运动与不同饮食干预措施相结合对心血管健康的影响 系统性审查和网络元分析
1Department of Physical Education, College of Education, Seoul National University, Seoul, 08826, South Korea.
BMC cardiovascular disorders
|March 27, 2025
概括
卡路里限制 (CR) 和运动的CR (CR+EX) 显示对心血管健康指标产生最显著的积极影响. 其他干预措施,比如5:2饮食与运动 (5:2+EX),效果较差,甚至比对照更差 (CON).
科学领域:
- 心血管健康 心血管健康
- 代谢综合征是代谢综合征的一种.
- 预防性心脏病学 预防性心脏病学
背景情况:
- 许多研究强调运动和饮食对心血管疾病 (CVD) 结果的积极影响.
- 不同干预措施的有效性存在显著的变化.
- 缺乏直接比较,阻碍了相对干预效应的确定.
研究的目的:
- 综合有关运动,饮食和联合干预对心血管健康指标的影响的文献.
- 进行网络元分析,对干预措施的有效性进行排名.
- 为选择最佳干预策略提供理论基础.
主要方法:
- 从数据库创建到2024年9月的系统文献审查.
- 在PubMed,科学网,Embase和Cochrane图书馆进行的搜索.
- 网络元分析用于数据聚合和分析,通过积累排名 (SUCRA) 曲线的表面下对疗效进行排名.
主要成果:
- 卡路里限制 (CR) 和运动的CR (CR+EX) 在降低甘油三 (TG),总胆固醇 (TC) 和低密度脂蛋白 (LDL) 以及降低静缩血压 (SBP) 和静缩血压 (DBP) 方面排名最高.
- 5:2饮食 (5:2) 和素饮食 (KD) 干预措施在脂质样本和血压上显示出不同的效果.
- 像CR+EX这样的组合干预措施通常优于单个干预措施,而5:2+EX在几个指标上表现出有限的有效性.
结论:
- 卡路里限制 (CR) 和运动的CR (CR+EX) 表明对关键心血管健康指标产生最有益的影响.
- 5:2饮食与运动 (5:2+EX) 结合的疗效相对较低.
- 干预排名为以证据为基础选择改善心血管健康的策略提供了基础.
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