肥胖患者的鼓舞性肌肉训练:系统性审查和元分析
Saúl Caicedo-Trujillo1,2, Rodrigo Torres-Castro3,4, Luis Vasconcello-Castillo3
1Centro Médico Familiar Integral y Especialidades Diálisis "LA MARISCAL", Instituto Ecuatoriano de Seguridad Social (IESS), Quito, Ecuador.
Frontiers in medicine
|December 13, 2023
概括
启发性肌肉训练 (IMT) 提高了肥胖患者的身体能力和启发性肌肉力量. 这种干预没有显著改变肺功能,体重指数或代谢标志物.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 运动生理学 运动生理学
- 肥胖管理 肥胖管理
背景情况:
- 肥胖是一种慢性疾病,影响心血管和呼吸系统.
- 目前的肥胖治疗优先考虑减肥和一般健康,往往忽视呼吸系统管理.
- 鼓舞性肌肉训练 (IMT) 是一个潜在的干预措施,以解决肥胖的呼吸方面.
研究的目的:
- 系统地审查鼓舞性肌肉训练 (IMT) 对肥胖患者的影响.
- 评估IMT对身体能力,呼吸能力,肺功能,BMI和代谢参数的影响.
主要方法:
- 进行了随机和准随机临床试验的系统审查.
- 在Embase,科克伦图书馆,CINAHL,科学网和PubMed/MEDLINE进行了搜索.
- 在选了705项潜在研究后,包括了8项研究.
主要成果:
- IMT显著提高了身体能力,通过6分钟步行测试测量 (44.5米改善).
- IMT增强了吸入肌肉力量,通过增加最大吸入压力 (-28.4厘米H2O改善) 表示.
- 没有观察到肺功能,体重指数 (BMI) 或代谢参数的显著差异.
结论:
- 启发性肌肉训练在改善肥胖患者的身体能力和启发性肌肉力量方面是有效的.
- IMT不会导致肺功能,BMI或代谢参数的显著变化.
- 在肥胖管理中,IMT提出了一种有针对性的方法来增强呼吸功能.
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