不同强度的阻力运动对心血管风险因素的影响:系统性审查和元分析
Kirsten I de Oude1,2, Roy G Elbers1,2, Heike Gerger3,4
1Department of General Practice, Intellectual Disability Medicine Research, Erasmus MC, University Medical Center Rotterdam, NA 1909, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
European heart journal open
|September 22, 2025
概括
抵抗训练有效降低心血管风险因素 (CVRFs). 这篇评论发现渐进式强度训练可以降低缩血压和LDL,而高强度可以改善HbA1c,但需要更多的研究来确认最佳强度.
科学领域:
- 运动生理学 运动生理学
- 心血管健康 心血管健康
- 代谢健康 代谢健康
背景情况:
- 抵抗训练是减少心血管风险因素 (CVRFs) 的一种已知的方法.
- 抵抗训练的最佳强度用于改善CVRF,如糖化血红蛋白 (HbA1c),缩血压 (SBP),低密度脂蛋白 (LDL) 和腰与部比率 (WHR) 尚未确立.
研究的目的:
- 系统地审查和分析不同强度的力量训练对关键心血管风险因素的影响.
- 为了比较各种阻力训练强度在管理CVRF中的有效性.
主要方法:
- 一项对59项随机对照试验 (RCT) 的系统审查,涉及患有CVRFs的成年人.
- 研究根据力量训练强度进行分类:渐进性 (n=9),低 (n=15),中度 (n=33),高 (n=4).
- 使用随机效应模型和元回归分析来评估效应并比较强度.
主要成果:
- 渐进的强度抵抗训练显著降低了SBP和LDL.
- 高强度训练显示HbA1c的显著降低.
- 中等强度训练在降低WHR和HbA1c方面是有效的,而低强度训练降低了LDL.
- 超回归表明,高强度对WHR的减少比低强度更有效,尽管证据的确定性很低.
结论:
- 不同的阻力训练强度对特定的心血管风险因素产生不同的影响.
- 渐进式和高强度训练对SBP,LDL和HbA1c的改善非常有希望.
- 有限的高质量证据,特别是高强度和渐进强度的证据,需要进一步的研究,最终确定CVRF管理的最佳抵抗训练策略.
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