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上半身划船运动对脊髓损伤患者有氧健身和心血管代谢疾病风险的影响:一项为期 6 个月的随访研究。

Impact of upper-body ergometer rowing exercise on aerobic fitness and cardiometabolic disease risk in individuals with spinal cord injury: A 6-month follow-up study.

机构信息

ExerciseTech, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

Department of Research and Development, University College of Northern Jutland, Aalborg, Denmark.

出版信息

J Spinal Cord Med. 2024 Nov;47(6):996-1006. doi: 10.1080/10790268.2023.2233820. Epub 2023 Aug 3.

DOI:10.1080/10790268.2023.2233820
PMID:37534922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11533236/
Abstract

We recently demonstrated that upper-body rowing exercise (UBROW) improved aerobic fitness in individuals with spinal cord injury (SCI), with no effect on traditional cardiometabolic risk factors. Here, we tested the hypothesis that the exercise-induced increase in aerobic fitness was maintained at 6-month (6M) follow-up. Six-month follow-up. University/hospital. Seventeen wheelchair-dependent participants with SCI. 12-week of exercise training (UBROW) or control (CON). Aerobic fitness (PO and V̇O), body composition, blood pressure, and blood biomarkers of cardiometabolic risk were assessed at 6M follow-up and compared to baseline (BL) and immediately post-intervention (12-week). Minutes of mild, moderate, and heavy intensity leisure time physical activity (LTPA) were assessed by self-report. Fourteen participants returned at 6M follow-up (CON,  = 6; UBROW,  = 8). In UBROW, PO (median (Q1-Q3)) increased from BL (70 W (37-84)) to 12-week (77 W (58-109), P = 0.01) and 6M follow-up (81 W (51-96), P = 0.01), with no difference between 12-week and 6M follow-up (P = 0.21). Similarly, V̇O increased from BL (15.4 ml/kg/min (10.5-19.4)) to 12-week (16.6 ml/kg/min (12.8-21.3), P = 0.01) with no difference between 12-week and 6M follow-up (16.3 ml/kg/min (12.9-19.7), P = 0.74). No differences were found in CON for either PO (P = 0.22) or V̇O (P = 0.27). There were no changes over time in traditional cardiometabolic risk factors or for minutes of different LTPA intensities. We demonstrate that improvements in aerobic fitness are maintained for at least six months after completion of a 12-week exercise intervention, supporting the use of periodic exercise interventions to boost aerobic fitness level in individuals with SCI. ClinicalTrials.gov identifier: NCT04390087..

摘要

我们最近证明,上半身划船运动(UBROW)可以提高脊髓损伤(SCI)患者的有氧健身水平,而对传统的心血管代谢危险因素没有影响。在这里,我们测试了这样一个假设,即运动引起的有氧健身水平的提高在 6 个月(6M)随访时得以维持。6 个月随访。大学/医院。17 名依赖轮椅的 SCI 患者。12 周的运动训练(UBROW)或对照(CON)。在 6M 随访时评估有氧健身(PO 和 V̇O)、身体成分、血压和心血管代谢风险的血液生物标志物,并与基线(BL)和干预后即刻(12 周)进行比较。通过自我报告评估轻度、中度和重度强度休闲时间体力活动(LTPA)的分钟数。14 名参与者在 6 个月随访时返回(CON, = 6;UBROW, = 8)。在 UBROW 中,PO(中位数(Q1-Q3))从 BL(70 W(37-84))增加到 12 周(77 W(58-109),P = 0.01)和 6M 随访(81 W(51-96),P = 0.01),12 周和 6 个月随访之间没有差异(P = 0.21)。同样,V̇O 从 BL(15.4 ml/kg/min(10.5-19.4))增加到 12 周(16.6 ml/kg/min(12.8-21.3),P = 0.01),12 周和 6 个月随访之间没有差异(16.3 ml/kg/min(12.9-19.7),P = 0.74)。CON 中 PO(P = 0.22)或 V̇O(P = 0.27)均无随时间变化的差异。传统心血管代谢危险因素或不同 LTPA 强度的分钟数均无变化。我们证明,在完成 12 周的运动干预后,有氧健身水平至少可以维持 6 个月,这支持了周期性运动干预的使用,以提高 SCI 患者的有氧健身水平。临床试验标识符:NCT04390087。

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本文引用的文献

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Eur J Appl Physiol. 2023 Jun;123(6):1241-1255. doi: 10.1007/s00421-023-05146-y. Epub 2023 Feb 13.
2
Wheelchair-modified ergometer rowing exercise in individuals with spinal cord injury: a feasibility, acceptability, and preliminary efficacy study.轮椅改装式测功计划船运动对脊髓损伤患者的可行性、可接受性和初步疗效研究。
Spinal Cord Ser Cases. 2022 Apr 30;8(1):48. doi: 10.1038/s41394-022-00518-6.
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Effects of Arm-Crank Exercise on Fitness and Health in Adults With Chronic Spinal Cord Injury: A Systematic Review.手臂曲柄运动对慢性脊髓损伤成年人健康与体能的影响:一项系统综述
Front Physiol. 2022 Mar 17;13:831372. doi: 10.3389/fphys.2022.831372. eCollection 2022.
4
Exercise Improves Cardiorespiratory Fitness, but Not Arterial Health, after Spinal Cord Injury: The CHOICES Trial.运动改善脊髓损伤后的心肺功能适应性,但不能改善动脉健康:CHOICES 试验。
J Neurotrauma. 2021 Nov 1;38(21):3020-3029. doi: 10.1089/neu.2021.0071. Epub 2021 Sep 3.
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Physical Activity Barriers in Danish Manual Wheelchair Users: A Cross-sectional Study.丹麦手动轮椅使用者身体活动障碍:一项横断面研究。
Arch Phys Med Rehabil. 2021 Apr;102(4):687-693. doi: 10.1016/j.apmr.2020.09.384. Epub 2020 Oct 19.
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Effect of wheelchair-modified rowing exercise on cardiometabolic risk factors in spinal cord injured wheelchair users: protocol for a randomised controlled trial.轮椅改良划船运动对脊髓损伤轮椅使用者心血管代谢风险因素的影响:一项随机对照试验方案。
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