School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK.
School of Humanities and Social Science, University of Nicosia, Nicosia 2417, Cyprus.
Int J Environ Res Public Health. 2021 Jan 12;18(2):603. doi: 10.3390/ijerph18020603.
Cardiovascular disease and the metabolic syndrome are major contributors to health care expenditure. Increased physical activity reduces disease risk. The study compared effects of walking up and down stairs at home with continuous, gym-based stair climbing on the disease risk factors of aerobic fitness, serum lipids, body composition, fasting blood glucose, and resting cardiovascular variables. Sedentary women (31.7 ± 1.4 years) were randomly assigned to home-based ( = 26) or gym-based ( = 24) climbing for five days.week over an eight-week period. Each ascent required a 32.8-m climb, with home-based climbing matching the vertical displacement in the gym. Participants progressed from two ascents.day to five ascents.day in weeks 7 and 8. Relative to controls, stair climbing improved aerobic fitness (V˙Omax +1.63 mL.min.kg, 95% CI = 1.21-2.05), body composition (weight -0.99 kg, 95% CI = 1.38-0.60), and serum lipids (LDL cholesterol -0.20 mmol.L, 95% CI = 0.09-0.31; triglycerides -0.21 mmol.L, 95% CI = 0.15-0.27), with similar risk reductions for home and gym-based groups. Only the home-based protocol reduced fasting blood glucose. Discussion focuses on stair climbing bouts as time-efficient exercise and the potential benefits of a home-based intervention. Stair use at home offers a low-cost intervention for disease risk reduction to public health.
心血管疾病和代谢综合征是医疗支出的主要原因。增加身体活动可降低疾病风险。本研究比较了在家中上下楼梯与在健身房进行连续楼梯攀爬对有氧健身、血清脂质、身体成分、空腹血糖和静息心血管变量等疾病风险因素的影响。久坐的女性(31.7±1.4 岁)被随机分配到家庭(n=26)或健身房(n=24)攀爬组,每周进行 5 天,为期 8 周。每次攀爬需要爬 32.8 米,家庭攀爬与健身房的垂直位移相匹配。参与者在第 7 和第 8 周从每天两次攀爬增加到每天五次攀爬。与对照组相比,爬楼梯可提高有氧健身能力(V˙Omax 增加 1.63 毫升/分钟/千克,95%CI=1.21-2.05)、身体成分(体重减少 0.99 千克,95%CI=1.38-0.60)和血清脂质(LDL 胆固醇减少 0.20 毫摩尔/升,95%CI=0.09-0.31;甘油三酯减少 0.21 毫摩尔/升,95%CI=0.15-0.27),家庭组和健身房组的风险降低相似。只有家庭方案能降低空腹血糖。讨论重点是楼梯攀爬作为高效锻炼的方法,以及家庭干预的潜在益处。家庭楼梯使用为降低公众健康的疾病风险提供了一种低成本的干预措施。