC, TG and LDL-C were decreased, while the HDL-C level was increased in the resistant training group and aerobic training group after intervention （ P 〈0.05 or P 〈0.01）. The above indexes in the resistant training group were superior to the aerobic training group, but no significant difference could be found between the two groups （ P 〈0.05）. Conclusion： Moderate intensity aerobic and resistant exercises could effectively improve BMI, dyslipidemia and insulin resistance in overweight and obese people with IGR.

关 键 词：运动 超重及肥胖 糖调节受损 血脂 

分 类 号：R589.2[医药卫生—内分泌] R587.1[医药卫生—内科学]