中等强度有氧运动对肥胖成人体成分及糖脂代谢的干预效果  

Intervention effect of moderate intensity aerobic exercise on body composition and glycolipid metabolism in obese adults

作　　者：马靖[1] 张敬炟 李巧[2] 王维民[1] Ma Jing;Zhang Jingda;Li Qiao;Wang Weimin(Health Management Institute,the Second Medical Center&National Clinical Research Center for Geriatric Diseases,Chinese PLA General Hospital,Beijing 100089,China;Hainan Medical University International School of Public Health and One Health,Haikou 570100,China)

机构地区：[1]解放军总医院第二医学中心健康医学科,北京100089 [2]海南医学院公共卫生与全健康国际学院,海口570100

出　　处：《中华健康管理学杂志》2024年第1期13-17,共5页Chinese Journal of Health Management

基　　金：中国科学院科技服务网络计划(STS计划项目)(KFJ-STS-ZDTP-033)。

摘　　要：目的探讨中等强度有氧运动对肥胖成人体成分及糖脂代谢的干预效果。方法本研究为自身对照研究,于2017年11月至2018年3月在解放军总医院健康管理研究院招募接受减重治疗的280例肥胖成人,依托自主研发的慢性病精准运动干预系统实施为期12周的中等强度(40%~60%储备心率)有氧运动干预,要求有效运动时间≥40 min/次,运动总时间≤100 min/d,有效运动时间≥200 min/周;运动频率≥4次/周,两次运动间隔≤48 h。研究过程中77例受试者由于疾病、运动损伤、工作原因等出组,最终203例纳入分析。根据周运动时长<300 min、300~400 min和>400 min将受试者分为短时组(97例)、中时组(63例)和长时组(43例),采用配对t检验比较干预前后指标差异,采用协方差分析比较3组间指标差异,分析中等强度有氧运动对肥胖成人体成分及糖脂代谢的干预效果。结果受试者干预后静息心率、体重、体重指数、体脂率、体脂肪量、肌肉量、内脏脂肪面积、皮下脂肪面积、空腹胰岛素、胰岛素抵抗指数、总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平均显著低于干预前[(66.67±9.38)比(71.48±10.13)次/min、(86.02±13.13)比(90.16±13.93)kg、(30.33±3.08)比(31.80±3.27)kg/m^(2)、35.64%±7.19%比37.87%±7.21%、(30.78±8.14)比(34.30±8.73)kg、(52.06±10.30)比(52.74±10.61)kg、(100.82±38.63)比(119.53±43.08)cm^(2)、(270.14±74.19)比(305.24±77.12)cm^(2)、(12.33±6.92)比(17.86±14.23)mmol/L、3.08±2.22比4.52±4.09、(4.42±0.78)比(4.62±0.89)mmol/L、(1.46±0.82)比(1.71±1.11)mmol/L、(2.93±0.70)比(3.08±0.80)mmol/L](均P<0.05)。长时组干预前后体重、体重指数、体脂率、体脂肪量的下降差值均显著高于中时组和短时组[(5.56±0.62)比(3.97±0.51)、(3.63±0.41)kg,(1.98±0.21)比(1.39±0.17)、(1.31±0.14)kg/m 2,3.38%±0.40%比2.27%±0.33%、1.69%±0.27%,(4.90±0.53)比(3.54±0.43)、(2.89±0.35)kg],空腹胰岛素下降差值、高密度�ObjectiveTo explore the intervention effect of moderate intensity aerobic exercise on body composition and glycolipid metabolism in obese adults.MethodsThis was a self-controlled study,which enrolled 280 obese adults who received weight loss treatment in the Health Management Institute of the Chinese PLA General Hospital from November 2017 to March 2018 and performed a 12-week precise aerobic exercise intervention(40%-60%of heart reserved rate)based on an independently developed aerobic exercise intervention system for chronic diseases.The following requirements also need to be met as effective exercise time of≥40 minutes every time,total exercise time of≤100 minutes per day,effective exercise time of≥200 minutes per week,exercise frequency of≥4 times per week,and an interval of≤48 hours between two exercises.During the research,77 subjects were excluded due to illness,sports injuries,work reasons,etc.,and 203 subjects were included in the analysis.These patients were divided into three groups based on weekly exercise duration,including 97 cases in short-term group(weekly exercise time<300 minutes),63 cases in medium-term group(weekly exercise time of 300-400 minutes),and 43 cases in long-term group(weekly exercise time>400 minutes).Paired t-tests were used to compare the differences in indicators before and after intervention,and covariance analysis was used to compare the differences in indicators among three groups.The intervention effect of moderate intensity aerobic exercise on the body composition and glucose and lipid metabolism in obese adults was analyzed.ResultsThe resting heart rate,body weight,body mass index,body fat rate,body fat mass,muscle mass,visceral fat area,subcutaneous fat area,fasting insulin,insulin resistance index,total cholesterol,triglycerides,and low-density lipoprotein cholesterol were all decreased significantly in the 203 patients after the intervention[(66.67±9.38)vs(71.48±10.13)/min,(86.02±13.13)vs(90.16±13.93)kg,(30.33±3.08)vs(31.80±3.27)kg/m^(2),35.64%±7.19%vs

关 键 词：肥胖症 中等强度有氧运动 身体成分 糖脂代谢 

分 类 号：R589.2[医药卫生—内分泌]