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相同运动训练干预后不同减重程度肥胖青少年的代谢特征

Metabolic Characteristics of Obese Adolescents with Different Degrees of Weight Loss After Identical Exercise Training Intervention.

作者信息

Xie Xianyan, Yang Gaoyuan, Qin Yulin, Wang Yu, Liu Zhijun, Zhang Zhuofan, Li Ziyan, Wang Huiguo, Zhu Lin

机构信息

College of Sport and Health, Guang Zhou Sport University, Guangzhou 510500, China.

Innovative Research Center for Sports Science in the Guangdong-Hong Kong-Macao Greater Bay Area, Guangzhou 510500, China.

出版信息

Metabolites. 2025 May 7;15(5):313. doi: 10.3390/metabo15050313.

Abstract

This study aims to elucidate the metabolic differences between obese adolescents categorized into low-weight-loss (LWL) and high-weight-loss (HWL) groups. The objective of this study is to investigate the metabolic characteristics of obese adolescents, with a focus on the statistically significant individual differences observed in weight loss outcomes after the same dietary and exercise training intervention. A four-week exercise and dietary intervention was administered to the participants. Obese adolescents were categorized into LWL (with a weight loss percentage of 5-10%) and HWL (with a weight loss percentage of >10%) groups on the basis of their weight loss outcomes. Post-intervention changes in body morphology and body composition between the two groups were compared using Analysis of Covariance (ANCOVA), with gender as a covariate. Additionally, metabolic changes were analyzed in depth; differential metabolites between the groups were identified through ANCOVA adjusted for gender, followed by pathway analysis. After the four-week exercise intervention, the body morphology and composition of the obese adolescents showed significant improvements compared with those before the intervention ( < 0.001). For example, weight decreased from 80.65 kg to 72.35 kg, BMI decreased from 30.57 kg/m to 27.26 kg/m, waist circumference decreased from 103.64 cm to 94.72 cm, and body fat percentage decreased from 32.68% to 28.54%. Prior to the exercise intervention, no significant differences in body morphology and composition were observed between the HWL and LWL groups ( > 0.05). After the intervention, the HWL group demonstrated significant improvements in weight, body mass index, waist circumference, body fat percentage, fat mass, fat-free mass, body water amount, and skeletal muscle mass compared with the LWL group ( < 0.001). After controlling for the levels of pre-intervention metabolites, 27 differential metabolites were identified between the HWL and LWL groups. These metabolites were categorized into fatty acids, amino acids, organic acids, carnitines, indoles, benzoic acids, and carbohydrates. Notably, they were significantly enriched in the eight metabolic pathways involved in amino acid metabolism, fatty acid biosynthesis, and coenzyme A biosynthesis. A four-week exercise intervention enhanced the body morphology and physical fitness of obese adolescents, although the degree of weight loss varied among individuals. Considerable weight reduction was significantly correlated with metabolites involved in lipid, amino acid, organic acid, carbohydrate, and gut microbiota metabolism and with the enrichment of pathways involved in amino acid metabolism, fatty acid biosynthesis, and coenzyme A biosynthesis. These findings indicate that intrinsic metabolic characteristics considerably influence individual responsiveness to exercise-based weight-loss interventions.

摘要

本研究旨在阐明分为低体重减轻(LWL)组和高体重减轻(HWL)组的肥胖青少年之间的代谢差异。本研究的目的是调查肥胖青少年的代谢特征,重点关注在相同饮食和运动训练干预后体重减轻结果中观察到的具有统计学意义的个体差异。对参与者进行了为期四周的运动和饮食干预。根据体重减轻结果,将肥胖青少年分为LWL组(体重减轻百分比为5 - 10%)和HWL组(体重减轻百分比>10%)。使用协方差分析(ANCOVA),以性别作为协变量,比较两组干预后身体形态和身体成分的变化。此外,对代谢变化进行了深入分析;通过对性别进行调整的ANCOVA确定两组之间的差异代谢物,然后进行通路分析。经过四周的运动干预,肥胖青少年的身体形态和成分与干预前相比有显著改善(<0.001)。例如,体重从80.65千克降至72.35千克,BMI从30.57千克/平方米降至27.26千克/平方米,腰围从103.64厘米降至94.72厘米,体脂百分比从32.68%降至28.54%。在运动干预前,HWL组和LWL组在身体形态和成分方面未观察到显著差异(>0.05)。干预后,与LWL组相比,HWL组在体重、体重指数、腰围、体脂百分比、脂肪量、去脂体重、身体水分含量和骨骼肌量方面有显著改善(<0.001)。在控制干预前代谢物水平后,确定了HWL组和LWL组之间的27种差异代谢物。这些代谢物分为脂肪酸、氨基酸、有机酸、肉碱、吲哚、苯甲酸和碳水化合物。值得注意的是,它们在涉及氨基酸代谢、脂肪酸生物合成和辅酶A生物合成的八个代谢途径中显著富集。为期四周的运动干预增强了肥胖青少年的身体形态和身体素质,尽管个体间体重减轻程度有所不同。显著的体重减轻与脂质、氨基酸、有机酸、碳水化合物和肠道微生物群代谢相关的代谢物以及与氨基酸代谢、脂肪酸生物合成和辅酶A生物合成相关的途径富集显著相关。这些发现表明,内在代谢特征对基于运动的减肥干预的个体反应性有相当大的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f0/12113223/71bdd5b92118/metabolites-15-00313-g001.jpg

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