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一项为期12周的联合训练干预对肥胖男性心脏代谢健康的影响:一项初步研究。

Effect of a 12-Week Concurrent Training Intervention on Cardiometabolic Health in Obese Men: A Pilot Study.

作者信息

Amaro-Gahete Francisco J, Ponce-González Jesús G, Corral-Pérez Juan, Velázquez-Díaz Daniel, Lavie Carl J, Jiménez-Pavón David

机构信息

EFFECTS-262 Research group, Department of Physiology, Faculty of Medicine, University of Granada, Granada, Spain.

PROmoting FITness and Health Through Physical Activity Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.

出版信息

Front Physiol. 2021 Feb 11;12:630831. doi: 10.3389/fphys.2021.630831. eCollection 2021.

Abstract

The present study aimed to investigate the effects of a 12-week concurrent training intervention on cardiometabolic health in obese men. Twelve obese men (42.5 ± 5.3 years old) participated in the current 12-week randomized controlled trial with a parallel group design. The participants were randomly assigned to a concurrent training group or to a no-exercise control group. Anthropometry and body composition assessment were determined by electrical bio-impedance. Blood samples were obtained and a cardiometabolic risk Z-Score was calculated. Energy metabolism-related parameters [i.e., resting metabolic rate (RMR), respiratory quotient (RQ), and substrate oxidation in both resting conditions and during exercise] were determined by indirect calorimetry. Echocardiographic studies were performed using an ultrasound system equipped with a transducer to measure cardiac function. A significant decrease of weight (Δ = -4.21 kg; i.e., primary outcome), body mass index (Δ = -1.32 kg/m), fat mass (FM; Δ = -3.27 kg), blood pressure (BP; Δ = -10.81 mmHg), and cardiometabolic risk Z-Score (Δ = -0.39) was observed in the exercise group compared with the control group (all < 0.05), while no significant changes were noted in waist circumference (WC), lean mass (LM), bone mineral content, glycemic and lipid profiles, liver function, nor in energy metabolism-related parameters (all > 0.1). Moreover, a significant increment of left ventricular (LV) end diastolic diameter (Δ = -4.35 mm) was observed in the exercise group compared with the control group ( = 0.02). A 12-week concurrent training intervention is an effective strategy to induce weight and fat loss with simultaneous reductions of BP and cardiometabolic risk, and improving cardiac function in obese men.

摘要

本研究旨在调查为期12周的联合训练干预对肥胖男性心脏代谢健康的影响。12名肥胖男性(42.5±5.3岁)参与了当前这项为期12周的随机对照试验,采用平行组设计。参与者被随机分配到联合训练组或无运动对照组。通过生物电阻抗法测定人体测量学指标和身体成分。采集血样并计算心脏代谢风险Z评分。通过间接量热法测定能量代谢相关参数[即静息代谢率(RMR)、呼吸商(RQ)以及静息状态和运动期间的底物氧化]。使用配备换能器的超声系统进行超声心动图研究以测量心脏功能。与对照组相比,运动组的体重(Δ=-4.21 kg;即主要结局)、体重指数(Δ=-1.32 kg/m²)、脂肪量(FM;Δ=-3.27 kg)、血压(BP;Δ=-10.81 mmHg)和心脏代谢风险Z评分(Δ=-0.39)均显著降低(均P<0.05),而腰围(WC)、去脂体重(LM)、骨矿物质含量、血糖和血脂谱、肝功能以及能量代谢相关参数均无显著变化(均P>0.1)。此外,与对照组相比,运动组的左心室(LV)舒张末期内径显著增加(Δ=-4.35 mm;P=0.02)。为期12周的联合训练干预是一种有效的策略,可在肥胖男性中实现体重和脂肪减少,同时降低血压和心脏代谢风险,并改善心脏功能。

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