成年人的有氧运动和减肥:系统审查和剂量反应元分析
Ahmad Jayedi1,2, Sepideh Soltani3, Alireza Emadi4
1Department of Epidemiology and Biostatistics, School of Public Health, Imperial College, London, United Kingdom.
JAMA network open
|December 26, 2024
概括
每周进行30分钟的有氧运动可以为超重的成年人提供适度的体重和脂肪减少. 临床上显著的结果可能需要每周进行150分钟的中度至强度有氧运动.
科学领域:
- 运动生理学 运动生理学
- 肥胖研究的研究.
- 公共卫生 公共卫生
背景情况:
- 目前的有氧运动指南缺乏对剂量-反应与肥胖关系的元分析.
- 个人试验对体重管理的最佳运动持续时间提供了有限的洞察力.
研究的目的:
- 为了澄清有氧运动持续时间和脂肪测量之间的剂量反应关联.
- 为过重和肥胖成年人提供基于证据的运动处方建议.
主要方法:
- 系统审查和随机临床试验 (RCT) 的元分析,发表至2024年4月.
- 包括116个RCT,6880名参与者 (超重/肥胖成年人) 评估监督有氧训练.
- 随机效应元分析评估了运动持续时间 (每30分钟/周) 与肥胖结果之间的关联.
主要成果:
- 每周30分钟的有氧运动与体重 (-0.52公斤),腰围 (-0.56厘米) 和身体脂肪 (-0.37%) 的减少有关.
- 在内脏和皮下脂肪组织区域观察到显著的减少.
- 剂量反应分析显示,脂肪度线性下降至每周300分钟,每周150分钟产生临床重要减少.
结论:
- 每周30分钟的有氧运动在超重/肥胖的成年人中提供了适度的脂肪减轻.
- 达到临床上显著的脂肪减轻和腰围减小可能需要每周150分钟的中度至强度有氧运动.
- 需要进一步的研究来证实长期体重管理的最佳运动方案.
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