抗阻运动（独立进行以及与有氧运动相结合）与代谢综合征发病率的关联
Association of Resistance Exercise, Independent of and Combined With Aerobic Exercise, With the Incidence of Metabolic Syndrome.
作者信息
Bakker Esmée A, Lee Duck-Chul, Sui Xuemei, Artero Enrique G, Ruiz Jonatan R, Eijsvogels Thijs M H, Lavie Carl J, Blair Steven N
机构信息
Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands; Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Department of Kinesiology, Iowa State University, Ames, IA.
出版信息
Mayo Clin Proc. 2017 Aug;92(8):1214-1222. doi: 10.1016/j.mayocp.2017.02.018. Epub 2017 Jun 13.
OBJECTIVE
To determine the association of resistance exercise, independent of and combined with aerobic exercise, with the risk of development of metabolic syndrome (MetS).
PATIENTS AND METHODS
The study cohort included adults (mean ± SD age, 46±9.5 years) who received comprehensive medical examinations at the Cooper Clinic in Dallas, Texas, between January 1, 1987, and December, 31, 2006. Exercise was assessed by self-reported frequency and minutes per week of resistance and aerobic exercise and meeting the US Physical Activity Guidelines (resistance exercise ≥2 d/wk; aerobic exercise ≥500 metabolic equivalent min/wk) at baseline. The incidence of MetS was based on the National Cholesterol Education Program Adult Treatment Panel III criteria. We used Cox regression to generate hazard ratios (HRs) and 95% CIs.
RESULTS
Among 7418 participants, 1147 (15%) had development of MetS during a median follow-up of 4 years (maximum, 19 years; minimum, 0.1 year). Meeting the resistance exercise guidelines was associated with a 17% lower risk of MetS (HR, 0.83; 95% CI, 0.73-0.96; P=.009) after adjusting for potential confounders and aerobic exercise. Further, less than 1 hour of weekly resistance exercise was associated with 29% lower risk of development of MetS (HR, 0.71; 95% CI, 0.56-0.89; P=.003) compared with no resistance exercise. However, larger amounts of resistance exercise did not provide further benefits. Individuals meeting both recommended resistance and aerobic exercise guidelines had a 25% lower risk of development of MetS (HR, 0.75; 95% CI, 0.63-0.89; P<.001) compared with meeting neither guideline.
CONCLUSION
Participating in resistance exercise, even less than 1 hour per week, was associated with a lower risk of development of MetS, independent of aerobic exercise. Health professionals should recommend that patients perform resistance exercise along with aerobic exercise to reduce MetS.
目的
确定抗阻运动（独立于有氧运动以及与有氧运动相结合时）与代谢综合征（MetS）发生风险之间的关联。
患者与方法
研究队列包括1987年1月1日至2006年12月31日期间在得克萨斯州达拉斯市库珀诊所接受全面医学检查的成年人（平均年龄±标准差，46±9.5岁）。通过自我报告的抗阻运动和有氧运动的频率及每周时长，以及在基线时是否符合美国身体活动指南（抗阻运动≥2天/周；有氧运动≥500代谢当量分钟/周）来评估运动情况。MetS的发病率基于美国国家胆固醇教育计划成人治疗小组第三次报告的标准。我们使用Cox回归生成风险比（HRs）和95%置信区间（CIs）。
结果
在7418名参与者中，1147名（15%）在中位随访4年期间（最长19年；最短0.1年）发生了MetS。在调整潜在混杂因素和有氧运动后，符合抗阻运动指南与MetS风险降低17%相关（HR，0.83；95%CI，0.73 - 0.96；P = 0.009）。此外，与不进行抗阻运动相比，每周抗阻运动少于1小时与MetS发生风险降低29%相关（HR，0.71；95%CI，0.56 - 0.89；P = 0.003）。然而，更多的抗阻运动并未带来进一步益处。与两项指南均不符合的个体相比，同时符合推荐的抗阻运动和有氧运动指南的个体发生MetS的风险降低25%（HR，0.75；95%CI，0.63 - 0.89；P < 0.001）。
结论
参与抗阻运动，即使每周少于1小时，也与较低的MetS发生风险相关，且独立于有氧运动。健康专业人员应建议患者同时进行抗阻运动和有氧运动以降低MetS风险。
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