以心肺运动试验为支持的精准运动指导对肥胖症患者血脂、BMI及运动水平的影响

Effects of Precision Exercise Instruction Supported by Cardiopulmonary Exercise Testing on Blood Lipids,BMI and Exercise Levels in Obese Patients

目的分析以心肺运动试验为支持的精准运动指导对肥胖症患者血脂、BMI及运动水平的影响。方法以南京市江宁医院康复医学中心2022年4月至2023年4月进行康复治疗的肥胖症患者82例作为研究对象,随机分成对照组(41例)和研究组(41例)。对照组根据自身情况进行常规运动和药物治疗,研究组则在心肺运动试验支持下进行精准运动指导干预,比较两组患者的血脂、BMI及运动水平。结果运动前,两组肥胖症患者LDL-C、HDL-C、TG、TC、BMI、每公斤无氧阈摄氧量(VO_(2)@AT/kg)、每公斤峰值摄氧量(Peak VO_(2)/kg)对比无统计学差异(均P>0.05)。运动12周后,研究组LDL-C、TG、TC、BMI低于对照组,HDL-C、VO_(2)@AT/kg、Peak VO_(2)/kg高于对照组(均P<0.05)。结论采取以心肺运动试验为支持的精准运动指导可改善肥胖症患者BMI和血脂水平,提高运动水平。

Objective To analyze the effects of precise exercise guidance supported by cardiopulmonary exercise test on blood lipids,BMI and exercise level of obese patients.Methods A total of 82 obese patients who underwent rehabilitation treatment in the Rehabilitation Medicine Center,Nanjing Jiangning Hospital from April 2022 to April 2023 were used as the study subjects,and were randomly divided into the control group(n=41)and the study group(n=41).The control group was treated with conventional exercise and medication according to their condition,while the study group was treated with precise exercise guidance intervention supported by cardiopulmonary exercise test,and the blood lipids,BMI and exercise levels of the two groups were compared.Results Before exercise,there was no statistically significant difference in the comparison of LDL-C,HDL-C,TG,TC,BMI,anaerobic threshold oxygen uptake per kilogram(VO_(2)@AT/kg),and peak oxygen uptake per kilogram(Peak VO_(2)/kg)between the two groups of obese patients(all P>0.05).After 12 weeks of exercise,LDL-C,TG,TC,and BMI of the study group were lower than those of the control group,and HDL-C,VO_(2)@AT/kg,and Peak VO_(2)/kg were higher than those of the control group(all P<0.05).Conclusions Adopting precise exercise guidance supported by cardiopulmonary exercise test can improve BMI and lipid levels and exercise level in obese patients.