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有氧运动联合抗阻训练对超重或肥胖儿童青少年身体成分和代谢健康的影响:系统评价和荟萃分析。

Effects of aerobic exercise combined with resistance training on body composition and metabolic health in children and adolescents with overweight or obesity: systematic review and meta-analysis.

机构信息

Department of Physical Education, Ocean University of China, Qingdao, Shandong, China.

出版信息

Front Public Health. 2024 Aug 9;12:1409660. doi: 10.3389/fpubh.2024.1409660. eCollection 2024.

Abstract

BACKGROUND

To systematically review the effects of aerobic exercise and resistance training on Metabolic Health in children and adolescents with overweight/obesity.

METHODS

Employing a retrieval strategy that combines subject terms and free terms, searches were conducted in the CNKI, WanFangData, VIP, PubMed, Web of Science, Embase, and Cochrane Library databases up to October 31, 2023.

RESULTS

A total of 29 studies involving 2,195 subjects were included. The combination of aerobic and resistance training significantly reduces body composition and metabolic health in children and adolescents with overweight or obesity, as evidenced by changes in various parameters (BMI, WC, FM, BF%, VO, TG, TC, HDL-C, LDL-C, HOMA-IR, FPG, INS). However, there were no significant differences observed in hs-CRP. Subgroup analyses further showed that changes in intervention measurement had a significant effect on the effectiveness of the intervention.

CONCLUSION

Aerobic exercise combined with resistance training has a positive impact on the physical health of children and adolescents with overweight/obesity. The recommended exercise prescription is at least three sessions of more than 60 min per week for 12 weeks or more for better health benefits.

摘要

背景

系统评价有氧运动和抗阻训练对超重/肥胖儿童青少年代谢健康的影响。

方法

检索策略采用主题词与自由词相结合的方式,检索中国知网、万方数据知识服务平台、维普中文期刊服务平台、PubMed、Web of Science、Embase 和 Cochrane Library 数据库,检索时限均为建库至 2023 年 10 月 31 日。

结果

共纳入 29 项研究,2195 名受试者。有氧运动和抗阻训练相结合可显著降低超重或肥胖儿童青少年的体成分和代谢健康,各项参数(BMI、WC、FM、BF%、VO2、TG、TC、HDL-C、LDL-C、HOMA-IR、FPG、INS)均有变化,但 hs-CRP 无显著变化。亚组分析进一步表明,干预措施的变化对干预效果有显著影响。

结论

有氧运动联合抗阻训练对超重/肥胖儿童青少年的身体健康有积极影响。建议每周至少进行 3 次、每次 60 分钟以上、持续 12 周以上的运动处方,以获得更好的健康效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b7e/11341466/9dc8a39a1b29/fpubh-12-1409660-g001.jpg

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