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低强度和高强度抗阻训练对超重和肥胖女性的肌肉骨骼疼痛有影响吗?一项随机对照试验的二次分析。

Does low and heavy load resistance training affect musculoskeletal pain in overweight and obese women? Secondary analysis of a randomized controlled trial.

机构信息

Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.

Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.

出版信息

Braz J Phys Ther. 2019 Mar-Apr;23(2):156-163. doi: 10.1016/j.bjpt.2019.01.005. Epub 2019 Jan 18.

Abstract

BACKGROUND

Overweight and obesity are associated with musculoskeletal pain, particularly in the female population. However, regular resistance training may positively affect these complaints.

OBJECTIVE

The present study aimed to investigate between group differences in musculoskeletal pain in previously inactive women, allocated to three different resistance-training modalities available in health- and fitness clubs.

METHODS

This is secondary analysis from a single-blinded randomized controlled trial, including healthy women (aged 18-65) with a BMI (kg/m) ≥25. The participants were allocated to 12 weeks (3 times/weekly) of either BodyPump (high-repetition low-load group session) (n=24), heavy load resistance training with a personal trainer (n=28), non-supervised heavy load resistance training (n=19) or non-exercising controls (n=21). Primary outcome was self-reported musculoskeletal pain in ten different body parts, measured with the Standardized Nordic Pain Questionnaire, at baseline and post-test. In addition, the study included sub-analyses of the participants when they were divided into high (≥28 of 36 sessions, n=38) and low (≤27 of 36 sessions, n=22) exercise adherence.

RESULTS

The analysis revealed no between group differences in musculoskeletal pain in any of the ten body parts. The results did not change when the participants were divided into high versus low adherence.

CONCLUSIONS

Twelve weeks of BodyPump, heavy load resistance training with a personal trainer and non-supervised heavy load resistance training did not show any effect on self-reported musculoskeletal pain in overweight women.

CLINICAL TRIAL REGISTRATION NUMBER

NCT01993953. (https://clinicaltrials.gov/ct2/show/NCT01993953).

摘要

背景

超重和肥胖与肌肉骨骼疼痛有关,尤其是在女性人群中。然而,规律的抗阻训练可能对这些症状有积极影响。

目的

本研究旨在探讨在健康俱乐部和健身俱乐部中提供的三种不同抗阻训练方式中,分配给之前不活跃的女性的人群中,肌肉骨骼疼痛的组间差异。

方法

这是一项单盲随机对照试验的二次分析,包括 BMI(kg/m)≥25 的健康女性(年龄 18-65 岁)。参与者被分配到为期 12 周(每周 3 次)的 BodyPump(高重复低负荷组课程)(n=24)、私人教练的大负荷抗阻训练(n=28)、非监督的大负荷抗阻训练(n=19)或非运动对照组(n=21)。主要结果是使用标准化北欧疼痛问卷在基线和测试后报告的 10 个不同身体部位的肌肉骨骼疼痛。此外,该研究还包括将参与者分为高(≥28/36 次,n=38)和低(≤27/36 次,n=22)运动依从性的亚分析。

结果

分析显示,在任何 10 个身体部位中,肌肉骨骼疼痛均无组间差异。当参与者被分为高依从性与低依从性时,结果没有改变。

结论

12 周的 BodyPump、私人教练的大负荷抗阻训练和非监督的大负荷抗阻训练并未显示对超重女性的肌肉骨骼疼痛有任何影响。

临床试验注册号

NCT01993953。(https://clinicaltrials.gov/ct2/show/NCT01993953)。

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