运动和饮食干预对身体形态和成分以及心血管疾病风险因素的影响
PDF下载 (364)戴振华,都晨雅,赵晓光*.运动和饮食干预对身体形态和成分以及心血管疾病风险因素的影响[J].宁波大学学报(理工版),2019,32(6):115-120.DOI:
DAI Zhenhua,DU Chenya,ZHAO Xiaoguang.<span style="font-family: "Times New Roman",serif; font-size: 10pt;">Effect of exercise and diet on body shape, body composition and cardiovascular disease risk factors[J].Journal of Ningbo University(Natural Science & Engineering Edition),2019,32(6):115-120.DOI:
| Title: | <span style="font-family: "Times New Roman",serif; font-size: 10pt;">Effect of exercise and diet on body shape, body composition and cardiovascular disease risk factors |
| 作者: | 戴振华, 都晨雅, 赵晓光* |
| Author(s): | DAI Zhenhua, DU Chenya, ZHAO Xiaoguang |
| 关键词: | 减体重; 超重和肥胖; 身体形态; 身体成分; 心血管疾病风险 |
| Keywords: | weight loss; overweight and obesity; body shape; body composition; cardiovascular disease risk |
| 分类号: | G804.55 |
| 文献标识码: | A |
| 摘要: | 选取30~65岁超重(24kg·m-2≤BMI<28kg·m-2)或肥胖(BMI≥28kg·m-2)男性45名, 受试者被随机分为有氧运动组(n=23)和饮食改善组(n=22)进行为期12周的干预. 结果显示, 有氧运动组和饮食改善组的身体形态指标均得到显著改善. 但与有氧运动组相比较, 饮食改善组的腹围和臀围下降更为明显; 饮食改善组的脂肪和肌肉含量均显著下降. 有氧运动组的脂肪含量也显著下降, 但肌肉含量未有显著变化. 在心血管疾病风险改善方面, 饮食改善组的大部分指标值显著下降或有下降趋势; 而在有氧运动组, 仅发现高密度脂蛋白胆固醇和甘油三酯值有变化. 表明控制饮食减体重可大幅改善超重和肥胖男性的身体形态, 降低脂肪含量和心血管疾病风险; 而运动减体重, 可在降低体内脂肪含量的同时, 不减少或者增加体内肌肉含量. |
| Abstract: | Forty-five overweight (24 kg·m-2≤BMI<28 kg·m-2) or obese (BMI≥28 kg·m-2) males participated in this study. They were randomly divided into exercise group (n=23) and diet group (n=22). The treatment lasts for 12 weeks. Results showed that both exercise and diet could improve body shape significantly. Compared to the exercise, the diet was more effective to decrease the abdominal and hip circumference. The exercise also decreased the body fat, but did not affect the body lean. The diet significantly improved most cardiovascular disease risk factors, and had a decrease trend for the glucose and HbA1c; whereas the exercise could influence the values of HDL-C and triglyceride. It was suggested that the diet can substantially improve the body shape, lower the body fat and decrease the cardiovascular disease risk compared with the exercise. The exercise can significantly lower the body fat while the body lean was unaltered. |
| 参考文献 /References: | [1] WHO. Obesity and overweight[EB/OL]. [2018-12-10]. https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight. [2] 翟屹. 中国成人肥胖十年变化及对死亡影响的研究[D].北京: 中国疾病预防控制中心, 2017. [3] 金昕, 陈思, 徐杰, 等. 单纯性肥胖患者的客观化舌象与体重、体脂分布的关联性研究[J]. 世界中西医结合杂志, 2016, 11(5):660-666. [4] 陆菊明. 体重与心血管疾病死亡的关系[J]. 中国糖尿病杂志, 2016, 24(4):289-295. [5] 侯冬青, 赵小元, 刘军廷, 等. 儿童青少年肥胖与成年后糖尿病的关联分析[J]. 中华预防医学杂志, 2016, 50(1):23-27. [6] 万菁菁, 李零燕, 张泰魏, 等. 肥胖与2型糖尿病心血管疾病风险因素控制的关系[J]. 公共卫生与预防医学, 2018, 29(2):134-137. [7] 王颖, 傅悦, 蔡路, 等. 超重肥胖儿童血脂、血压、胰岛素抵抗与C反应蛋白相关性调查[J]. 中国公共卫生管理, 2016, 32(4):524-526. [8] 杨玲, 张婷, 蔡全才, 等. 离休干部237例体质量指数与全因死亡的分析研究[J]. 中华老年多器官疾病杂志, 2016, 15(2):122-126. [9] Rachmi C N, Li M, Baur L A. Overweight and obesity in Indonesia: Prevalence and risk factors—–A literature review[J]. Public Health, 2017, 147:20-29. [10] 王醴湘, 樊萌语, 余灿清, 等. 中国成年人体质指数与主要慢性病死亡风险的前瞻性研究[J]. 中华流行病学杂志, 2017, 38(2):205-211. [11] Pan H J, Cole B M, Geliebter A. The benefits of body weight loss on health-related quality of life[J]. Journal of the Chinese Medical Association, 2011, 74(4):169-175. [12] Yoon J R, Ha G C, Ko K J, et al. Effects of exercise type on estrogen, tumor markers, immune function, antioxidant function, and physical fitness in postmenopausal obese women[J]. Journal of Exercise Rehabilitation, 2018, 14(6):1032-1040. [13] 赵晓光, 顾耀东, 于佳彬, 等. 基于身体活力和老化速度的40~65岁男性体质年龄模型的构建[J]. 中国体育科技, 2018, 54(6):68-75. [14] 代毅, 许传明, 刘英. 运动与饮食干预对肥胖女性减肥效果评价[J]. 中国运动医学杂志, 2008, 27(6):715-718. [15] Keogh J B, Brinkworth G D, Noakes M, et al. Effects of weight loss from a very-low-carbohydrate diet on endothelial function and markers of cardiovascular disease risk in subjects with abdominal obesity[J]. The American Journal of Clinical Nutrition, 2008, 87(3): 567-576. [16] Noakes T D, Windt J. Evidence that supports the prescription of low-carbohydrate high-fat diets: A narrative review[J]. British Journal of Sports Medicine, 2017, 51(2):133-139. [17] 王政和, 付连国, 阳益德, 等. 双能X线吸收法和生物电阻抗法测量成年超重/肥胖人群体脂率一致性分析[J]. 中华流行病学杂志, 2015(7):701-704. [18] Matsuo T, Kato Y, Murotake Y, et al. An increase in high-density lipoprotein cholesterol after weight loss intervention is associated with long-term maintenance of reduced visceral abdominal fat[J]. International Journal of Obesity (Lond), 2010, 34(12):1742-1751. [19] 纪立农, 陈莉明, 郭晓蕙, 等. 中国慢性疾病防治基层医生诊疗手册(糖尿病分册)2015年版[J]. 中国糖尿病杂志, 2015, 23(8):673-701. [20] Villareal D T, Chode S, Parimi N, et al. Weight loss, exercise, or both and physical function in obese older adults[J]. New England Journal of Medicine, 2011, 364(13):1218-1229. [21] Miller W C, Koceja D M, Hamilton E J. A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention[J]. International Journal of Obesity and Related Metabolic Disorders, 1997, 21(10):941-947. [22] Wycherley T P, Noakes M, Clifton P M, et al. A high-protein diet with resistance exercise training improves weight loss and body composition in overweight and obese patients with type 2 diabetes[J]. Diabetes Care, 2010, 33(5):969-976. [23] Henriksen M, Christensen R, Danneskiold-Samsoe B, et al. Changes in lower extremity muscle mass and muscle strength after weight loss in obese patients with knee osteoarthritis: A prospective cohort study[J]. Arthritis & Rheumatology, 2012, 64(2):438-442. [24] 李春艳, 封飞虎, 熊晓玲, 等. 运动与饮食干预诱导男性肥胖青少年的身体形态、身体成分及氧化应激的变化[J]. 武汉体育学院学报, 2016, 50(5):90-95. [25] Li L, Liu D W, Yan H Y, et al. Obesity is an independent risk factor for non-alcoholic fatty liver disease: Evidence from a meta‐analysis of 21 cohort studies[J]. Obesity Reviews, 2016, 17(6):510-519. [26] Atashak S, Stannard S R, Azizbeigi K. Cardiovascular risk factors adaptation to concurrent training in overweight sedentary middle-aged men[J]. Journal of Sports Medicine and Physical Fitness, 2016, 56(5):624-630. |
| 备注/Memo: |
收稿日期: 2019?03?29. 宁波大学学报（理工版）网址: http://journallg.nbu.edu.cn/ 基金项目: 国家社会科学基金（18BTY100）; 宁波大学科研基金（XYW18003）. 第一作者: 戴振华（1994－）, 男, 浙江绍兴人, 在读硕士研究生, 主要研究方向: 运动人体科学. E-mail: bhdxzxg@126.com http://journallg.nbu.edu.cn/ |
