4周有氧运动结合饮食控制降低肥胖青年的心血管疾病风险及其影响因素  

Decrease of cardiovascular diseases risk in obese youth through 4-week aerobic exercise plus dieting and its influencing factors

作　　者：曲静[1,2] 王业玲 林小晶 王晓慧[1] QU Jing;WANG Ye-ling;LIN Xiao-jing;WANG Xiao-hui(School of Kinesiology,Shanghai University of Sport,Shanghai 200438,China)

机构地区：[1]上海体育学院运动科学学院,上海200438 [2]兴义民族师范学院体育学院,贵州兴义562400 [3]上海巅峰体育管理股份有限公司

出　　处：《现代预防医学》2021年第12期2243-2248,共6页Modern Preventive Medicine

基　　金：上海市人类运动能力开发与保障重点实验室(上海体育学院)(NO.11DZ2261100);贵州省教育厅青年科技人才成长项目(黔教合KY字[2017]366)。

摘　　要：目的研究4周有氧运动结合饮食控制对肥胖青年心血管疾病(cardiovascular disease,CVD)风险的降低作用及影响因素。方法招募111名肥胖青年,分成男性组和女性组,或代谢综合征(metabolic syndrome,MetS)组和无MetS组,或空腹血糖(fasting blood glucose,FBG)正常组、FBG受损组和糖尿病组,或减重量大组和减重量小组,完成4周有氧运动结合饮食控制。干预前、后检测多个CVD风险因素指标,包括肥胖程度、血糖血脂、血压、超敏C反应蛋白(high sensitivity C-reactive protein,hs-CRP),并计算HOMA-IR、MetS Z-score。结果4周有氧运动结合饮食控制减轻肥胖青年的CVD风险因素(包括中心性肥胖、血糖、血脂、血压、MetS Z-score和hs-CRP水平,均P<0.01)。运动降低肥胖青年CVD风险的程度,男性比女性明显(P<0.01),减重量大者、FBG水平异常者(伴有糖尿病或FBG受损)的改善更显著(P<0.01或P<0.05),但不受是否有MetS影响。结论4周有氧运动结合饮食控制降低肥胖青年的CVD风险,其降低程度受性别、减重量和空腹血糖水平的影响。Objective To explore the effects of 4-week aerobic exercise on cardiovascular diseases risk in obese youths and its influence factors.Methods One hundred and eleven obese youths were recruited and undertook 4-week moderate intensity aerobic exercise in combination with dieting.The subjects were divided into male and female groups,or metabolic syndrome(MetS)and without MetS groups,or normal fasting blood glucose(FBG),impaired FBG and diabetes groups,or large weight loss and small weight loss groups.Before and after the 4-week intervention,multiple risk factors of CVD were measured in the obese youths including obesity degree,blood glucose and blood lipid,blood pressure,high sensitivity C reactive protein(high sensitivity CRP).MetS Z-score and HOMA-IR were calculated.Results All CVD risk factors in obese youths(including central obesity,blood glucose,blood lipid,blood pressure,MetS Z-score and hs-CPR,P<0.01)were improved after 4-week aerobic exercise plus dieting.More obvious attenuation of CVD risk was found in the obese males compared to obese females(P<0.01),the obesity youths who achieved great weight loss,and those with diabetes or impaired FBG(P<0.01 or P<0.05),while no alteration between obesity with or without MetS was found.Conclusion All CVD risk factors in obese youths are reduced by 4-week aerobic exercise plus dieting,and the effect extent was influenced by gender,weight loss extent,and FBG level.

关 键 词：有氧运动 肥胖 心血管疾病风险 性别 健康损害 减重量 

分 类 号：R589.2[医药卫生—内分泌] R54[医药卫生—内科学]