同时有氧和力量训练与卡路里限制降低了肥胖的绝经前妇女的胰岛素抵抗:一个随机对照试验
Yasser M Aneis1,2, Ghada E El Refaye3,4, Mona Mohamed Taha5
1Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza 11432, Egypt.
Medicina (Kaunas, Lithuania)
|July 29, 2023
概括
与热量限制同时进行有氧和力量训练 (CAST-CR) 在肥胖的绝经前妇女中显著改善了胰岛素敏感性. 这种综合方法 (CAST-CR) 与单独限制热量的有氧训练相比,显示出更好的结果.
科学领域:
- 内分泌学 在内分泌学.
- 运动生理学 运动生理学
- 代谢健康 代谢健康
背景情况:
- 肥胖的绝经前妇女面临发展胰岛素抵抗 (IR) 的高风险.
- 同时有氧和力量训练 (CAST) 提供了好处,但其与热量限制 (CR) 对IR的联合作用在这个人群中还没有得到充分研究.
- 这项研究解决了了解CAST与CR (CAST-CR) 对肥胖的绝经前妇女IR的影响的差距.
研究的目的:
- 研究与热量限制同时进行有氧和力量训练 (CAST-CR) 在肥胖的绝经前妇女中改善胰岛素抵抗 (IR) 的有效性.
- 为了比较CAST-CR与有氧训练与热量限制 (AT-CR) 对代谢参数和胰岛素敏感性的影响.
主要方法:
- 42名患有IR的肥胖绝经前妇女 (40-50岁) 被随机分配到CAST-CR组或AT-CR组.
- 两组都接受了为期12周的干预,同等的培训时间.
- 干预措施包括CAST-CR组的渐进性有氧训练 (60-75%的最大心率) 和力量训练 (50-70%的1RM),而AT-CR组仅专注于有氧训练,两者与热量限制相结合.
主要成果:
- 两组人体测量指标,腹部脂肪,代谢参数和HOMA-IR均显著改善 (p < 0.001).
- 与AT-CR组相比,CAST-CR组在HOMA-IR中表现出更大的改善 (-1.24对-1.07).
- 在两组中都观察到HOMA-IR的显著降低,这表明胰岛素敏感性增强.
结论:
- 热量限制 (AT-CR) 的有氧训练有效地改善了肥胖,高胰岛素血症的绝经前妇女的胰岛素敏感性.
- 同时的有氧和力量训练与热量限制 (CAST-CR) 结合,可以更显著地改善胰岛素敏感性.
- 建议CAST-CR作为一种潜在的优越干预策略,用于管理这一群体的胰岛素抵抗.
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