School of Public Health, Hangzhou Normal University, Hangzhou, China.
Zhejiang Police Vocational College, Hangzhou, China.
Front Public Health. 2022 Oct 21;10:989519. doi: 10.3389/fpubh.2022.989519. eCollection 2022.
Prior studies have consistently revealed that a combination of physical activity with caloric restriction results in a reduction in body weight in the general population. Both overweight and drug abuse are risk factors for poor physiological health, and poor mental health has been associated with drug abuse and unhealthy body mass index (BMI). However, the effects of low-carbohydrates diet (LC) combined with mind-body exercise intervention on improving anthropometric characteristics, lipid metabolism, quality of life, and craving among overweight people who struggle with drug addiction have yet to be clarified.
Fifty-four eligible male patients were randomly assigned to the control group (CON; = 18), the Baduanjin intervention group (BA, 60 min × 5 times/week, 8 weeks; = 18), and the Baduanjin combined with LC intervention group (LC; = 18). We compared the anthropometric characteristics, blood biochemical parameters, quality of life, and drug craving responses between the three groups at baseline (week 0), week 4, and week 8.
After repeated measurements in the general linear model, both the BA and LC groups exerted significant effects on decreasing waist circumference, BMI, body weight, hip circumference, body fat percentage, total cholesterol level, and triglyceride level ( < 0.05). There was no significant difference in the HDL-C level observed among the BA and LC groups at 8 weeks ( > 0.05); however, there was an overall upwards trend. A significant change in trends in the quality of life scale score was determined in the three groups ( < 0.001). The three groups showed reductions in visual analog scale score distribution over time ( < 0.05).
Either Baduanjin or an 8-week Baduanjin combined with LC can significantly reduce anthropometric characteristics and body composition, enhance the quality of life, and reduce craving in overweight/obese patients. Baduanjin combined with LC is particularly effective in improving lipid metabolism.
先前的研究一致表明，将体力活动与热量限制相结合可使普通人群的体重减轻。超重和药物滥用都是身体健康状况不佳的危险因素，而心理健康状况不佳与药物滥用和不健康的体重指数（BMI）有关。然而，低碳水化合物饮食（LC）结合身心锻炼干预对改善超重且有药物滥用问题的人群的人体测量特征、脂质代谢、生活质量和渴求的影响尚不清楚。
将 54 名符合条件的男性患者随机分配至对照组（CON；n = 18）、八段锦干预组（BA，每周 5 次，每次 60 分钟，共 8 周；n = 18）和八段锦联合 LC 干预组（LC；n = 18）。在基线（第 0 周）、第 4 周和第 8 周，我们比较了三组的人体测量特征、血液生化参数、生活质量和药物渴求反应。
在一般线性模型的重复测量中，BA 和 LC 组均对降低腰围、BMI、体重、臀围、体脂百分比、总胆固醇水平和甘油三酯水平有显著效果（<0.05）。在第 8 周时，BA 和 LC 组之间的高密度脂蛋白胆固醇（HDL-C）水平没有显著差异（>0.05）；然而，存在整体上升趋势。三组的生活质量量表评分趋势有显著变化（<0.001）。三组的视觉模拟量表评分分布随时间呈下降趋势（<0.05）。
八段锦或八段锦联合 LC 锻炼 8 周均可显著降低超重/肥胖患者的人体测量特征和身体成分，提高生活质量，降低渴求。八段锦联合 LC 对改善脂质代谢尤为有效。
