Department of Clinical Nutrition, Pinggu Hospital, Beijing Friendship Hospital, affiliated to Capital Medical University, Beijing, China.
Department of Clinical Nutrition, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Asia Pac J Clin Nutr. 2021 Dec;30(4):624-631. doi: 10.6133/apjcn.202112_30(4).0009.
This study aims to investigate the effects of individualised dietary guidance and anti-resistance exercise intervention on blood pressure and metabolic indexes of perimenopausal women.
Between June 2018 to August 2018, 78 perimenopausal women were recruited at the Gynaecological Outpatient Department of Beijing Pinggu District Hospital. After coding, they were randomly divided into three groups, A, B and C, by lottery. Group A was required to participate in educational seminars. Group B was required to participate in educational seminars and received individualised dietary guidance from professional nutritionists. Group C had the same intensive education classes and individualised dietary guidance as Group B, along with intensive resistance exercise. The difference in the various observation indexes was reviewed after three months of intervention.
The number of patients with abnormal metabolic indexes in the diet and comprehensive groups decreased significantly after intervention, compared with the statistics before intervention. The number of patients with a waist circumference ≥80 cm in the diet and comprehensive groups decreased significantly, and the difference was statistically significant (χ2=5.976, p=0.014; χ2=4.433, p=0.035). Before and after observation, the control and diet groups had a higher incidence of HDL <1.29 mmol/L than the comprehensive group, and the difference was statistically significant (p<0.05). After intervention, TGs in the comprehensive group were significantly lower than the control group (≥1.7 mmol/L), and the difference was statistically significant.
Individualised dietary intervention combined with anti-resistance exercise can significantly improve eating and exercise habits, correct metabolic disorders and reduce the occurrence of metabolic syndrome.
本研究旨在探讨个体化饮食指导和抗阻运动干预对围绝经期女性血压及代谢指标的影响。
2018 年 6 月至 8 月，在北京平谷区医院妇科门诊招募 78 例围绝经期女性。编码后，采用随机数字表法将其分为 A、B、C 3 组。A 组参加教育讲座，B 组参加教育讲座并由专业营养师进行个体化饮食指导，C 组接受与 B 组相同的强化教育课程和个体化饮食指导，同时进行强化抗阻运动。干预 3 个月后，比较各组间各观察指标的差异。
干预后，饮食组和综合组的代谢异常患者数量较干预前明显减少，腰围≥80cm 的患者数量较干预前明显减少，差异有统计学意义（χ2=5.976，p=0.014；χ2=4.433，p=0.035）。观察前后，对照组和饮食组 HDL<1.29mmol/L 的发生率均高于综合组，差异有统计学意义（p<0.05）。干预后，综合组的 TGs 明显低于对照组（≥1.7mmol/L），差异有统计学意义。
个体化饮食干预联合抗阻运动能显著改善患者的饮食和运动习惯，纠正代谢紊乱，降低代谢综合征的发生。
