水中物理训练对纤维肌痛女性摄氧量和身体成分的影响：一项随机对照试验。

Oxygen uptake and body composition after aquatic physical training in women with fibromyalgia: a randomized controlled trial.

机构信息

Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil -

Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.

出版信息

Eur J Phys Rehabil Med. 2017 Oct;53(5):751-758. doi: 10.23736/S1973-9087.17.04543-9. Epub 2017 Apr 4.

DOI:10.23736/S1973-9087.17.04543-9

PMID:28382813

Abstract

BACKGROUND

Aquatic physical training (APT) has been strongly recommended to improve symptoms in fibromyalgia syndrome (FMS). However, its effects on body composition and whether lean body mass (LBM) directly influences the aerobic functional capacity of this population are still not clear.

AIM

To investigate whether APT can help improve body composition and increase the aerobic functional capacity in women with FMS, and whether oxygen uptake (VO2) related to LBM can better quantify the functional capacity of this population.

DESIGN

Randomized controlled trial.

SETTING

The Federal University of São Carlos, São Paulo, Brazil.

POPULATION

Fifty-four women with FMS were randomly assigned to trained group (TG, N.=27) or control group (CG, N.=27).

METHODS

All women underwent cardiopulmonary exercise test (CPET) to assess oxygen consumption at ventilatory anaerobic threshold (VAT) and at peak exercise, and also to assess body composition. The TG was submitted to APT program, held twice a week for 16 weeks. The exercise intensity was adapted throughout the sessions in order to keep heart rate and ratings of perceived exertion achieved at VAT.

RESULTS

After APT, body composition was not significantly different between groups (TG and CG). In VAT only TG showed increased VO2 related to LBM, since in peak CPET, VO2 in absolute units, VO2 related to total body mass (TBM), VO2 related to LBM and power showed significant differences. Significant difference between VO2 related to TBM and VO2 related to baseline LBM and after 16 weeks of follow-up, both in VAT as in peak CPET in both groups. Significant difference between VO2 related to TBM and VO2 related to LBM at VAT and at peak CPET in both groups at baseline and after 16 weeks of follow-up was observed.

CONCLUSIONS

APT with standardized intensities did not cause significant changes in body composition, but was effective in promoting increased VO2 at peak CPET in women with FMS. However, VO2 related to LBM more accurately reflected changes in aerobic functional capacity at VAT level after to APT.

CLINICAL REHABILITATION IMPACT

APT with standardized intensities at VAT level is of great interest, since VAT reflects better aerobic functional capacity of patients with FMS than maximum VO2.

摘要

背景

水上体能训练（APT）已被强烈推荐用于改善纤维肌痛综合征（FMS）的症状。然而，其对身体成分的影响，以及瘦体重（LBM）是否直接影响该人群的有氧功能能力，仍不清楚。

目的

研究 APT 是否有助于改善 FMS 女性的身体成分和提高有氧功能能力，以及与 LBM 相关的摄氧量（VO2）是否可以更好地量化该人群的功能能力。

设计

随机对照试验。

地点

巴西圣保罗联邦大学。

人群

54 名 FMS 女性被随机分配到训练组（TG，N.=27）或对照组（CG，N.=27）。

方法

所有女性均进行心肺运动测试（CPET），以评估通气无氧阈值（VAT）和峰值运动时的耗氧量，并评估身体成分。TG 接受 APT 计划，每周两次，共 16 周。运动强度在整个训练过程中进行调整，以保持在 VAT 时达到的心率和感知努力程度。

结果

APT 后，两组之间的身体成分没有显著差异（TG 和 CG）。仅在 VAT 时，TG 显示与 LBM 相关的 VO2 增加，因为在绝对单位的峰值 CPET 中，VO2 与总体重（TBM）相关，与 LBM 相关，与功率相关的 VO2 显示出显著差异。在 VAT 和峰值 CPET 中，两组的 TBM 与 LBM 相关的 VO2 和 16 周随访后的 VO2 之间存在显著差异。在 VAT 和峰值 CPET 中，两组在基线和 16 周随访后的 TBM 与 LBM 相关的 VO2 之间存在显著差异。