高强度间歇训练与饮食干预对肥胖儿童的身体组成,心血管功能,内皮细胞功能和血脂指数的影响:一项随机对照试验
Xinghao Wang1, Qiao Meng1, Taofeng Liu2
1Department of Sport, Gdansk University of Physical Education and Sport, Gdansk, Poland.
Frontiers in public health
|December 1, 2025
概括
将高强度间歇训练 (HIIT) 与饮食计划相结合,在超重儿童中显著改善了身体组成和心血管健康. 这种联合干预为管理儿童肥胖及其相关健康问题提供了一个有前途的战略.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 运动医学 运动医学
- 心血管生理学心血管生理学
背景情况:
- 儿童肥胖是一个日益严重的公共卫生问题,与不良的心血管和代谢结果有关.
- 为了评估干预效应,研究了9-12岁的超重儿童,其BMI≥23 kg/m2.
- 了解不同运动方式和饮食干预措施的影响对于有效管理至关重要.
研究的目的:
- 为了比较中等强度持续训练 (MICT),高强度间歇训练 (HIIT) 单独和联合干预 (HIIT + 饮食) 对身体组成,心血管功能和内皮功能的影响.
- 评估生物标志物 (如内末林-1和氧化) 的变化.
主要方法:
- 90名超重儿童被随机分为三组:MICT (n=30),仅HIIT (n=30) 和联合干预 (n=30).
- 干预持续了9周,MICT在60-80%的MAS和HIIT在100-120%的MAS.
- 在干预前和后测量身体组成,心血管参数,内皮功能标志物和血液脂质.
主要成果:
- 所有组的BMI和脂肪量都降低了;联合干预组的身体组成有所改善.
- HIIT组的身体脂肪百分比比MICT更大 (p<0.05).
- 联合干预组表现出心脏输出增强,血管扩张能力和内皮标记的改善 (较低的ET-1,vWF;较高的口病,NO) 与仅HIIT (p<0.05) 相比.
结论:
- 联合HIIT和饮食干预有效地减少脂肪质量,并改善超重儿童的心肺和内皮功能.
- 这种综合方法显著提高了BMI,心血管健康和内皮细胞功能.
- 联合干预显示出临床应用和基于学校的肥胖预防计划的潜力.
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