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超重/肥胖绝经后女性的心肺功能和运动时心率反应的运动诱导改善受损。

Exercise-induced improvements in cardiorespiratory fitness and heart rate response to exercise are impaired in overweight/obese postmenopausal women.

机构信息

Laboratory of Kinesiology, Institute of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Brazil.

出版信息

Clinics (Sao Paulo). 2011;66(4):583-9. doi: 10.1590/s1807-59322011000400011.

Abstract

OBJECTIVE

The purpose of this study was to compare the heart rate response to exercise and the exercise-induced improvements in muscle strength, cardiorespiratory fitness and heart rate response between normal-weight and overweight/obese postmenopausal women.

METHODS

Sedentary women (n = 155) were divided into normal-weight (n = 79; BMI <25 kg/m(2); 58.3 ± 8.6 years) and overweight/obese (n = 76; BMI >25 kg/m(2); 58.3 ± 8.6 years) groups, and have their 1-repetition maximum strength (adjusted for body mass), cardiorespiratory fitness and heart rate response to a graded exercise test compared before and after 12 months of a three times-per-week exercise-training program.

RESULTS

Overweight/obese women displayed decreased upper and lower extremity muscle strengths, decreased cardiorespiratory fitness, and lower peak and reserve heart rates compared to normal-weight women. After follow-up, both groups improved their upper (32.9% and 41.5% in normal-weight and overweight/obese women, respectively) and lower extremity(49.5% and 47.8% in normal-weight and overweight/obese women, respectively) muscle strength. However, only normal-weight women improved their cardiorespiratory fitness (6.6%) and recovery heart rate (5 bpm). Resting, reserve and peak heart rates did not change in either group.

CONCLUSIONS

Overweight/obese women displayed impaired heart rate response to exercise. Both groups improved muscle strength, but only normal-weight women improved cardiorespiratory fitness and heart rate response to exercise. These results suggest that exercise-induced improvements in cardiorespiratory fitness and heart rate response to exercise may be impaired in overweight/obese postmenopausal women.

摘要

目的

本研究旨在比较正常体重和超重/肥胖绝经后妇女的运动时心率反应以及运动引起的肌肉力量、心肺功能和心率反应的改善情况。

方法

久坐的女性(n=155)被分为正常体重组(n=79;BMI<25kg/m²;58.3±8.6 岁)和超重/肥胖组(n=76;BMI>25kg/m²;58.3±8.6 岁),比较她们在 12 个月的每周三次运动训练计划前后的 1 次重复最大力量(按体重调整)、心肺功能和心率对分级运动试验的反应。

结果

与正常体重女性相比,超重/肥胖女性的上肢和下肢肌肉力量下降,心肺功能下降,峰值和储备心率下降。随访后,两组女性的上肢(正常体重组和超重/肥胖组分别增加了 32.9%和 41.5%)和下肢(正常体重组和超重/肥胖组分别增加了 49.5%和 47.8%)肌肉力量均有所改善。然而,只有正常体重女性的心肺功能(6.6%)和恢复心率(5bpm)有所改善。两组的静息、储备和峰值心率均无变化。

结论

超重/肥胖女性的运动时心率反应受损。两组女性的肌肉力量均有所改善,但只有正常体重女性的心肺功能和运动时心率反应有所改善。这些结果表明,超重/肥胖绝经后女性的心肺功能和运动时心率反应的改善可能受损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe3c/3093788/59ea46b761ca/cln-66-04-583-g001.jpg

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