运动时间对成年人心血管疾病危险因素的影响：系统评价和荟萃分析。
Time of the day of exercise impact on cardiovascular disease risk factors in adults: a systematic review and meta-analysis.
机构信息
Department of Physiology, Faculty of Pharmacy, University of Granada, Spain.
Department of Psychology, Universidad Loyola Andalucía, Spain.
出版信息
J Sci Med Sport. 2023 Mar;26(3):169-179. doi: 10.1016/j.jsams.2023.03.004. Epub 2023 Mar 11.
OBJECTIVES
To compare the effect of a single bout of morning vs. evening exercise on cardiovascular risk factors in adults.
DESIGN
Systematic review and meta-analysis.
METHODS
A systematic search of studies was conducted using PubMed and Web of Science from inception to June 2022. Selected studies accomplished the following criteria: crossover design, acute effect of exercise, blood pressure, blood glucose, and/or blood lipids as the study's endpoint, a washout period of at least 24 h, and adults. Meta-analysis was performed by analyzing: 1) separated effect of morning and evening exercise (pre vs. post); and 2) comparison between morning and evening exercise.
RESULTS
A total of 11 studies were included for systolic and diastolic blood pressure and 10 studies for blood glucose. Meta-analysis revealed no significant difference between morning vs. evening exercise for systolic blood pressure (g ∆ = 0.02), diastolic blood pressure (g ∆ = 0.01), or blood glucose (g ∆ = 0.15). Analysis of moderator variables (age, BMI, sex, health status, intensity and duration of exercise, and hour within the morning or evening) showed no significant morning vs. evening effect.
CONCLUSIONS
Overall, we found no influence of the time of the day on the acute effect of exercise on blood pressure neither on blood glucose.
目的
比较成年人单次晨练与单次晚练对心血管危险因素的影响。
设计
系统评价和荟萃分析。
方法
从建库到 2022 年 6 月，使用 PubMed 和 Web of Science 进行了系统检索。选择的研究符合以下标准：交叉设计、运动的急性效应、血压、血糖和/或血脂作为研究终点、至少 24 小时的洗脱期以及成年人。通过分析以下内容进行荟萃分析：1）晨练和晚练的单独效应（前后）；2）晨练和晚练的比较。
结果
共纳入 11 项关于收缩压和舒张压的研究，10 项关于血糖的研究。荟萃分析显示，晨练与晚练相比，收缩压（g ∆ = 0.02）、舒张压（g ∆ = 0.01）或血糖（g ∆ = 0.15）均无显著差异。对年龄、BMI、性别、健康状况、运动强度和持续时间以及晨练或晚练时间段等调节变量的分析显示，晨练与晚练之间没有明显的时间效应。
结论
总体而言，我们没有发现一天中时间对运动对血压和血糖的急性影响有影响。
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