减肥手术对肌肉强度和质量的影响:系统性审查和元分析
Paulina Ibacache-Saavedra1, Elena Martínez-Rosales2, Daniel Jerez-Mayorga1,3
1Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile.
概括
减肥手术显著降低肌肉力量,特别是在腿部和手部,减肥后. 这种效应在较大体重指数减少时更加明显,需要临床关注.
科学领域:
- 代谢和腹部手术 代谢和腹部手术
- 肌肉生理学 肌肉生理学
- 人类健康和表现
背景情况:
- 肥胖是一个重大的全球健康挑战.
- 减肥手术 (BS) 是有效的减肥和改善并发性疾病.
- 对于BS对肌肉强度和质量的影响仍然不完全理解.
研究的目的:
- 为了研究腹手术后肌肉强度和质量的术后变化.
- 探索BS后的体重指数 (BMI) 和肌肉力量变化之间的关系.
- 通过元分析来综合现有证据.
主要方法:
- 对 WoS,PubMed,EBSCO 和 Scopus 数据库进行系统的文献搜索.
- 对来自24项研究的数据进行了元分析,包括666名参与者.
- 检查绝对下肢同度强度和手握强度.
主要成果:
- 腹部外科手术导致绝对下肢同度强度显著降低 (ES = -0.599,p = 0.002).
- 在BS后,更大的BMI降低与绝对肌肉力量的更大损失相关.
- 手握的绝对强度在手术后也显著下降 (ES = -0.376,p = 0.004).
结论:
- 短期证据表明,减肥手术诱导的减肥可以降低尾肌肉的强度.
- 这些发现强调了需要管理策略来解决BS后的肌肉力量.
- 需要进一步进行高质量的研究,以评估BS对肌肉质量的中长期影响.
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