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在肥胖的绝经后女性中,脂联素水平不会随着适度饮食诱导的体重减轻和运动而改变。

Adiponectin levels do not change with moderate dietary induced weight loss and exercise in obese postmenopausal women.

作者信息

Ryan A S, Nicklas B J, Berman D M, Elahi D

机构信息

Department of Medicine, Division of Gerontology at the University of Maryland School of Medicine, Baltimore, MD 21201, USA.

出版信息

Int J Obes Relat Metab Disord. 2003 Sep;27(9):1066-71. doi: 10.1038/sj.ijo.0802387.

Abstract

OBJECTIVE

The purpose of this study was to determine changes in adiponectin levels with moderate weight loss, weight loss plus aerobic exercise, or weight loss plus resistive exercise in overweight and obese, sedentary postmenopausal women.

DESIGN

Longitudinal, clinical intervention study of 6-month (3 x /week) program of either weight loss (WL, n=15), weight loss + aerobic exercise (WL+AEX, n=16), or weight loss + resistive exercise (WL+RT, n=9)

SUBJECTS

We studied 40 sedentary, overweight and obese (body mass index, BMI=32+/-1 kg/m(2), X+/-s.e.m.) postmenopausal (57+/-1y) women.

MEASUREMENTS

Fat mass and fat-free mass (FFM) by dual-energy X-ray absorptiometry, plasma insulin, leptin, and adiponectin by radioimmunoassay.

RESULTS

Age, body weight, BMI, waist and hip circumferences, waist-to-hip ratio, VO(2)max, percent fat, total body fat mass, FFM, and fasting plasma glucose, insulin, leptin, and adiponectin concentrations were similar among WL, WL+AEX, and WL+RT groups before the interventions. In all women combined, body weight, BMI, and waist and hip circumferences decreased (P < 0.001). There was a significant absolute decrease in percent body fat from 47 to 44%, representing a 13% decrease in total fat mass and a -1.6% change in FFM. Fasting concentrations of plasma adiponectin did not change (40+/-16%, P=NS), whereas fasting plasma glucose, insulin, and leptin all decreased (P<0.001).

CONCLUSIONS

Plasma adiponectin levels do not change with a 6-month moderate weight reduction program even when accompanied by aerobic or resistive exercise training in overweight and obese postmenopausal women.

摘要

目的

本研究旨在确定超重和肥胖、久坐不动的绝经后女性通过适度减重、减重加有氧运动或减重加抗阻运动后脂联素水平的变化。

设计

为期6个月(每周3次)的纵向临床干预研究,分为减重组(WL,n = 15)、减重 + 有氧运动组(WL + AEX,n = 16)或减重 + 抗阻运动组(WL + RT,n = 9)。

研究对象

我们研究了40名久坐不动、超重和肥胖(体重指数,BMI = 32 ± 1 kg/m²,X ± 标准误)的绝经后(57 ± 1岁)女性。

测量指标

通过双能X线吸收法测量脂肪量和去脂体重(FFM),通过放射免疫分析法测量血浆胰岛素、瘦素和脂联素。

结果

在干预前,WL、WL + AEX和WL + RT组之间的年龄、体重、BMI、腰围和臀围、腰臀比、最大摄氧量(VO₂max)、体脂百分比、全身脂肪量、FFM以及空腹血浆葡萄糖、胰岛素、瘦素和脂联素浓度相似。在所有女性中,体重、BMI以及腰围和臀围均下降(P < 0.001)。体脂百分比从47%显著绝对下降至44%,总脂肪量减少13%,FFM变化为 -1.6%。空腹血浆脂联素浓度未改变(40 ± 16%,P = 无统计学意义),而空腹血浆葡萄糖、胰岛素和瘦素均下降(P < 0.001)。

结论

在超重和肥胖的绝经后女性中,即使在进行6个月适度减重计划并伴有有氧运动或抗阻运动训练的情况下,血浆脂联素水平也不会改变。

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