运动训练对高脂/高糖膳食血管内皮功能的影响——系统评价与Meta分析  

Systematic Evaluation and Meta-analysis of Effects of Exercise Training on Vascular Endothelial Function in High Fat/High Sugar Diets

作　　者：郭冬涓 谢济明 周新又 黄强 饶明欣 谢金凤 程小燕 陈茂林 苏利强 GUO Dongjuan;XIE Jiming;ZHOU Xinyou;HUANG Qiang;RAO Mingxin;XIE Jinfeng;CHENG Xiaoyan;CHEN Maolin;SU Liqiang(Physical Education College,JiangxiNormal University,Nanchang Jiangxi,330022;The High School Attached To JXNU,Nanchang Jiangxi,330000;Xinyu College,Physical Educalion School,Xinyu Jiangxi,338004;Shantou Shi Tuobin Zhiye Jishu Xuexiao,Shantou Guangdong,515041)

机构地区：[1]江西师范大学体育学院,江西南昌330022 [2]江西师范大学附属中学,江西南昌330000 [3]新余学院体育学院,江西新余338004 [4]汕头市鮀滨职业技术学校,广东汕头515041

出　　处：《湖北体育科技》2024年第6期6-11,27,共7页Hubei Sports Science

基　　金：江西省教育厅科学技术研究项目(GJJ2200348);江西师范大学研究生创新基金(YJS2023084)。

摘　　要：目的系统评价高强度间歇训练(HIIT)相比中等强度持续训练(MICT)对高脂/高糖膳食餐后各时间段血管内皮功能紊乱的改善效果。方法检索Pubmed、Web of Science、CNKI和万方数据库中运动干预对高脂/高糖膳食血管内皮功能(FMD)影响的相关文献,检索时限均为建库至2024年5月。由2位研究者独立筛选文献、提取资料并评价文献质量后,采用Review Manager 5.4和STATA 17软件进行数据分析。结果共纳入文献8篇,样本量共计107人。分析结果显示:与对照组相比,运动组的血管直径舒张能力显著高于对照组(WMD=-0.31,95%CI:-0.50~-0.12)。在4个时间段当中,运动干预对FMD的调节在餐后3 h最具有显著性差异(WMD=-0.31,95%CI:-0.50~-0.12),对高糖餐后FMD的改善效果不具显著性(WMD=-0.32,95%CI:-0.54~-0.10)。结论运动能有效调节高脂/高糖餐后FMD,且MICT的调节作用优于HIIT,但运动对高糖饮食引起的血管内皮功能紊乱的改善效果并不显著。Objective To systematically evaluate the improvement effect of high-intensity interval training(HIIT)compared to moderate intensity continuous training(MICT)on endothelial dysfunction at various time points after a high-fat/high sugar diet.Methods Retrieve relevant literature on the effects of exercise intervention on high-fat/high sugar dietary vascular endothelial function(FMD)in Pubmed,Web of Science,CNKI,and Wanfang databases.The search period was from database establishment to May 2024.After independent screening of literature,extraction of data,and evaluation of literature quality by two researchers,data analysis was conducted using Review Manager 5.4 and STATA 17 software.Results A total of 8 articles were included,with a sample size of 107 people.The analysis results showed that compared with the control group,the vasodilation ability of the exercise group was significantly higher than that of the control group(WMD=-0.31,95%CI:-0.50~-0.12).Among the four time periods,exercise intervention showed the most significant difference in regulating FMD at 3 hours after meals(WMD=-0.31,95%CI:-0.50~-0.12),while the improvement effect on high sugar postprandial FMD was not significant(WMD=-0.32,95%CI:-0.54~-0.10).Conclusion Exercise can effectively regulate high-fat/high sugar postprandial FMD,and the regulatory effect of MICT is better than HIIT.However,the improvement effect of exercise on vascular endothelial dysfunction caused by high sugar diet is not significant.

关 键 词：运动训练 高脂膳食 高糖膳食 血管内皮功能 

分 类 号：G806[文化科学—运动人体科学]