一项文化适应运动计划对体重过度增加的绝经后女性人体测量学指标和身体成分的影响：一项随机对照试验。
Effect of a Culturally Adapted Exercise Program on the Anthropometrics and Body Composition of Postmenopausal Women With Excess Weight Gain: A Randomized Controlled Trial.
作者信息
Bonsu Isaac Mensah, Brandt Corlia, Ajidahun Adedayo Tunde, Myezwa Hellen
机构信息
Department of Physiotherapy School of Therapeutic Sciences University of the Witwatersrand Johannesburg South Africa.
College of Health Sciences, Faculty of Allied Health Sciences Department of Physiotherapy and Sports Science Kwame Nkrumah University of Science and Technology Kumasi Ghana.
出版信息
Obes Sci Pract. 2025 Jan 7;11(1):e70038. doi: 10.1002/osp4.70038. eCollection 2025 Feb.
BACKGROUND
Physical activity (PA) is recommended as a component of weight management for the prevention of weight gain and weight regain after weight loss. Yet, no study has adapted culturally appropriate PA for postmenopausal women's health.
AIMS
The study aimed to investigate the effect of a developed culturally appropriate exercise program for Ghanaian postmenopausal women with excess weight gain on the anthropometrics and body composition.
MATERIAL AND METHODS
A single-blind randomized controlled trial in which participants randomly received a culturally-induced exercise program. A total of 226 Ghanaian postmenopausal women were randomized into exercise and control groups for 12 weeks. Anthropometrics (body mass index [BMI], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR] waist circumference [WC], hip circumference [HC], and weight) and body composition (body fat, visceral fat, muscle mass) were determined pre-and post-intervention.
RESULTS
Average of 58.70 ± 6.38 years ( > 0.05) with more than half (52.1%) above 58 years. Except for WHR, there were statistically significant differences in weight, BMI, WHtR, visceral fat, and total body fat in the exercise and control groups. Muscle mass increased significantly (+0.21 kg), whereas HC (-2.46 cm) and WC (-1.39 cm) decreased significantly compared with the control group. Within the exercise group, when stratified by BMI, there were higher reductions in BMI (1.01 kg/m vs. 0.46 kg/m), WC (2.18 cm vs. 0.22 cm), body weight (2.12 kg vs. 1.17 kg) and body fat (1.84% vs. 1.6%) in women with obesity compared with women with overweight.
CONCLUSION
The promotion of Indigenous physical activity in postmenopausal women is beneficial. This has implications for health professionals who prescribe physical activity in postmenopausal women's treatment plans.
TRIAL REGISTRATION
PACTR202301779437544.
背景
体育活动（PA）被推荐作为体重管理的一个组成部分，用于预防体重增加以及减肥后体重反弹。然而，尚无研究针对绝经后女性的健康状况调整出适合其文化背景的体育活动。
目的
本研究旨在调查为体重过度增加的加纳绝经后女性制定的适合其文化背景的运动计划对人体测量学指标和身体成分的影响。
材料与方法
一项单盲随机对照试验，参与者被随机分配接受符合文化背景的运动计划。总共226名加纳绝经后女性被随机分为运动组和对照组，为期12周。在干预前后测定人体测量学指标（体重指数[BMI]、腰臀比[WHR]、腰高比[WHtR]、腰围[WC]、臀围[HC]和体重）和身体成分（体脂、内脏脂肪、肌肉量）。
结果
平均年龄为58.70±6.38岁（>0.05），超过半数（52.1%）的女性年龄在58岁以上。除WHR外，运动组和对照组在体重、BMI、WHtR、内脏脂肪和总体脂方面存在统计学显著差异。与对照组相比，肌肉量显著增加（+0.21千克），而HC（-2.46厘米）和WC（-1.39厘米）显著减少。在运动组中，按BMI分层时，肥胖女性在BMI（1.01千克/平方米对0.46千克/平方米）、WC（2.18厘米对0.22厘米）、体重（2.12千克对1.17千克）和体脂（1.84%对1.6%）方面的下降幅度高于超重女性。
结论
在绝经后女性中推广本土体育活动有益。这对在绝经后女性治疗计划中开具体育活动处方的健康专业人员具有启示意义。
试验注册
PACTR202301779437544。
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