生活方式和结构化干预措施的比较,以增加身体活动和心肺健康:一个随机试验
A L Dunn1, B H Marcus, J B Kampert
1The Cooper Institute for Aerobics Research, Dallas, TX 75230, USA. adunn@cooperinst.org
JAMA
|February 3, 1999
概括
一个生活方式的体育活动计划和传统的结构化炼同样改善了体育活动,心肺健康和血压在久坐不动的成年人超过24个月. 这两种干预措施都有效地降低了身体脂肪百分比.
科学领域:
- 运动生理学 运动生理学
- 心血管健康 心血管健康
- 公共卫生干预 公共卫生干预
背景情况:
- 身体不活动与健康状况不佳有关,但传统的炼处方对于长期坚持通常是无效的.
- 人口中的很大一部分仍然不够活跃,这凸显了需要更好的干预策略的需要.
研究的目的:
- 为了比较生活方式体育活动计划与传统结构化炼的24个月有效性.
- 评估身体活动,心肺健康和心血管疾病风险因素的改善.
主要方法:
- 一项随机临床试验,涉及235名久坐不动的成年人 (116名男性,119名女性).
- 干预包括6个月的强化和18个月的维持阶段,用于生活方式体育活动或结构化炼.
- 主要结局:体力活动 (7天体力活动回忆) 和峰值氧气消耗 (VO2峰值). 二级结局:脂质样本,血压和身体组成.
主要成果:
- 两组人都在体力活动和心肺呼吸能力 (VO2峰值) 中表现出相似的改善.
- 在生活方式和结构化炼组中观察到压缩性和压缩性血压的显著降低.
- 两组都没有经历显著的体重变化,但两组都显示身体脂肪百分比有显著的减少.
结论:
- 生活方式的体力活动干预措施与久坐不动的健康成年人结构化炼计划一样有效.
- 这两种方法都成功地增强了身体活动,心肺健康和血压控制.
- 这些发现支持基于生活方式的体育活动作为改善健康结果的传统炼的可行替代方案.
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