Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.
Int J Environ Res Public Health. 2021 Sep 7;18(18):9450. doi: 10.3390/ijerph18189450.
The aim of this systematic review was to investigate the effects of combined resistance and aerobic exercise on arterial stiffness in postmenopausal women. Two databases, PubMed and Google Scholar were searched to identify relevant studies. The methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) scale. Only seven studies met the eligibility criteria, and their outcomes were presented. Four studies demonstrated the effects of combined resistance and aerobic training, while three showed the effectiveness of exercise with both training components, aerobic and resistance. In all studies, arterial stiffness was measured by brachial-ankle pulse wave velocity (baPWV). Participants were middle-aged or older postmenopausal women of various health statuses (hypertensive, with comorbidities or healthy). The results unequivocally show that combined training reduces arterial stiffness. The most important finding of this review paper is that the applied type of exercise decreased baPWV in the range of 0.6-2.1 m/s. Moreover, combined resistance and aerobic exercise for 12 weeks, performed three times a week for about 60 min per training session, at a moderate intensity (40-60% HRR or HRmax), may be clinically meaningful to the cardiovascular system. In conclusion, we can say that combined resistance and aerobic training, or exercise with resistance and aerobic components, have important health implications for the prevention of cardiovascular disease and the maintenance or improvement of health in middle-aged and older postmenopausal women with different health conditions.
本系统评价的目的是研究抗阻与有氧锻炼相结合对绝经后女性动脉僵硬度的影响。我们检索了两个数据库，PubMed 和 Google Scholar，以确定相关研究。采用 Physiotherapy Evidence Database（PEDro）量表评估方法学质量。仅有 7 项研究符合纳入标准，并呈现了其结果。其中 4 项研究表明抗阻与有氧训练相结合具有效果，而 3 项研究表明有氧和抗阻两种训练成分的运动都有效。在所有研究中，均通过肱踝脉搏波速度（baPWV）来测量动脉僵硬度。参与者为各种健康状况的中老年绝经后女性（高血压、合并症或健康）。所有研究结果均明确表明联合训练可降低动脉僵硬度。本综述论文最重要的发现是，所应用的运动类型可使 baPWV 降低 0.6-2.1 m/s。此外，每周进行 3 次、每次约 60 分钟、中等强度（40-60%HRR 或 HRmax）的 12 周联合抗阻与有氧锻炼可能对心血管系统具有重要的临床意义。总之，我们可以说，抗阻与有氧训练相结合，或包含抗阻和有氧成分的运动，对预防心血管疾病以及保持或改善不同健康状况的中老年绝经后女性的健康具有重要意义。
