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12周健身步行计划对绝经后女性性激素水平及代谢综合征危险因素的影响:一项初步研究。

Effect of 12-week fitness walking programme on sex hormone levels and risk factors for metabolic syndrome in postmenopausal women: A pilot study.

作者信息

Li Jin, Zhang Peizhen, Yang Lumeng

机构信息

School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.

School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China; Key Laboratory for Performance Training & Recovery of General Administration of Sport, Beijing Sport University, Beijing, China.

出版信息

Nutr Metab Cardiovasc Dis. 2025 Aug;35(8):103935. doi: 10.1016/j.numecd.2025.103935. Epub 2025 Feb 24.

Abstract

BACKGROUND AND AIMS

Postmenopausal women are at a heightened risk of developing metabolic syndrome and therefore require targeted interventions. This study investigated the effects of a 12-week fitness walking (FW) programme on risk factors for metabolic syndrome and sex hormone levels in postmenopausal women. Our study hypothesised that FW would reduce the risk of metabolic syndrome in this population, with correlated changes in sex hormone levels.

METHODS AND RESULTS

Postmenopausal women were randomly assigned to FW (n = 15, age: 60.87 ± 5.73 years, body mass index (BMI): 23.58 ± 2.88 kg m) or control (CON) groups (n = 15, age: 60.40 ± 3.79 years, BMI: 24.97 ± 3.07 kg m). The FW group engaged in a 12-week FW programme (60 min/session, five times/week, 50%-60 % VOmax, aerobic training). The CON group maintained their usual lifestyle. After the intervention, the FW group exhibited decreased levels of triglycerides (TG), fasting blood glucose (FBG), systolic blood pressure (SBP), diastolic blood pressure (DBP, P = 0.009) and waist circumference (WC), and increased high-density lipoprotein cholesterol (HDL-C, P = 0.001). The CON group demonstrated increased TG (P = 0.001), FBG, SBP, DBP and WC, and decreased HDL-C. Sex hormone-binding globulin (SHBG) was negatively correlated with TG and SBP in the CON group pre- and post-intervention. Among all participants, there was a significant negative correlation between SHBG and TG, BMI, and WC pre-intervention; only TG remained significantly correlated with SHBG post-intervention.

CONCLUSION

A 12-week FW training programme effectively controlled metabolic syndrome risk factors in postmenopausal women, and a significant relationship between metabolic syndrome risk factors and sex hormone levels was observed.

摘要

背景与目的

绝经后女性患代谢综合征的风险增加,因此需要针对性干预。本研究调查了一项为期12周的健身步行(FW)计划对绝经后女性代谢综合征危险因素和性激素水平的影响。我们的研究假设FW会降低该人群患代谢综合征的风险,并伴随性激素水平的相关变化。

方法与结果

绝经后女性被随机分为FW组(n = 15,年龄:60.87±5.73岁,体重指数(BMI):23.58±2.88 kg/m)或对照组(CON)(n = 15,年龄:60.40±3.79岁,BMI:24.97±3.07 kg/m)。FW组参加了为期12周的FW计划(每次60分钟,每周5次,50%-60%最大摄氧量,有氧运动)。CON组维持其通常的生活方式。干预后,FW组的甘油三酯(TG)、空腹血糖(FBG)、收缩压(SBP)、舒张压(DBP,P = 0.009)和腰围(WC)水平降低,高密度脂蛋白胆固醇(HDL-C,P = 0.001)升高。CON组的TG(P = 0.001)、FBG、SBP、DBP和WC升高,HDL-C降低。干预前后,CON组中性激素结合球蛋白(SHBG)与TG和SBP呈负相关。在所有参与者中,干预前SHBG与TG、BMI和WC之间存在显著负相关;干预后只有TG与SHBG仍显著相关。

结论

为期12周的FW训练计划有效控制了绝经后女性的代谢综合征危险因素,并且观察到代谢综合征危险因素与性激素水平之间存在显著关系。

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