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同时进行运动训练对高血糖和相关合并症的影响:使用临床临界点的无应答者。

Concurrent exercise training on hyperglycemia and comorbidities associated: Non-responders using clinical cutoff points.

机构信息

Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno, Chile.

Quality of Life and Wellness Research Group, Universidad de Los Lagos, Osorno, Chile.

出版信息

Scand J Med Sci Sports. 2019 Jul;29(7):952-967. doi: 10.1111/sms.13413. Epub 2019 Apr 9.

Abstract

This study examined the effects of a 20-week concurrent training (CT, ie, resistance plus endurance training) intervention on cardiovascular risk factors, such as body composition, blood pressure, and lipid profile among adult women with hyperglycemia. A secondary aim was to report prevalence of non-responders for the different study outcomes. Physically inactive overweight/obese and hyperglycemic adult women (42 ± 6 years; BMI = 30.9 ± 4.8 kg/m ) were randomly assigned to a 20-week CT intervention group or a control (non-exercise) group (CG) (n = 14/group). Cardiovascular risk factors for body composition (body mass, waist circumference [WC], fat mass, and lean mass), blood pressure, and lipid profile (total, LDL cholesterol and HDL cholesterol, triglycerides, and fasting glucose) were assessed before and after the 20-week intervention. Our results show that a CT intervention results in a reduction of comorbidities in terms of abdominal obesity and cardiovascular risk in adult women with hyperglycemia by decreasing WC and improving lipid profile in "mean" terms. At the individual level, after CT, some subjects changed their status from a "high" to a "low" cardiovascular risk in terms of WC, while others changed from hypertension to either high blood pressure or normotension, or from high blood pressure to normotension, and others changed from hypercholesterolemia/dyslipidemia to normocholesterolemia. Overall, there were ~30%, 50%, and 20% of individuals in the CT exercise group who showed no change/adverse response for body composition, blood pressure, and lipid profile, respectively, after the 20-week CT intervention.

摘要

这项研究考察了 20 周的同期训练(CT,即抗阻加耐力训练)干预对伴有高血糖的成年女性心血管危险因素的影响,如身体成分、血压和血脂谱。次要目的是报告不同研究结果的无反应者的患病率。身体活动不足的超重/肥胖和高血糖成年女性(42 ± 6 岁;BMI = 30.9 ± 4.8 kg/m )被随机分配到 20 周 CT 干预组或对照组(非运动)组(n = 14/组)。身体成分(体重、腰围[WC]、脂肪量和瘦体重)、血压和血脂谱(总胆固醇、LDL 胆固醇和 HDL 胆固醇、甘油三酯和空腹血糖)的心血管危险因素在 20 周干预前后进行了评估。我们的结果表明,CT 干预通过降低 WC 和改善血脂谱,在“平均”方面降低了腹部肥胖和高血糖成年女性的合并症和心血管风险。在个体水平上,经过 CT 后,一些受试者的 WC 心血管风险从“高”变为“低”,而其他受试者的血压状况从高血压变为高血压或正常血压,或从高血压变为正常血压,还有一些人从高胆固醇血症/血脂异常变为正常胆固醇血症。总体而言,在 CT 运动组中,分别有约 30%、50%和 20%的个体在 20 周 CT 干预后身体成分、血压和血脂谱没有变化/出现不良反应。

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