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抗阻训练、内脏型肥胖与炎症反应:研究证据回顾

Resistance training, visceral obesity and inflammatory response: a review of the evidence.

机构信息

Institute for Nutritional Sciences and Physiology, University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.

出版信息

Obes Rev. 2012 Jul;13(7):578-91. doi: 10.1111/j.1467-789X.2012.00988.x. Epub 2012 Mar 2.

DOI:10.1111/j.1467-789X.2012.00988.x
PMID:22385646
Abstract

Intra-abdominal obesity is an important risk factor for low-grade inflammation, which is associated with increased risk for diabetes mellitus and cardiovascular disease. For the most part, recommendations to treat or prevent overweight and obesity via physical activity have focused on aerobic endurance training as it is clear that aerobic training is associated with much greater energy expenditure during the exercise session than resistance training. However, due to the metabolic consequences of reduced muscle mass, it is understood that normal ageing and/or decreased physical activity may lead to a higher prevalence of metabolic disorders. Whether resistance training alters visceral fat and the levels of several pro-inflammatory cytokines produced in adipose tissue has not been addressed in earlier reviews. Because evidence suggests that resistance training may promote a negative energy balance and may change body fat distribution, it is possible that an increase in muscle mass after resistance training may be a key mediator leading to a better metabolic control. Considering the benefits of resistance training on visceral fat and inflammatory response, an important question is: how much resistance training is needed to confer such benefits? Therefore, the purpose of this review was to address the importance of resistance training on abdominal obesity, visceral fat and inflammatory response.

摘要

腹型肥胖是低度炎症的一个重要危险因素,与糖尿病和心血管疾病的风险增加有关。在大多数情况下,通过体育活动来治疗或预防超重和肥胖的建议都集中在有氧运动上,因为很明显,与抗阻训练相比,有氧运动在运动过程中消耗的能量要多得多。然而,由于肌肉质量减少的代谢后果,人们已经认识到,正常衰老和/或体力活动减少可能导致代谢紊乱的发生率更高。在之前的综述中,尚未探讨抗阻训练是否会改变内脏脂肪和脂肪组织中产生的几种促炎细胞因子的水平。因为有证据表明,抗阻训练可能会促进负能平衡,并可能改变体脂分布,所以抗阻训练后肌肉质量的增加可能是导致更好的代谢控制的关键因素。考虑到抗阻训练对内脏脂肪和炎症反应的益处,一个重要的问题是:需要进行多少抗阻训练才能带来这样的益处?因此,本综述的目的是探讨抗阻训练对腹部肥胖、内脏脂肪和炎症反应的重要性。

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