运动强度对COPD患者营养状况,身体组成和能量平衡的影响:一项随机对照试验
Tomoyuki Ikeuchi1,2, Kazuya Shingai3,4, Katsuyuki Ichiki5
1Department of Pulmonary Rehabilitation Center, Kirigaoka Tsuda Hospital, 3-9-20 Kirigaoka, Kokurakita-Ku, Kitakyushu-Shi, Fukuoka, 802-0052, Japan. Ikeuti5626@gmail.com.
在肺部康复期间持续高强度运动改善了慢性阻塞性肺病 (COPD) 患者的身体组成和能量平衡. 降低强度并没有产生相同的益处,这凸显了维持高强度训练与营养支持的重要性.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
- 营养科学 营养科学
背景情况:
- 建议在慢性阻塞性肺病 (COPD) 肺部康复中进行高强度运动.
- 高强度运动可能会导致由于能源支出增加而导致能量失衡.
- 这项研究研究了减少运动强度对COPD患者在高强度训练期间减肥的能量平衡的影响.
研究的目的:
- 探索降低运动强度对COPD患者能量平衡的影响.
- 在康复期间体重减轻的COPD患者中,继续高强度运动和切换到低强度运动之间的结果进行比较.
主要方法:
- 参与者完成了为期2周的高强度运动预备期.
- 患者体重减轻>1%被随机分配继续高强度 (AA组) 或转换为低强度 (AB组) 运动2周.
- 评估身体组成,饮食摄入量,营养状况,肌肉力量和运动能力的变化.
主要成果:
- 高强度组 (AA) 在身体组成,饮食摄入量,营养状况,肌肉力量和运动能力方面表现出显著的改善.
- 低强度组 (AB) 没有显著变化.
- 在干预后,80%的AA组实现了能量摄入超过支出,而AB组的40%相比.
结论:
- 在肺部康复期间体重减轻的COPD患者持续高强度运动对身体组成,营养状况和身体功能产生积极影响.
- 减少运动强度的效果不如维持高强度训练.
- 保持高强度运动,加上注意能量摄入和营养治疗,对于接受肺部康复的COPD患者至关重要,即使初始体重减轻.
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