两种不同的联合训练方案对重度/病态肥胖女性代谢综合征指标和体能的影响：一项随机对照试验
The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial.
作者信息
Delgado-Floody Pedro, Soriano-Maldonado Alberto, Rodríguez-Pérez Manuel A, Latorre-Román Pedro Ángel, Martínez-Salazar Cristian, Vargas Claudia Andrea, Caamaño-Navarrete Felipe, Jerez-Mayorga Daniel, Álvarez Cristian
机构信息
Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, Chile.
Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain.
出版信息
Front Physiol. 2021 Sep 21;12:694798. doi: 10.3389/fphys.2021.694798. eCollection 2021.
Concurrent training (CT), characterised by combining both aerobic and resistance training modalities within the same session, is recognised to improve metabolic syndrome (MetS) markers, but little is known about the effects of different configurations (i.e., order) of these exercise modalities on MetS markers and the interindividual responses. The purpose of the present study was to describe the effects, and the interindividual variability, of 20weeks of two CT configurations (i.e., high intensity interval training (HIIT) plus resistance training (RT), compared with RT plus HIIT) in women with severe/morbid obesity. Overall, 26 women with severe/morbid obesity were assigned either to HIIT+RT [=14, mean and 95%CI, 45.79 (40.74; 50.83) or RT+HIIT (=12), 33.6 (25.30; 41.79) years]. MetS-related outcomes were waist circumference (WC, cm), systolic (SBP, mmHg) and diastolic (DBP, mmHg) blood pressure, high-density lipoprotein cholesterol (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Secondary outcomes were other anthropometrics, body composition, lipids, muscle strength, and the six-minute walk test (6Mwt). There were significant differences in the prevalence of nonresponders (NRs) only for WC comparing HIIT+RT 2 (18.1%) vs. RT+HIIT group 5 (50.0%), <0.0001, but not for SBP 4 (27.2%) vs. 4 (40.0%), DBP 8 (72.7%) vs. 7 (70.0%), FPG 8 (72.7%) vs. 9 (90.0%), HDL-c 7 (63.6%) vs. 8 (80.0%), and Tg 7 (63.6%) vs. 8 (80.0%), all >0.05. Additionally, the RT+HIIT group showed significant reductions in WC (∆ -3.84cm, =0.015), SBP (∆ -8.46mmHg, =0.040), whereas the HIIT+RT group elicited significant reductions only in SBP (∆ -8.43mmHg, =0.022). The HIIT+RT promoted a lower prevalence of NRs than the RT+HIIT configuration on WC, and overall, there were slightly more beneficial training-induced effects on markers of MetS in the RT+HIIT group compared to the HIIT+RT group.
同时训练（CT）的特点是在同一会话中结合有氧训练和抗阻训练两种方式，已知其可改善代谢综合征（MetS）指标，但对于这些运动方式的不同组合（即顺序）对MetS指标及个体间反应的影响知之甚少。本研究的目的是描述两种CT组合（即高强度间歇训练（HIIT）加抗阻训练（RT），与RT加HIIT相比）对重度/病态肥胖女性进行20周训练后的效果及个体间变异性。总体而言，26名重度/病态肥胖女性被分配到HIIT+RT组[=14人，平均年龄及95%置信区间，45.79（40.74；50.83）岁]或RT+HIIT组（=12人），33.6（25.30；41.79）岁。与MetS相关的指标包括腰围（WC，厘米）、收缩压（SBP，毫米汞柱）和舒张压（DBP，毫米汞柱）、高密度脂蛋白胆固醇（HDL-c）、甘油三酯（Tg）和空腹血糖（FPG）。次要指标包括其他人体测量学指标、身体成分、血脂、肌肉力量和六分钟步行试验（6Mwt）。仅在WC方面，HIIT+RT组无反应者（NRs）患病率为2人（18.1%），与RT+HIIT组的5人（50.0%）相比存在显著差异，<0.0001，但SBP方面4人（27.2%）与4人（40.0%）、DBP方面8人（72.7%）与7人（70.0%）、FPG方面8人（72.7%）与9人（90.0%）、HDL-c方面7人（63.6%）与8人（80.0%）、Tg方面7人（63.6%）与8人（80.0%）均无显著差异，均>0.05。此外RT+HIIT组WC显著降低（∆ -3.84厘米，=0.015），SBP显著降低（∆ -8.46毫米汞柱，=0.040），而HIIT+RT组仅SBP显著降低（∆ -8.43毫米汞柱，=0.022）。在WC方面，HIIT+RT组无反应者的患病率低于RT+HIIT组，总体而言，与HIIT+RT组相比，RT+HIIT组对MetS指标的训练诱导有益影响略多。
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