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[热量限制和跳绳运动对超重或肥胖大学生心血管代谢危险因素的影响]

[Effects of caloric restriction and rope-skipping exercise on cardiometabolic risk factors in overweight or obese college students].

作者信息

Wu M, Wang X T, Xu S H, Tang Z X, Li H L, Jing J J, Tang W K, Chen X Y, Lan R L, Zhu Y N

机构信息

Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2022 Sep 6;56(9):1272-1278. doi: 10.3760/cma.j.cn112150-20211009-00942.

Abstract

To explore the effect of three interventions including caloric restriction, rope-skipping exercise and caloric restriction combined with rope-skipping exercise on cardiometabolic risk factors in overweight or obese college students. This study was a pilot randomized controlled trial. Overweight or obese students who met the inclusion criteria were recruited at Sun Yat-sen University in September 2019 and were randomly divided into four groups: caloric restriction group (CR), rope-skipping group (RS), combined group (CR-RS) and control group (CT). The intervention in each group lasted 8 weeks, specifically: the daily energy intake of CR was 100% to 110% of the basal metabolic energy; RS was instructed to rope three times a week, and CR-RS combined caloric restriction with rope-skipping. At the baseline and end of 8-week intervention, basic information, anthropometric indicators and fasting vein blood of students were collected. Paired test and Wilcoxon paired-samples signed rank test were used for comparison before and after intervention, and analysis of covariance was used for comparison between groups after intervention. A total of 29 students completed the trial and were included in the final analysis (7, 9, 7 and 6 students in CR, RS, CR-RS and CT, respectively). The mean age of students were (19.00±1.00) years, including 11 males and 18 females. The baseline characteristics of four groups were comparable. After 8 weeks of intervention, compared with CT, there was an increase in the body fat percentage and fat mass index in CR and CR-RS (<0.05). Insulin level decreased in CR-RS (<0.05). Systolic blood pressure in CR and diastolic blood pressure in CR-RS were higher (<0.05). Compared with baseline, fat mass index decreased in CR (<0.05), while body weight, BMI, and fat mass index decreased in CR-RS (<0.05). It is suggested that the caloric restriction alone and calorie restriction combined with rope-skipping exercise can benefit overweight or obese college students with cardiometabolic risk factors.

摘要

探讨热量限制、跳绳运动以及热量限制联合跳绳运动这三种干预措施对超重或肥胖大学生心血管代谢危险因素的影响。本研究为一项试点随机对照试验。2019年9月,在中山大学招募符合纳入标准的超重或肥胖学生,并将其随机分为四组:热量限制组(CR)、跳绳组(RS)、联合组(CR-RS)和对照组(CT)。每组干预持续8周,具体如下:CR组的每日能量摄入量为基础代谢能量的100%至110%;RS组每周跳绳三次,CR-RS组则将热量限制与跳绳相结合。在8周干预的基线期和结束时,收集学生的基本信息、人体测量指标和空腹静脉血。干预前后的比较采用配对t检验和Wilcoxon配对样本符号秩检验,干预后组间比较采用协方差分析。共有29名学生完成试验并纳入最终分析(CR组、RS组、CR-RS组和CT组分别有7名、9名、7名和6名学生)。学生的平均年龄为(19.00±1.00)岁,其中男性11名,女性18名。四组的基线特征具有可比性。干预8周后,与CT组相比,CR组和CR-RS组的体脂百分比和脂肪质量指数升高(<0.05)。CR-RS组的胰岛素水平降低(<0.05)。CR组的收缩压和CR-RS组的舒张压升高(<0.05)。与基线相比,CR组的脂肪质量指数降低(<0.05),而CR-RS组的体重、BMI和脂肪质量指数降低(<0.05)。提示单独的热量限制以及热量限制联合跳绳运动对患有心血管代谢危险因素的超重或肥胖大学生有益。

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