Department of Public Health, Graduate School of Medicine, Hyogo College of Medicine, Hyogo, Japan.
Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan.
Obes Res Clin Pract. 2013 Mar-Apr;7(2):e155-e163. doi: 10.1016/j.orcp.2011.10.005.
This study aimed to investigate the effects of 6-month regular exercise and nutritional guidance for body composition, blood pressure, muscle strength and health-related quality of life (HRQOL) in community-dwelling Japanese women aged 40-74 years.
Participants were divided into an intervention group (n = 48) comprising women registered for health guidance and a control group without intervention (n = 66). The intervention group received 6-month exercise and nutritional guidance to modify lifestyle. Before and after the intervention period, body mass index (BMI), waist circumference, body fat percentage, blood pressure, muscle strength and HRQOL using the 36-item Short-Form Health Survey version 2 (SF-36) questionnaire were measured.
At baseline, no significant differences were found between intervention and control groups. Waist circumference decreased significantly in the intervention group (from 82.4 to 79.9 cm) compared to the control group (from 80.5 to 79.7 cm). BMI and body fat percentage also decreased significantly more in the intervention group than in the control group. General health perception, vitality and social functioning in the SF-36 showed significantly greater improvements in the intervention group than in the control group.
Six-month regular exercise and nutritional guidance had beneficial effects on body composition and health-related quality of life especially for mental components of SF-36. Based on these findings, our intervention was expected to provide benefits to mental components of HRQOL and facilitate sustained participation and motivation in modify lifestyles. As a result, beneficial effects on body composition might also be sustained.
本研究旨在探讨为期 6 个月的定期运动和营养指导对社区居住的 40-74 岁日本女性身体成分、血压、肌肉力量和健康相关生活质量(HRQOL)的影响。
参与者被分为干预组(n=48)和对照组(n=66)。干预组接受 6 个月的生活方式改变运动和营养指导。干预前后测量了体重指数(BMI)、腰围、体脂百分比、血压、肌肉力量和使用 36 项简短健康调查量表第 2 版(SF-36)问卷的 HRQOL。
基线时,干预组和对照组之间没有显著差异。与对照组(从 80.5 厘米降至 79.7 厘米)相比,干预组的腰围显著减小(从 82.4 厘米降至 79.9 厘米)。与对照组相比,干预组的 BMI 和体脂百分比也显著降低。SF-36 中的一般健康感、活力和社会功能在干预组的改善明显大于对照组。
6 个月的定期运动和营养指导对身体成分和健康相关生活质量有有益影响,特别是对 SF-36 的心理成分。基于这些发现,我们的干预措施有望对 HRQOL 的心理成分产生益处,并促进对生活方式的持续参与和动力。因此,身体成分的有益影响也可能持续。