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绝经后妇女中,中等强度运动对代谢健康型肥胖和代谢不健康型肥胖表型的氧化应激指标的影响:一项初步研究。

Effect of moderate-intensity exercise on oxidative stress indices in metabolically healthy obese and metabolically unhealthy obese phenotypes in postmenopausal women: a pilot study.

机构信息

Department of Health Promotion, University School of Physical Education, Wroclaw, Poland.

出版信息

Menopause. 2011 Jun;18(6):646-53. doi: 10.1097/gme.0b013e3182038ec1.

Abstract

OBJECTIVE

The aim of this work was to determine whether the level of oxidative stress induced by moderate-intensity exercise depends on obesity phenotypes: metabolically healthy but obese (MHO) and non-metabolically healthy obese (at-risk obesity; non-MHO).

METHODS

We performed the study on 161 postmenopausal women aged 50 to 60 years. A metabolically healthy nonobese (MH-NO) group (n = 73), an MHO group (n = 27), and a non-MHO group (n = 61) exercised on a cycloergometer for 30 minutes at 50% of their peak oxygen consumption and were evaluated for oxidative status by determination of thiobarbituric acid-reactive substances (TBARS) and serum antioxidant activity (AS).

RESULTS

No difference was found in AS between the MH-NO group and the MHO group. The AS of the non-MHO group was significantly lower than that of the MH-NO group (P < 0.05) and that of the MHO group (P = 0.011). The insulin resistance index homeostasis model assessment was the only biochemical parameter that correlated with AS. After exercise, a significant increase in the TBARS concentration in all tested groups of women was observed, but differences in the increment of TBARS level between groups were not found.

CONCLUSIONS

Antioxidant status in obese postmenopausal women depends on obesity phenotypes and is higher for women with the MHO than those with the non-MHO phenotype. Independently of obesity phenotype, obese postmenopausal women exposed to moderate-intensity exercise seem to be at similar risk for oxidative stress compared with their nonobese counterparts. We suggest that homeostasis model assessment be taken into account when planning physical exercise for obese people.

摘要

目的

本研究旨在确定中等强度运动引起的氧化应激水平是否取决于肥胖表型:代谢健康但肥胖(MHO)和非代谢健康肥胖(有风险肥胖;非 MHO)。

方法

我们对 161 名 50 至 60 岁的绝经后妇女进行了研究。代谢健康非肥胖(MH-NO)组(n=73)、MHO 组(n=27)和非 MHO 组(n=61)在功率自行车上运动 30 分钟,消耗 50%的峰值耗氧量,并通过测定硫代巴比妥酸反应物质(TBARS)和血清抗氧化活性(AS)来评估氧化状态。

结果

MH-NO 组和 MHO 组之间的 AS 无差异。非 MHO 组的 AS 明显低于 MH-NO 组(P<0.05)和 MHO 组(P=0.011)。胰岛素抵抗指数稳态模型评估是唯一与 AS 相关的生化参数。运动后,所有测试组女性的 TBARS 浓度均显著升高,但组间 TBARS 水平的增加无差异。

结论

绝经后肥胖女性的抗氧化状态取决于肥胖表型,MHO 表型女性高于非 MHO 表型女性。无论肥胖表型如何,与非肥胖对照组相比,暴露于中等强度运动的绝经后肥胖女性似乎面临相似的氧化应激风险。我们建议在为肥胖者规划体育锻炼时考虑稳态模型评估。

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