Faculty of Sport Sciences and Human Kinetics, Université P. Sabatier, Toulouse, France.
Menopause. 2013 Aug;20(8):804-12. doi: 10.1097/GME.0b013e31827deebb.
The first objective of this study was to evaluate the impact of brisk walking on moderately obese (body mass index, 29-35 kg/m) postmenopausal women's perceived health, assessed through a novel short perceived health questionnaire (SPHQ), and to verify whether improvements in six items examined were related to cardiorespiratory fitness (CRF) and/or fat mass changes (study 1). The second objective of this study was to test the SPHQ against validated generic instruments (study 2).
From the 270 women included in study 1, 181 participants were subjected to three 45-minute walking sessions per week at 60% of their heart rate reserve, whereas 58 women remained inactive for 4 months. Perceived health assessed through the SPHQ, body composition, and CRF were determined before and after the 4-month study period. Another sample of 20 women was selected to validate the SPHQ (study 2).
Despite a lack of between-group differences in the amelioration of four perceived health items, ideal weight and stress level were improved in women subjected to our walking program exclusively (P < 0.0001). Improved perceived healthy balanced diet was positively correlated to fat mass reduction in the walking group (r = 0.15; P < 0.05) only (study 1). The SPHQ shows good reproducibility for five of six items (intraclass correlation coefficients ranging from 0.77 to 0.89; P < 0.0001), and three of them were validated against generic tools (0.45 < r < 0.54; P < 0.05; study 2).
Additional studies are needed to more accurately determine the relationships between changes in perceived health and changes in body fatness and/or CRF after endurance training and to continue the validation of the SPHQ.
本研究的首要目的是评估快走对超重(体重指数 29-35kg/m²)绝经后妇女感知健康的影响,采用一种新的简短感知健康问卷(SPHQ)进行评估,并验证六项检查中各项指标的改善是否与心肺功能(CRF)和/或体脂变化相关(研究 1)。本研究的第二个目的是用经过验证的通用量表对 SPHQ 进行检验(研究 2)。
在研究 1 纳入的 270 名女性中,181 名参与者每周进行三次 45 分钟的步行,强度为 60%的心率储备,而 58 名女性则在 4 个月内不活动。在 4 个月的研究期间前后,通过 SPHQ 评估感知健康,身体成分和 CRF。另一个 20 名女性的样本被选择来验证 SPHQ(研究 2)。
尽管在改善四项感知健康项目方面,两组之间没有差异,但仅参加我们步行计划的女性理想体重和压力水平得到了改善(P<0.0001)。在步行组中,改善的感知健康均衡饮食与体脂减少呈正相关(r=0.15;P<0.05)(研究 1)。SPHQ 在六项指标中的五项具有良好的可重复性(组内相关系数范围为 0.77 至 0.89;P<0.0001),其中三项与通用工具验证结果相符(0.45<r<0.54;P<0.05;研究 2)。
需要进一步的研究来更准确地确定耐力训练后感知健康变化与体脂变化和/或 CRF 之间的关系,并继续验证 SPHQ。