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一种新型基于家庭的运动干预对不活跃的绝经前妇女健康指标的影响:一项为期 12 周的随机对照试验。

Impact of a novel home-based exercise intervention on health indicators in inactive premenopausal women: a 12-week randomised controlled trial.

机构信息

Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, UK.

School of Health Professions, University of Plymouth, Plymouth, UK.

出版信息

Eur J Appl Physiol. 2020 Apr;120(4):771-782. doi: 10.1007/s00421-020-04315-7. Epub 2020 Mar 19.

DOI:10.1007/s00421-020-04315-7
PMID:32193660
Abstract

PURPOSE

This study tested the hypothesis that a novel, audio-visual-directed, home-based exercise training intervention would be effective at improving cardiometabolic health and mental well-being in inactive premenopausal women.

METHODS

Twenty-four inactive premenopausal women (39 ± 10 years) were randomly assigned to an audio-visual-directed exercise training group (DVD; n = 12) or control group (CON; n = 12). During the 12-week intervention period, the DVD group performed thrice-weekly training sessions of 15 min. Training sessions comprised varying-intensity movements involving multiplanar whole-body accelerations and decelerations (average heart rate (HR) = 76 ± 3% HR). CON continued their habitual lifestyle with no physical exercise. A series of health markers were assessed prior to and following the intervention.

RESULTS

Following the DVD intervention, HDL cholesterol (pre: 1.83 ± 0.45, post: 1.94 ± 0.46 mmol/L) and mental well-being, assessed via the Warwick Edinburgh Mental Well-Being Scale, improved (P < 0.05). Conversely, [LDL cholesterol], [triglycerides], fasting [glucose], body composition and resting blood pressure and HR were unchanged following the DVD intervention (P > 0.05). There were no pre-post intervention changes in any of the outcome variables in the CON group (P > 0.05).

CONCLUSION

The present study suggests that a novel, audio-visual-directed exercise training intervention, consisting of varied-intensity movements interspersed with spinal and lower limb mobility and balance tasks, can improve [HDL cholesterol] and mental well-being in premenopausal women. Therefore, home-based, audio-visual-directed exercise training (45 min/week) appears to be a useful tool to initiate physical activity and improve aspects of health in previously inactive premenopausal women.

摘要

目的

本研究旨在验证一个假设,即一种新颖的视听指导的家庭运动训练干预措施是否能有效改善不活跃的绝经前女性的心血管代谢健康和心理健康。

方法

24 名不活跃的绝经前女性(39±10 岁)被随机分配到视听指导运动训练组(DVD;n=12)或对照组(CON;n=12)。在 12 周的干预期间,DVD 组每周进行三次 15 分钟的训练。训练课程包括不同强度的全身多平面加速和减速运动(平均心率(HR)为 76±3% HR)。CON 继续保持他们的习惯生活方式,不进行任何体育锻炼。在干预前后评估了一系列健康指标。

结果

在 DVD 干预后,高密度脂蛋白胆固醇(HDL-C)(干预前:1.83±0.45mmol/L,干预后:1.94±0.46mmol/L)和心理健康状况,通过华威-爱丁堡心理健康量表评估,得到了改善(P<0.05)。相反,[低密度脂蛋白胆固醇]、[甘油三酯]、空腹[血糖]、身体成分和静息血压和心率在 DVD 干预后没有变化(P>0.05)。对照组在任何观察指标上都没有出现干预前后的变化(P>0.05)。

结论

本研究表明,一种新颖的视听指导的运动训练干预措施,包括不同强度的运动,穿插脊柱和下肢的灵活性和平衡任务,可以改善绝经前女性的[HDL-C]和心理健康。因此,家庭为基础的视听指导的运动训练(每周 45 分钟)似乎是一种有用的工具,可以在以前不活跃的绝经前女性中启动身体活动并改善健康状况。

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