Volaklis Konstantinos A, Spassis Apostolos Th, Tokmakidis Savvas P
Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece.
Am Heart J. 2007 Sep;154(3):560.e1-6. doi: 10.1016/j.ahj.2007.06.029.
We examined the effects of combined resistance and aerobic training on land versus combined resistance and aerobic training in water in patients with coronary artery disease.
Thirty-four patients were randomly assigned to land exercise (LE, n = 12), water exercise (WE, n = 12), and control (n = 10) groups. The LE group trained 4 times per week, twice with aerobic exercise and twice with resistance training. The WE program included aquatic aerobic activities 2 times per week and resistance exercise at the same frequency carried out in water. The duration of the training programs was 4 months. Body composition measurements, blood lipids, exercise stress testing, and muscular strength were obtained at the beginning and at the end of the training period.
After 4 months of training, analysis of covariance revealed that body weight and sum of skinfolds were lower for WE and LE groups than for the control group. Patients who trained in water improved exercise time (+11.7% vs +8.1%) and maximum strength (+12.8% vs +12.9%) in a similar manner compared to the patients who trained on land. Total cholesterol (WE -4.4%, LE -3.3%) and triglycerides (WE -10.2%, LE -11.8%) decreased significantly for both exercise groups but not for the control group.
Exercise programs that combine resistance and aerobic exercise performed either on land or in water can both improve exercise tolerance and muscular strength in patients with coronary artery disease. Furthermore, both programs induce similar favorable adaptations on total cholesterol, triglycerides, and body composition.
我们研究了冠心病患者进行陆地联合抗阻训练与有氧运动和水中联合抗阻训练与有氧运动的效果。
34例患者被随机分为陆地运动组（LE，n = 12）、水中运动组（WE，n = 12）和对照组（n = 10）。LE组每周训练4次，两次有氧运动和两次抗阻训练。WE组的训练计划包括每周2次水上有氧运动以及在水中以相同频率进行抗阻运动。训练计划持续4个月。在训练期开始和结束时进行身体成分测量、血脂检测、运动应激测试和肌肉力量测试。
经过4个月的训练，协方差分析显示，WE组和LE组的体重和皮褶厚度总和低于对照组。与在陆地训练的患者相比，在水中训练的患者运动时间（分别提高11.7%和8.1%）和最大力量（分别提高12.8%和12.9%）的改善方式相似。两个运动组的总胆固醇（WE组降低4.4%，LE组降低3.3%）和甘油三酯（WE组降低10.2%，LE组降低11.8%）均显著下降，而对照组未下降。
在陆地或水中进行的联合抗阻训练与有氧运动计划均可提高冠心病患者的运动耐量和肌肉力量。此外，两种训练计划对总胆固醇、甘油三酯和身体成分均产生相似的有益适应性变化。
