超重/肥胖成年人群运动干预策略及效果评估研究  

Evaluation of exercise intervention strategies and effects in overweight/obese adults

作　　者：黄勤 邓玮[1] HUANG Qin;DENG Wei(Department of General Medicine,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Chongqing Tongnan District Yuxi Central Health Center,Chongqing 402674,China)

机构地区：[1]重庆医科大学附属第二医院全科医学科,重庆400010 [2]重庆市潼南区玉溪中心卫生院,重庆402674

出　　处：《现代医药卫生》2023年第4期585-590,共6页Journal of Modern Medicine & Health

基　　金：重庆市科技局大健康重点项目(CSTC2021jscx-gksb-N0016);重庆医科大学附属第二医院宽仁英才项目(kryc-gg-2113);重庆市体育局项目(C202005);重庆市科卫联合医学科研项目(2021MSXM094)。

摘　　要：目的 探讨适合超重/肥胖成年人群减重的运动方式。方法 2021年3月5日至9月1日招募超重/肥胖成年志愿者103例,将其分为对照组(饮食控制,20例)、高强度间歇运动组(21例)、中等强度持续运动组(21例)、抗阻运动组(21例)、中等强度持续运动组结合抗阻运动组(20例),进行为期12周的运动干预,并评价干预效果。结果 高强度间歇运动组的胸围、腰围、腰臀比、心率、肺活量指标改善程度显著优于对照组,差异有统计学意义(P<0.05);中等强度持续运动组结合抗阻运动组的体重、体重指数、臀围、体脂率、坐位体前屈指标改善程度显著优于对照组,差异有统计学意义(P<0.05);抗阻运动组仰卧起坐指标的改善程度显著优于对照组,差异有统计学意义(P<0.05)。各组间代谢功能指标的改善程度比较,差异无统计学意义(P>0.05)。结论 高强度间歇运动有助于改善中心性肥胖和心肺功能;中等强度持续运动结合抗阻运动更利于减轻体重、增强柔韧性;抗阻运动在增强腹部力量方面有更明显的作用。Objective To explore the exercise methods suitable for overweight/obese people to lose weight.Methods A total of 103 overweight/obese volunteers from 5th March to 1st September 2021 were recruited and divided into control group(diet control, 20 cases),high intensity intermittent exercise group(21 cases),moderate intensity continuous exercise group(21 cases),resistance exercise group(21 cases),and moderate intensity continuous exercise combined with resistance exercise group(20 cases).Exercise intervention lasted for 12 weeks, and the effect of intervention was evaluated.Results The improvement of chest circumference, waist circumference, waist-to-hip ratio, heart rate and vital capacity in the high intensity intermittent exercise group was significantly better than that in the control group, with statistical significance(P<0.05).The improvement of body weight, body mass index, hip circumference, body fat percentage and sitting forward flexion indexes of the moderate intensity continuous exercise combined with resistance exercise group was significantly better than that of the control group, and the difference was statistically significant(P<0.05).The improvement of sit-up index in the resistance exercise group was significantly better than that in the control group, and the difference was statistically significant(P<0.05).There was no statistical significance in the improvement of metabolic function indexes among all groups(P>0.05).Conclusion High intensity intermittent aerobic exercise can improve central obesity and cardiopulmonary function.Moderate intensity continuous exercise combined with resistance exercise is more conducive to weight loss and flexibility.Resistance exercises have a more significant effect on enhancing the abdominal strength.

关 键 词：超重 肥胖 中等强度持续运动 高强度间歇运动 抗阻运动 

分 类 号：R589.2[医药卫生—内分泌]