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一项关于监督性运动训练对接受减肥手术个体的身体成分、心血管代谢危险因素、肌肉力量和功能能力影响的试点研究。

A pilot study of the effects of supervised exercise training on body composition, cardiometabolic risk factors, muscle strength and functional capacity in individuals with bariatric surgery.

作者信息

Tomaç Hayriye, Malkoç Mehtap, Angın Ender

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Northern Cyprus, Mersin 10, Turkey.

出版信息

Heliyon. 2023 Aug 12;9(8):e19032. doi: 10.1016/j.heliyon.2023.e19032. eCollection 2023 Aug.

Abstract

The main objective of this pilot study was to evaluate the effects of functional exercise training (FET) and home exercise training (HET) on body composition, cardiometabolic risk factors, muscle strength, and functional capacity in individuals with bariatric surgery. The sample of the study included 30 individuals who underwent bariatric surgery. The FET group had functional exercise training consisting of stretching, aerobic, strengthening, and balance exercises assigned by a physiotherapist (n = 15), and the HET group had the same exercises under supervision (n = 15). The training sessions were planned as × 3 per week for a period of 8 weeks. Body composition, cardiometabolic risk factors, cardiometabolic risk status, muscle strength, and functional capacity of all individuals were evaluated before and after training. According to the measurements, body weight (BW), body mass index (BMI), body fat mass (BFM), C-reactive protein, glycated hemoglobin, insulin resistance, cardiovascular risk total score, and ten-year cardiovascular percentage risk decreased significantly ( < 0.05), while HDL-C, leg, back, and hand grip strength (right-left), and walking distance increased significantly ( < 0.05) in the FET group. In the HET group, there were significant increases in body fat percentage (BFM %), BFM, and body muscle mass percentage (BMM %) ( < 0.05), while body muscle mass (BMM), right hand grip strength, leg and back muscle strength, and walking distance scores significantly decreased ( < 0.05). It was concluded that personalized and supervised FET has a positive effect on body composition, cardiometabolic risk factors, muscle strength, and functional capacity, and it can be recommended as a safe exercise model for bariatric surgery patients.

摘要

这项试点研究的主要目的是评估功能锻炼训练(FET)和家庭锻炼训练(HET)对接受减肥手术个体的身体成分、心脏代谢风险因素、肌肉力量和功能能力的影响。该研究样本包括30名接受减肥手术的个体。FET组进行由物理治疗师安排的包括伸展、有氧运动、强化和平衡练习的功能锻炼训练(n = 15),HET组在监督下进行相同的练习(n = 15)。训练课程计划为每周×3次,为期8周。在训练前后对所有个体的身体成分、心脏代谢风险因素、心脏代谢风险状况、肌肉力量和功能能力进行评估。根据测量结果,FET组的体重(BW)、体重指数(BMI)、体脂肪量(BFM)、C反应蛋白、糖化血红蛋白、胰岛素抵抗、心血管风险总分和十年心血管风险百分比显著降低(<0.05),而高密度脂蛋白胆固醇(HDL-C)、腿部、背部和握力(右手-左手)以及步行距离显著增加(<0.05)。在HET组中,体脂肪百分比(BFM%)、BFM和身体肌肉质量百分比(BMM%)显著增加(<0.05),而身体肌肉质量(BMM)、右手握力、腿部和背部肌肉力量以及步行距离得分显著降低(<0.05)。得出的结论是,个性化且有监督的FET对身体成分、心脏代谢风险因素、肌肉力量和功能能力有积极影响,可推荐作为减肥手术患者的安全运动模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a4e/10462818/61014b0d5ca3/gr1.jpg

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