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运动对肥胖绝经后妇女血脂及体成分干预效果的Meta分析

Effect of Exercise on Glucose and Lipid Metabolism and body Composition in obese Postmenopausal Women :A Meta-analysis
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摘要 目的评价运动对肥胖绝经后妇女血脂和体成分的干预效果。方法计算机检索PubMed、EMbase、WanFang Data和CNKI等数据库,搜集运动干预肥胖绝经后妇女代谢和体成分的相关RCT,检索时限设定为建库至2020年3月,由2名研究者按纳入和排除标准筛选文献并提取有效数据,进行质量评价。采用RevMan 5.3软件对最终纳入的文献数据进行Meta分析。结果最终纳入13个RCT,包括1042例受试者。Meta分析结果显示,甘油三酯[SMD=-0.19,95%CI(-0.45,0.08),P=0.17]无明显改善作用,但运动后肥胖绝经后妇女高密度脂蛋白[SMD=0.75,95%CI(0.20,1.30),P=0.008]明显升高,低密度脂蛋白[SMD=-0.45,95%CI(-0.79,-0.12),P=0.008]显著下降;体成分方面,运动在改善肥胖绝经后妇女体脂百分比[SMD=-0.82,95%CI(-1.26,-0.38),P=0.0003]和BMI[SMD=-0.61,95%CI(-1.05,-0.16),P=0.008]上具有明显优势,而腰臀比[SMD=-1.51,95%CI(-3.41,0.39),P=0.12]的变化无显著差异。不同运动形式分析得出:与单纯运动相比,运动加饮食调理对BMI[SMD=0.54,95%CI(0.29,0.79),P<0.0001]的改善效果更加明显;而与单纯有氧运动相比,有氧联合抗阻运动对体脂百分比[SMD=0.59,95%CI(-0.46,1.63),P=0.27]和甘油三酯[SMD=0.26,95%CI(-0.33,0.86),P=0.38]的影响无明显差异。结论运动干预可明显改善肥胖绝经后妇女的体成分和部分血脂相关指标,且运动加饮食调理改善效果更加明显。但受纳入研究数量和质量的限制,上述结论尚待更多高质量研究或进行亚组分析予以深入拓展。 Objective To evaluate the effect of exercise on blood lipids and body composition of obese postmenopausal women.Methods The computer searched Pub Med,EMbase,Wan Fang Data,and CNKI databases to collect exercise-related RCT related to metabolism and body composition in obese postmenopausal women.The search period was set to build the database until March 2020,and 2researchers included and excluded The standard screens the literature and extracts valid data for quality evaluation.Meta-analysis was performed on the finally included literature data using RevMan 5.3 software.Results Thirteen RCTs were included,including 1042 subjects.Meta analysis results show that triglyceride[SMD=-0.19,95%CI(-0.45,0.08),P=0.17]has no significant improvement,but high-density lipoprotein[SMD=0.75,95%CI(0.20,1.30),P=0.008]increased significantly,low-density lipoprotein[SMD=-0.45,95%CI(-0.79,-0.12),P=0.008]decreased significantly;in terms of body composition,exercise in Improve the percentage of body fat in obese postmenopausal women[SMD=-0.82,95%CI(-1.26,-0.38),P=0.0003]and BMI[SMD=-0.61,95%CI(-1.05,-0.16),P=0.008]has obvious advantages,but the waist-hip ratio[SMD=-1.51,95%CI(-3.41,0.39),P=0.12]has no significant difference.Analysis of different forms of exercise shows that compared with simple exercise,exercise plus diet conditioning has a more significant improvement effect on BMI[SMD=0.54,95%CI(0.29,0.79),P<0.0001];compared with pure aerobic exercise Ratio,aerobic combined resistance exercise on body fat percentage[SMD=0.59,95%CI(-0.46,1.63),P=0.27]and triglycerides[SMD=0.26,95%CI(-0.33,0.86),P=0.38].Conclusions Exercise intervention can significantly improve the body composition and some lipid-related indexes of obese postmenopausal women,and the effect of exercise plus diet conditioning is more obvious.However,limited by the number and quality of included studies,the above conclusions are yet to be verified and supported by more high-quality studies or subgroup analyses.
作者 梁敏 付玉 段意梅 李顺昌 LIANG Min;FU Yu;DUAN Yimei(Institute of Sports Medicine and Health Chengdu Sport University,Chengdu Sichuan,610041,China;College of Sports Medicine and Health,Chengdu Sport University,Chengdu Sichuan,610041,China)
出处 《四川体育科学》 2022年第4期41-46,共6页 Sichuan Sports Science
基金 四川省科技计划项目(项目编号:2016J13-019)。
关键词 运动 肥胖 绝经后妇女 血脂 体成分 META分析 Exercise Obesity Postmenopausal women Blood fat Body composition Meta analysis
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