碳水化合物摄入量对肌肉缩的影响:系统审查和元分析
Menno Henselmans1, Fredrik Tonstad Vårvik2, Mikel Izquierdo3,4
1Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), Calle de Irunlarrea, 3, 31008, Pamplona, Navarra, Spain. info@mennohenselmans.com.
Sports medicine (Auckland, N.Z.)
|February 19, 2026
概括
较高的碳水化合物摄入量并不能显著提高抵抗训练的肌肉生长. 需要更多的研究来了解碳水化合物.
科学领域:
- 运动营养 运动营养
- 运动生理学 运动生理学
- 肌肉新陈代谢 肌肉新陈代谢
背景情况:
- 高碳水化合物饮食通常建议用于肌肉缩.
- 碳水化合物摄入量对肌肉生长的具体影响,与总体卡路里分开,需要进一步调查.
- 之前的分析没有系统地评估碳水化合物的隔离效果在的条件之外.
研究的目的:
- 分析高碳水化合物摄入量对肌肉缩的影响.
- 为了评估碳水化合物的作用在异酸条件下 (相同的蛋白质摄入量).
主要方法:
- 在主要数据库 (MEDLINE,SPORTDiscus,SciELO,Google Scholar) 进行系统的文献搜索,更新时间:2025年6月.
- 包括随机对照试验在抵抗训练期间比较较高或较低的碳水化合物摄入量.
- 对标准化平均差异 (SMD) 评分的随机效应元分析,并进行异质性和偏差评估 (PRISMA,Cochrane RoB2,GRADE,TESTEX).
主要成果:
- 包括11项研究;聚合分析显示,碳水化合物摄入对肌肉缩没有显著影响 (SMD = 0.15,p = 0.23).
- 在研究中观察到微不足道的异质性.
- 亚组分析 (同热量试验,直接成像) 也产生了无意义的结果;证据的GRADE确定性很低.
结论:
- 在抵抗训练期间,较高的碳水化合物摄入量可能不会独立地促进肌肉缩.
- 由于不准确性和偏差的中等风险,这一发现的确定性很低.
- 未来的研究应该严格控制能量摄入量,并使用直接的形态测量来澄清碳水化合物的作用.
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