Strauss-Blasche G, Ekmekcioglu C, Leibetseder V, Marktl W
Institut für Physiologie, Universität Wien, Vienna.
Forsch Komplementarmed Klass Naturheilkd. 2003 Apr;10(2):78-84. doi: 10.1159/000071666.
It has been shown that spa therapy has a lipid-lowering effect. Also, seasonal variations in spa therapy effects have been found for some outcome measures. The aim of the present study is to investigate whether the lipid-lowering effects of spa therapy as a complex health intervention also are subject to seasonal variation.
The effect of 3-week resident spa therapy at the Austrian spa Bad Tatzmannsdorf was studied in 395 patients with moderate musculoskeletal chronic pain over a time of 2 years. Spa therapy included balneotherapy, exercise therapy, and dietary measures. Total cholesterol (CHOL), HDL, LDL, triglycerides (TG), and the CHOL/HDL ratio were assessed at the beginning and end of therapy.
Spa therapy was associated with a decrease of CHOL, HDL, and LDL (p < 0.001). TG and CHOL/HDL did not change. The decrease of lipids was smaller for older patients, females, and normal weight individuals. CHOL decrease showed a seasonal variation independent of weight loss (p = 0.04), being largest in fall (-6.1%) and smallest in spring (-2.4%). CHOL and CHOL/HDL for obese individuals showed the greatest decrease in winter (-10% for CHOL, -9% for CHOL/HDL ratio), whereas corresponding measures increased for normal-weight subjects.
The lipid-lowering effect of spa therapy could be confirmed; it is partly moderated by season. The results suggest that the effect of some components of spa therapy such as exercise therapy, diet, and relaxation may be subject to seasonal variation.
已有研究表明温泉疗法具有降脂作用。此外，还发现某些疗效指标存在温泉疗法效果的季节性变化。本研究的目的是调查作为一种综合健康干预措施的温泉疗法的降脂效果是否也存在季节性变化。
对奥地利巴特察茨曼斯多夫温泉疗养地进行的为期3周的住院温泉疗法对395例中度肌肉骨骼慢性疼痛患者的疗效进行了为期2年的研究。温泉疗法包括浴疗法、运动疗法和饮食措施。在治疗开始和结束时评估总胆固醇（CHOL）、高密度脂蛋白（HDL）、低密度脂蛋白（LDL）、甘油三酯（TG）以及CHOL/HDL比值。
温泉疗法与CHOL、HDL和LDL的降低相关（p < 0.001）。TG和CHOL/HDL没有变化。老年患者、女性和正常体重个体的血脂下降幅度较小。CHOL的下降显示出与体重减轻无关的季节性变化（p = 0.04），秋季最大（-6.1%），春季最小（-2.4%）。肥胖个体的CHOL和CHOL/HDL在冬季下降幅度最大（CHOL为-10%，CHOL/HDL比值为-9%），而正常体重受试者的相应指标则有所增加。
温泉疗法的降脂效果可以得到证实；其部分受季节影响。结果表明，温泉疗法的某些组成部分如运动疗法、饮食和放松的效果可能存在季节性变化。
