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多囊卵巢综合征女性进行渐进性抗阻训练后,高雄激素血症增强肌肉力量,与身体成分无关。

Hyperandrogenism Enhances Muscle Strength After Progressive Resistance Training, Independent of Body Composition, in Women With Polycystic Ovary Syndrome.

机构信息

Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.

Oswaldo Cruz Foundation, Fortaleza, São Paulo, Brazil.

出版信息

J Strength Cond Res. 2018 Sep;32(9):2642-2651. doi: 10.1519/JSC.0000000000002714.

DOI:10.1519/JSC.0000000000002714
PMID:29927897
Abstract

Kogure, GS, Silva, RC, Miranda-Furtado, CL, Ribeiro, VB, Pedroso, DCC, Melo, AS, Ferriani, RA, and Reis, RMd. Hyperandrogenism enhances muscle strength after progressive resistance training, independent of body composition, in women with polycystic ovary syndrome. J Strength Cond Res 32(9): 2651-2660, 2018-The effects of resistance exercise on muscle strength, body composition, and increase in cross-sectional area of skeletal muscle (hypertrophy) were evaluated in women with polycystic ovary syndrome (PCOS). This case-control study included 45 PCOS and 52 non-PCOS women, with age between 18-37 years and body mass index of 18-39.9 kg·m. Subjects performed a program of progressive resistance training (PRT), 3 times per week for 4 months. Biochemical characteristics were measured before and after PRT. Muscle strength evaluated by 1 maximum repetition test and body composition and hypertrophy indicator, evaluated by anthropometry, were measured at baseline, at 8 weeks, and at 16 weeks after PRT. Progressive resistance training produced an increase in maximum strength (bench press, p = 0.04; leg extension, p = 0.04) in the PCOS group; however, no changes were observed in body composition between groups. Concentration of testosterone decreased in both PCOS and non-PCOS groups (p < 0.01, both) after PRT, as well as glycemia (PCOS, p = 0.01; non-PCOS, p = 0.02) and body fat percentage (p < 0.01, both). An increase in hypertrophy indicators, lean body mass (LBM), and maximum strength on all exercises was observed in both PCOS and non-PCOS groups (p < 0.01). This training protocol promoted increases in muscle strength in PCOS women, and improved hyperandrogenism and body composition by decreasing body fat and increasing LBM and muscle strength in both PCOS and non-PCOS groups. Therefore, it is suggested that resistance exercise programs could promote health and fitness in women of reproductive age, especially functional capacity of strength those with PCOS.

摘要

桑野贵史, GS, 席尔瓦, RC, 米兰达-富塔多, CL, 里贝罗, VB, 佩德罗索, DCC, 梅洛, AS, 费拉尼, RA, 和雷伊斯, RMd. 高雄激素血症增强多囊卵巢综合征女性经渐进式抗阻训练后的肌肉力量,与身体成分无关。J 力量与体能研究 32(9):2651-2660, 2018-本研究评估了抗阻运动对肌肉力量、身体成分和骨骼肌横截面积增加(肥大)的影响,纳入了多囊卵巢综合征(PCOS)女性 45 人和非 PCOS 女性 52 人,年龄 18-37 岁,体重指数 18-39.9kg·m。受试者进行了为期 4 个月、每周 3 次的渐进式抗阻训练(PRT)。PRT 前后测量了生化特征。用 1 次最大重复测试评估肌肉力量,用人体测量学评估身体成分和肥大指标,在 PRT 前、8 周和 16 周进行测量。PRT 使 PCOS 组的最大力量(卧推,p=0.04;腿屈伸,p=0.04)增加;但两组之间的身体成分没有变化。PRT 后,两组的睾酮浓度均降低(p<0.01,均),血糖(PCOS,p=0.01;非 PCOS,p=0.02)和体脂百分比(p<0.01,均)也降低。PCOS 和非 PCOS 两组的所有运动的肥大指标、瘦体重(LBM)和最大力量都增加(p<0.01)。该训练方案增加了 PCOS 女性的肌肉力量,并改善了高雄激素血症和身体成分,降低了体脂,增加了 LBM 和 PCOS 和非 PCOS 两组的肌肉力量。因此,建议抗阻运动方案可促进生育期女性的健康和健身,尤其是增强 PCOS 女性的力量功能。

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