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超重/肥胖个体口服 75 克葡萄糖负荷后进行急性冲刺间歇训练对代谢的影响。

Metabolic responses to acute sprint interval exercise training performed after an oral 75-gram glucose load in individuals with overweight/obesity.

机构信息

Grupo de Investigación en Deporte de Rendimiento (GRINDER), Programa de Educación Física y Deporte, Universidad del Valle, Cali, Colombia.

Zoe H&F Centro Para la Investigación En Salud y Rendimiento Humano, Cali, Colombia.

出版信息

Physiol Rep. 2023 Jan;11(2):e15555. doi: 10.14814/phy2.15555.

Abstract

There is evidence supporting that acute sprint interval training (SIT) might improve metabolic responses to postprandial glucose, but results are inconclusive. The aim of the present study was to explore the effects of acute SIT on metabolic response and substrate utilization in individuals with overweight/obesity after an oral 75-gram glucose challenge. Thirty-three participants with overweight/ obesity (32.7 ± 8.3 years, 24 male, 9 female) participated in the study and a crossover design was followed. After the 75-gram glucose load, participants were randomly allocated to two groups: no exercise (resting) or SIT protocol. Metabolic data including respiratory quotient (RQ) and substrate utilization rates (fats and carbohydrates) were collected using the COSMED Q-NRG + ® calorimeter. The RQ was significantly lower in the acute SIT group (0.76 [0.01]; p < 0.0001) than in the resting group (0.80 [0.01]; p = 0.036) at the 120-min postprandial time point, and the RQ area under the curve (AUC) was also lower in the SIT group (mean difference of -6.62, 95% CI -12.00 to -1.24; p = 0.0161). The contribution of fat to energy expenditure increased after SIT during the postprandial period whereas the contribution of carbohydrates decreased. The AUC for fat contribution was significantly higher (mean difference 2311.9, 95% confidence interval [CI] 578.8 to 4043.3; p = 0.0098) and the AUC for carbohydrate contribution was significantly lower (mean difference -2283.1, 95% CI -4040.2 to -527.1; p = 0.0117) in the SIT group than in the resting group. In conclusions, acute SIT might have a positive effect on metabolic responses to postprandial glucose and, accordingly, should be recommended for improving metabolism in people with overweight/obesity.

摘要

有证据表明,急性冲刺间歇训练(SIT)可能改善餐后血糖的代谢反应,但结果尚无定论。本研究旨在探讨急性 SIT 对超重/肥胖个体口服 75 克葡萄糖负荷后代谢反应和底物利用的影响。33 名超重/肥胖参与者(32.7±8.3 岁,24 名男性,9 名女性)参与了这项研究,并采用了交叉设计。在口服 75 克葡萄糖负荷后,参与者被随机分为两组:不运动(休息)或 SIT 方案。使用 COSMED Q-NRG + ® 热量计收集代谢数据,包括呼吸商(RQ)和底物利用率(脂肪和碳水化合物)。在 120 分钟的餐后时间点,急性 SIT 组的 RQ 显著低于休息组(0.76[0.01];p<0.0001),RQ 曲线下面积(AUC)也较低(SIT 组平均差异-6.62,95%置信区间-12.00 至-1.24;p=0.0161)。SIT 后,餐后脂肪对能量消耗的贡献增加,而碳水化合物的贡献减少。餐后脂肪贡献的 AUC 显著升高(平均差异 2311.9,95%置信区间 [CI] 578.8 至 4043.3;p=0.0098),碳水化合物贡献的 AUC 显著降低(平均差异-2283.1,95%CI-4040.2 至-527.1;p=0.0117)。综上所述,急性 SIT 可能对餐后血糖的代谢反应产生积极影响,因此应推荐用于改善超重/肥胖人群的代谢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afb6/9875746/ffa17c84ea14/PHY2-11-e15555-g003.jpg

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