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同时进行的抗阻训练和高强度间歇训练对胰岛素抵抗女性空腹血糖代谢指标的残余影响

Residual Impact of Concurrent, Resistance, and High-Intensity Interval Training on Fasting Measures of Glucose Metabolism in Women With Insulin Resistance.

作者信息

Alvarez Cristian, Ciolac Emmanuel Gomes, Guimarães Guilherme Veiga, Andrade David C, Vasquez-Muñoz Manuel, Monsalves-Álvarez Matías, Delgado-Floody Pedro, Alonso-Martínez Alicia M, Izquierdo Mikel

机构信息

Quality of Life and Wellness Research Group, Department of Health, Universidad de Los Lagos, Osorno, Chile.

Exercise and Chronic Disease Research Laboratory, Department of Physical Education, School of Sciences, São Paulo State University (UNESP), São Paulo, Brazil.

出版信息

Front Physiol. 2021 Nov 11;12:760206. doi: 10.3389/fphys.2021.760206. eCollection 2021.

Abstract

We sought to assess the residual effects (post 72-h training cessation) on fasting plasma glucose (FPG) and fasting insulin (FI) after 12-weeks of high-intensity interval training (HIIT), resistance training (RT), or concurrent training (CT) in women with insulin resistance (IR). We also aimed to determine the training-induced, post-training residual impact of CT. A total of adult 45 women (age 38.5±9.2years) were included in the final analysis and were assigned to a control (CG; =13, BMI 28.3±3.6kg/m), HIIT [=14, BMI 28.6±3.6kg/m, three sessions/wk., 80-100% of the maximum heart rate (HR)], RT [=8, BMI 29.4±5.5kg/m, two sessions/wk., 8-10 points of the modified Borg, corresponding to 20 to 50% range of one maximum repetition test (1RM)], or CT group (=10, BMI 29.1±3.0kg/m, three sessions/wk., 80-100% of HR, and 8-10 Borg, or 20 to 50% range of 1RM, to each HIIT and RT compounds), with the latter including both HIIT and RT regimens. Training interventions lasted 12-weeks. The main outcomes were FPG and FI measured at pre- and 24-h and 72-h post-training (FPG, FI, and FPG, FI, respectively). Secondary endpoints were body composition/anthropometry and the adiposity markers waist circumference (WC) and tricípital skinfold (T). The residual effects 72-h post-training [delta (∆)] were significantly poorer (all <0.01) in the CT group (∆FPG+6.6mg/dl, : 0.76) than in the HIIT (∆FPG+1.2mg/dl, : 0.07) and RT (∆FPG+1.0mg/dl, : 0.05) groups. These findings reveal that HIIT reduces FPG and RT reduces FI 24-h post-training; both exercise interventions alone have remarkably better residual effects on FPG and FI (post-72h) than CT in women with insulin resistance.

摘要

我们试图评估高强度间歇训练(HIIT)、抗阻训练(RT)或联合训练(CT)12周后,胰岛素抵抗(IR)女性在停止训练72小时后对空腹血糖(FPG)和空腹胰岛素(FI)的残留影响。我们还旨在确定联合训练在训练后产生的、训练引起的残留影响。最终分析共纳入45名成年女性(年龄38.5±9.2岁),并将她们分为对照组(CG;n = 13,BMI 28.3±3.6kg/m²)、HIIT组[n = 14,BMI 28.6±3.6kg/m²,每周3次训练,最大心率(HR)的80 - 100%]、RT组[n = 8,BMI 29.4±5.5kg/m²,每周2次训练,改良Borg量表8 - 10分,相当于一次最大重复测试(1RM)的20 - 50%]或CT组(n = 10,BMI 29.1±3.0kg/m²,每周3次训练,HR的80 - 100%,以及每次HIIT和RT组合的Borg量表8 - 10分,或1RM的20 - 50%),后者包括HIIT和RT两种训练方案。训练干预持续12周。主要结局指标为训练前、训练后24小时和72小时测量的FPG和FI(分别为FPG、FI和FPG、FI)。次要终点为身体成分/人体测量指标以及肥胖标志物腰围(WC)和肱三头肌皮褶厚度(T)。训练后72小时的残留影响[差值(∆)]在CT组(∆FPG + 6.6mg/dl,p = 0.76)显著差于HIIT组(∆FPG + 1.2mg/dl,p = 0.07)和RT组(∆FPG + 1.0mg/dl,p = 0.05)(所有p < 0.01)。这些发现表明,HIIT可降低训练后24小时的FPG,RT可降低训练后FI;在胰岛素抵抗女性中,这两种单独的运动干预对FPG和FI(72小时后)的残留影响均显著优于CT组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b86c/8632353/29d72d61a62b/fphys-12-760206-g001.jpg

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