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力量加耐力训练和个体化饮食可减少超重受试者的脂肪量:一项随机临床试验。

Strength plus Endurance Training and Individualized Diet Reduce Fat Mass in Overweight Subjects: A Randomized Clinical Trial.

机构信息

LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain.

Department of Nutrition, Hospital La Paz Health Research Institute (IdiPAZ), La Paz University Hospital, 28046 Madrid, Spain.

出版信息

Int J Environ Res Public Health. 2020 Apr 10;17(7):2596. doi: 10.3390/ijerph17072596.

Abstract

Studies with overweight people are a priority in order to observe the effect of the timing of intervention on pre-obesity people. The aim was to compare different physical activity programs plus an individualized hypocaloric diet on body composition in overweight subjects. A randomized controlled clinical trial was carried out in overweight adults with no history of relevant illness. Primary outcome was total fat mass (TFM). Participants were allocated into four activity programs with equal intensity and volume of exercise for 22 weeks: strength training (S), endurance training (E), strength + endurance training (SE), and 'adhering to physical activity recommendations' (C). Participants followed a diet with 25% less energy (50%-55% carbohydrates, 30%-35% fat) measured by accelerometer. Variables were assessed at baseline and at the end of the intervention. Body composition was measured by dual-energy X-ray absorptiometry. One hundred nineteen from 205 subjects were randomized in the four exercise groups (S = 30/E = 30/SE = 30/C = 29) and 84 participants (36 men/48 women) ended the intervention (S = 19/E = 25/SE = 22/C = 18). At the end of the experiment, all groups except C increased their total physical activity (S = 1159 ± 1740; E = 1625 ± 1790; SE = 1699 ± 2516; C = 724 ± 1979 MET-min/week). Using an ANOVA-test, improvements were observed in body weight (S = -4.6 ± 4.5; E = -6.6 ± 4.6; SE = -8.5 ± 2.8; C = -6.1 ± 5.6 kg, = 0.059) and TFM (S = -4.24 ± 2.02; E = -4.74 ± 2.96; SE = -6.74 ± 3.27; C = -3.94 ± 4.18%; < 0.05). The main conclusion was that there were no adverse events. Strength and endurance training with a balanced, individualized hypocaloric diet was the most effective at reducing weight loss and fat mass in overweight subjects. Trial registration: NCT01116856.

摘要

研究超重人群对于观察干预时机对肥胖前期人群的影响至关重要。本研究旨在比较不同的身体活动方案加个体化低热量饮食对超重人群身体成分的影响。在没有相关疾病史的超重成年人中进行了一项随机对照临床试验。主要结局指标为总脂肪量(TFM)。参与者被随机分配到四个活动方案中,每个方案的运动强度和量相等,持续 22 周:力量训练(S)、耐力训练(E)、力量+耐力训练(SE)和“遵守身体活动建议”(C)。参与者遵循通过加速度计测量的能量减少 25%的饮食(50%-55%碳水化合物,30%-35%脂肪)。在基线和干预结束时评估变量。通过双能 X 射线吸收法测量身体成分。在 205 名受试者中,有 119 名被随机分配到四个运动组(S = 30/E = 30/SE = 30/C = 29),84 名参与者(36 名男性/48 名女性)完成了干预(S = 19/E = 25/SE = 22/C = 18)。在实验结束时,除了 C 组之外,所有组的总身体活动量都增加了(S = 1159 ± 1740;E = 1625 ± 1790;SE = 1699 ± 2516;C = 724 ± 1979 MET-min/week)。通过方差分析检验,体重(S = -4.6 ± 4.5;E = -6.6 ± 4.6;SE = -8.5 ± 2.8;C = -6.1 ± 5.6 kg, = 0.059)和 TFM(S = -4.24 ± 2.02;E = -4.74 ± 2.96;SE = -6.74 ± 3.27;C = -3.94 ± 4.18%; < 0.05)均有所改善。主要结论是没有不良事件。力量和耐力训练与平衡的个体化低热量饮食是最有效的,可降低超重人群的体重和脂肪量。试验注册:NCT01116856。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/947b/7177353/60225738fe89/ijerph-17-02596-g001.jpg

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