Tsang Tracey W, Kohn Michael, Chow Chin Moi, Singh Maria Fiatarone
Faculty of Health Science, The University of Sydney, Sydney, Australia.
J Pediatr Endocrinol Metab. 2009 Jul;22(7):595-607. doi: 10.1515/jpem.2009.22.7.595.
Twenty overweight/obese adolescents underwent six months of Kung Fu or placebo (Tai Chi) training, 3x.wk(-1). Outcomes included fasting insulin and insulin resistance, lipids, glucose and HbA(1c), and C-reactive protein (CRP). CRP decreased significantly (p = 0.03) in both groups over time at six months. Although insulin sensitivity did not change, HbA(1c) tended to decrease over time (p = 0.09), again with no group difference (p = 0.60). Reduced CRP was related to increased upper body strength (p = 0.01). Increased lean body mass was related to reductions in HbA(1c), insulin resistance, triglycerides, and total cholesterol. Improvements in lean body mass appear to have a potential role in favorable metabolic outcomes, independent of changes in fat mass. Further research in this area is warranted before definite conclusions can be drawn about the efficacy of martial arts training for metabolic outcomes in this cohort.
20名超重/肥胖青少年接受了为期六个月的功夫训练或安慰剂(太极拳)训练,每周3次。结果包括空腹胰岛素和胰岛素抵抗、血脂、血糖和糖化血红蛋白(HbA1c)以及C反应蛋白(CRP)。六个月时,两组的CRP均随时间显著下降(p = 0.03)。虽然胰岛素敏感性没有变化,但HbA1c随时间有下降趋势(p = 0.09),两组间同样无差异(p = 0.60)。CRP降低与上身力量增加有关(p = 0.01)。去脂体重增加与HbA1c、胰岛素抵抗、甘油三酯和总胆固醇降低有关。去脂体重的改善似乎在有利的代谢结果中具有潜在作用,独立于脂肪量的变化。在对该队列中武术训练对代谢结果的疗效得出明确结论之前,有必要在这一领域进行进一步研究。