Department of Nutrition and Health Sciences, Research Center for Industry of Human Ecology and Research Center for Chinese Herbal Medicine, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan, Taiwan; and Graduate Institute of Business and Management, Chang Gung University, Taoyuan, Taiwan.
Menopause. 2018 Jul;25(7):772-782. doi: 10.1097/GME.0000000000001085.
This study examined the effects of dietary and exercise interventions on weight loss and body composition in overweight/obese peri- and postmenopausal women.
Medline, Central, Embase, and Google Scholar databases were searched for relevant trials conducted until December 31, 2016. Randomized controlled trials (RCTs) and prospective studies of overweight/obese peri- or postmenopausal women that examined the effects of dietary or exercise interventions, alone or combined, on weight loss were included. The primary outcome was percentage reduction in body weight.
From 292 studies initially identified, 11 studies with 12 sets of participants were included. Both dietary and exercise intervention groups had significantly greater weight loss than control groups (diet vs control: difference in means = -6.55, 95% CI, -9.51 to -3.59, P < 0.001; exercise vs control: difference in means = -3.49, 95% CI, -6.96 to -0.02, P = 0.049). Combined dietary and exercise interventions resulted in greater weight loss than dietary interventions alone (diet plus exercise vs diet: difference in means = -1.22, 95% CI, -2.14 to -0.29, P = 0.010). Diet plus exercise resulted in greater fat loss (difference in means = -0.44, 95% CI, -0.67 to -0.20, P < 0.001) and greater lean mass loss (difference in means = -0.84, 95% CI, -1.13 to -0.55, P < 0.001) than diet alone.
Dietary interventions reduced body weight and body composition profile parameters in peri- and postmenopausal women more than exercise alone. The addition of exercise reinforced the effect of dietary interventions on changing body weight and composition.
本研究旨在探讨饮食和运动干预对超重/肥胖绝经前和绝经后妇女体重减轻和身体成分的影响。
检索 Medline、Central、Embase 和 Google Scholar 数据库，以获取截至 2016 年 12 月 31 日进行的相关试验。纳入了单独或联合进行饮食或运动干预、针对超重/肥胖绝经前或绝经后妇女的随机对照试验（RCT）和前瞻性研究。主要结局是体重减轻的百分比。
从最初确定的 292 项研究中，纳入了 11 项研究的 12 组参与者。饮食干预组和运动干预组的体重减轻均显著大于对照组（饮食与对照组相比：均数差 = -6.55，95%置信区间，-9.51 至 -3.59，P < 0.001；运动与对照组相比：均数差 = -3.49，95%置信区间，-6.96 至 -0.02，P = 0.049）。联合饮食和运动干预的体重减轻大于单独饮食干预（饮食加运动与饮食相比：均数差 = -1.22，95%置信区间，-2.14 至 -0.29，P = 0.010）。饮食加运动导致更多的脂肪损失（均数差 = -0.44，95%置信区间，-0.67 至 -0.20，P < 0.001）和更多的瘦体重损失（均数差 = -0.84，95%置信区间，-1.13 至 -0.55，P < 0.001），而单独饮食则不然。
饮食干预比单独运动更能降低绝经前和绝经后妇女的体重和身体成分参数。运动的加入加强了饮食干预对改变体重和组成的效果。
