不同的运动干预措施对稳定冠状动脉疾病患者的脂质概况的影响:系统性审查和网络元分析
Hua Chen1, Xiaogang Sheng2, Jihui Chen2
1Department of Physical Education, Jiangsu Medical College, Yancheng, Jiangsu, China - 17805190300@163.com.
European journal of physical and rehabilitation medicine
|February 16, 2026
概括
联合有氧和抵抗运动 (CAREX) 在稳定的冠状动脉疾病患者中最有效降低总胆固醇和甘油三. 心身运动 (MBE) 最好增加HDL-C,而运动显示有限的LDL-C改善.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 代谢健康 代谢健康
背景情况:
- 稳定的冠状动脉疾病 (SCAD) 患者经常有持续的脂质不良,尽管药物治疗.
- 不同运动类型在改善SCAD中的脂质配置文件方面的比较有效性尚未得到充分证实.
研究的目的:
- 为了比较不同运动方式在改善稳定冠状动脉疾病患者的脂质代谢方面的疗效.
- 为了确定SCAD中二次预防的最佳运动策略.
主要方法:
- 基于PRISMA的随机对照试验 (RCT) 的网络元分析,涉及SCAD患者和运动干预.
- 评估与脂质相关的结果,使用对比和网络元分析,并进行偏差风险和GRADE评估.
主要成果:
- 联合有氧和抵抗运动 (CAREX) 显著降低了总胆固醇和甘油三,超过了持续有氧运动 (CAE).
- 高强度间歇训练 (HIIT) 和CAE也降低了甘油三. 心身炼 (MBE) 和CAREX增加了HDL-C,MBE显示的排名最高.
- 没有任何运动方式显著改善了LDL-C;证据确定性对HDL-C和TG中等,对TC和LDL-C低.
结论:
- 在SCAD中,CAREX是最有效的运动策略,可以降低SCAD中总胆固醇和甘油三.
- 对于增加HDL-C,MBE是最佳的,而对LDL-C的影响是有限的,可能是由于他类药物的使用.
- 在SCAD患者中,CAREX和MBE代表了重要的运动干预措施,用于SCAD患者的二次预防.
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