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抗阻训练降低老年女性代谢综合征及炎症标志物:一项随机对照试验。

Resistance training reduces metabolic syndrome and inflammatory markers in older women: A randomized controlled trial.

机构信息

Physical Education Department, Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil.

Physical Education Department, Exercise Physiology Laboratory, Faculty of Physical Education, University of Campinas, Campinas, Brazil.

出版信息

J Diabetes. 2018 Apr;10(4):328-337. doi: 10.1111/1753-0407.12614. Epub 2017 Dec 11.

DOI:10.1111/1753-0407.12614
PMID:29031002
Abstract

BACKGROUND

This study analyzed the effects of a 12-week resistance training (RT) program without dietary interventions on metabolic syndrome (MetS) components and inflammatory biomarkers in older women.

METHODS

Fifty-three older women (mean [±SD] age 70.4 ± 5.7 years; mean body mass index 26.7 ± 4.0 kg/m ) were randomly assigned to a training group (TG; n = 26) that performed 12 weeks of an RT program or a control group (CG; n = 27) that did not perform any type of physical exercise over the same period. Body composition (dual energy X-ray absorptiometry), muscular strength (one-repetition maximum tests), blood pressure (BP), and blood sample measurements were performed before and after intervention.

RESULTS

After the 12-week period, there were significantly reductions (P < 0.05) in glucose levels (-20.4% vs -0.3%), waist circumference (-1.5% vs +2.0%), and systolic BP (-6.2% vs +0.9%), and complete normalization of MetS prevalence (18% at baseline vs. 0% after 12-weeks RT) in the TG. Moreover, C-reactive protein and tumor necrosis factor-α concentrations decreased in the TG (-28.6% and -21.6%, respectively), but increased in the CG (+34.5% and +13.3%, respectively). In addition there were positive improvements in the MetS Z-score in the TG but not CG (-21.6% vs +13.3%, respectively).

CONCLUSION

The results suggest that a 12-week RT program seems to effectively reduce MetS components and inflammatory biomarkers in older women, regardless of dietary intervention. The RT-induced adaptations in body composition and inflammatory biomarkers appear to be related to healthy adaptations in risk factors for MetS.

摘要

背景

本研究分析了 12 周抗阻训练(RT)方案而不进行饮食干预对老年女性代谢综合征(MetS)成分和炎症生物标志物的影响。

方法

53 名老年女性(平均[±SD]年龄 70.4±5.7 岁;平均体重指数 26.7±4.0 kg/m )被随机分为训练组(TG;n=26)和对照组(CG;n=27)。TG 组进行 12 周的 RT 方案,CG 组在同期不进行任何类型的体育锻炼。在干预前后进行身体成分(双能 X 射线吸收法)、肌肉力量(一次重复最大测试)、血压(BP)和血液样本测量。

结果

12 周后,TG 组的血糖水平(-20.4% vs -0.3%)、腰围(-1.5% vs +2.0%)和收缩压(-6.2% vs +0.9%)显著降低,代谢综合征的患病率完全正常化(基线时为 18%,12 周 RT 后为 0%)。此外,TG 组的 C 反应蛋白和肿瘤坏死因子-α浓度降低(分别为-28.6%和-21.6%),而 CG 组增加(分别为+34.5%和+13.3%)。此外,TG 组的代谢综合征 Z 评分有积极改善,但 CG 组没有(分别为-21.6% vs +13.3%)。

结论

结果表明,12 周 RT 方案似乎能有效降低老年女性的 MetS 成分和炎症生物标志物,而与饮食干预无关。RT 引起的身体成分和炎症生物标志物的适应性似乎与 MetS 危险因素的健康适应性有关。

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