Effects of Aerobic Exercise Combined with Resistance Training on Patients with Myocardial Ischemia Caused by Coronary Heart Disease

Objective:To explore the clinical effect of long-term aerobic exercise combined with resistance training in patients with myocardial ischemia caused by coronary heart disease and its influence on cardiac function, exercise endurance and quality of life. Methods:100 patients with myocardial ischemia caused by coronary heart disease from January 2017 to January 2019 were randomly divided into control group (n = 50 cases) and observation group (n = 50 cases). The control group was given resistance training, while the observation group was combined with long-term aerobic exercise on the basis of the control group. The two groups were treated for 3 months. The cardiac function, exercise endurance and quality of life were compared between the two groups. Results:The levels of IVST (8.20+1.32) mm, LVDD (46.43+4.13) mm and LVSD (32.59+3.15) mm in the observation group were lower than those in the control group at 3 months after treatment. The level of LVEF (67.49+5.77)% in the observation group was higher than that in the control group at 3 months after treatment. The difference between the two groups was significant (P<0.05). The ET (55.42+2.9) in the observation group was higher than that in the control group (P<0.05). 2) The levels of ng/L and TXB2 (93.23 + 6.26) ng/L were significantly lower than those of the control group, and the difference between the two groups was statistically significant (P<0.05). The 6-minute walking distance (561.25 +43.64) m and the quality of life score (95.31 +6.39) in the observation group were higher than those in the control group 3 months after treatment, and the difference between the two groups was statistically significant (P<0.05). Conclusions:Long-term aerobic exercise combined with resistance training can improve cardiac function, exercise tolerance and quality of life in patients with myocardial ischemia caused by coronary heart disease, which is worthy of popularization and application.

The therapeutic effect of aerobic exercise with resistance training in elderly men with type 2 diabetes mellitus

Objective: This study was conducted to examine the effects of aerobic exercise alone and aerobic exercise with resistance training on the quality of life in men over the age of 55 years with type 2 diabetes mellitus. Methods: A total of 54 participants were divided into the following three groups so that there were no significant differences in blood chemistry or physical ability indexes among the three groups: control, aerobic exercise, and aerobic exercise with resistance training. The latter two groups exercised for 24 weeks, while the control group performed no exercise. Blood chemistry levels and measures of physical ability in each group members were examined one day before and one day after the exercise regimens. Results: Compared with those before the study, blood glucose, glycated hemoglobin, triglycerides, cholesterol, and low-density lipoprotein levels as well as vital capacity, reaction time, sit-and-reach ability, and balancing while standing on one leg with closed eyes were significantly improved in the aerobic exercise only group(P < 0.05). All these measures as well as high-density lipoprotein levels and grip, back, and leg strength were significantly improved in the combined aerobic and resistance training group(P < 0.05). By contrast, no significant differences before and after the experiment were found in any measure for the control group(P > 0.05). Conclusion: Although both aerobic exercise and aerobic exercise combined with resistance training for 24 weeks effectively improved the quality of life in patients with type 2 diabetes, the effect of the combined training was better than that of aerobic exercise alone. These results suggest that resistance training may be safely added to the rehabilitation training regimen of patients with type 2 diabetes mellitus.

Effect of Resistance Training,Aerobic Exercise Before Doula-Assisted Delivery on the Psychological Well-Being and Labor Duration of Parturients

Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gave birth in our hospital from February 2021 to April 2023 were included in this study.The patients were divided into a control group of 52 cases and an observation group of 53 cases.The patients in the control group received no particular intervention before delivery and only received doula assistance.The patients in the observation group received resistance training,aerobic exercise,and doula assistance prior to giving birth.After delivery,the mothers were observed for 2 hours in the delivery room and then returned to the maternal and infant ward.The observation indicators of the two groups were compared.Results:In comparison to the control group,the observation group exhibited shorter durations in the first,second,and third stages of labor,as well as the total delivery time.Additionally,the amount of postpartum blood loss at 2 hours was smaller in the observation group.The rate of cesarean section was lower,and the rate of vaginal natural delivery was higher in the observation group.Following the intervention,both groups of postpartum women showed decreased SAS and SDS scores compared to before the intervention.Moreover,the observation group had lower scores than the control group.These differences were all statistically significant(P<0.05).Conclusion:Resistance training and aerobic exercise before doula-assisted delivery can effectively improve the psychological state of parturients,shorten labor duration,increase the rate of natural vaginal delivery,and reduce pain and postpartum hemorrhage.

Impact of an Exercise Training Program in a Patient with Relapsing Polychondritis: A Case Report

Background: Exercise training has demonstrating to be safe and promote benefits for several rheumatologic autoimmune diseases. However, no study has evaluated the safety and benefits of exercise in relapsing polychondritis. Aim: To evaluate the effectiveness of an exercise training program in a patient with relapsing polychondritis. Case presentation: A 67-year-old female patient with relapsing polychondritis in remission was submitted to a 12-week, twice weekly, aerobic and resistance training program. Aerobic capacity, muscle strength and function capacity, as well as body composition, were evaluated at baseline and after 12-weeks. Conclusions: Exercise training program demonstrated to be effective for increasing aerobic capacity, muscle strength and function, and for improving body composition in the patient. Further studies are necessary to confirm these findings.

Exercise interventions for patients with type 1 diabetes mellitus:A narrative review with practical recommendations

Type 1 diabetes mellitus(T1DM)is a chronic endocrine disease that results from autoimmune destruction of pancreatic insulin-producingβcells,which can lead to microvascular(e.g.,retinopathy,neuropathy,and nephropathy)and macrovascular complications(e.g.,coronary arterial disease,peripheral artery disease,stroke,and heart failure)as a consequence of chronic hyperglycemia.Despite the widely available and compelling evidence that regular exercise is an efficient strategy to prevent cardiovascular disease and to improve functional capacity and psychological well-being in people with T1DM,over 60%of individuals with T1DM do not exercise regularly.It is,therefore,crucial to devise approaches to motivate patients with T1DM to exercise,to adhere to a training program,and to inform them of its specific characteristics(e.g.,exercise mode,intensity,volume,and frequency).Moreover,given the metabolic alterations that occur during acute bouts of exercise in T1DM patients,exercise prescription in this population should be carefully analyzed to maximize its benefits and to reduce its potential risks.

Influence of an Uncontrolled Strength and Aerobic Exercise on Clinical and Echocardiographic Parameters in a Patient Following Anterior Myocardial Infarction

Cardiac rehabilitation has been strongly recommended as a major therapeutic measure for coronary artery disease. Exercises, including resistance training, Ti-chi and yoga surprisingly show various and promising outcomes. We present an unusual case which certain aerobic techniques over a period of 5 weeks have improved a patient’s myocardial contractility and overall function after sustaining an anterior myocardial infarction.

运动干预老年人的肌少性肥胖

背景:运动是老年人肌少性肥胖防治与管理的重要策略,但目前缺乏对于老年人肌少性肥胖的精准个性化运动处方的探索与研究。目的:综述老年人肌少性肥胖的串联机制以及不同运动方式对老年肌少性肥胖患者的干预效果,以期为老年人肌少性肥胖运动处方的制定提供理论与实践指导。方法:以英文检索词“sarcopenic obesity,sarcopenic adiposity,aging,sport,exercise,exercise intervention,exercise prescription,resistant training,aerobic training,combination training,muscle strength,muscle mass,physical activity”;中文检索词“肌少性肥胖,少肌性肥胖,肥胖性肌少症,老年人,运动,运动干预,运动处方,抗阻运动,有氧运动,联合运动,肌肉力量,肌肉质量,身体活动”,分别检索PubMed、Web of Science、中国知网、维普、万方数据库,严格按照纳入与排除标准,对纳入的85篇文献进行综述分析。结果与结论:①抗阻运动仍然是预防与缓解老年人肌少性肥胖的有效运动方式,抗阻运动在改善与提高骨骼肌质量、肌肉力量与耐力以及身体功能等方面效果更为显著,但在实际应用中应循序渐进,逐渐增加至中高强度。②有氧运动也是防治、减缓肌少性肥胖进程的重要干预方法,其在改善老年肌少性肥胖患者心肺耐力、降低体脂百分比以及减少内脏脂肪面积等方面更为有效。③有氧-抗阻联合运动将有氧运动与抗阻运动的优势相结合,可以更好地改善身体成分,同时在降低心血管疾病危险因素方面有更好的效果。联合运动在一定程度上优于单一的运动方式。

低强度抗阻结合血流限制训练12周青年人体成分、肌肉力量及动脉弹性功能

背景:高强度抗阻训练能有效提高肌肉力量,但动脉硬化风险较高;高强度抗阻训练结合有氧运动可有效降低动脉硬化水平;低强度抗阻结合血流限制训练不需要高负荷力量刺激肌肉,或许是提高肌肉力量、保持动脉弹性的科学训练方法。目的:探讨12周的低强度抗阻训练结合血流限制训练对青年人体成分、肌肉力量及动脉弹性功能的影响,为制定个性化训练方案提供理论支撑。方法:随机招募55名大学生并通过抽签的方式随机分为高强度抗阻训练组、高强度抗阻结合有氧运动组及低强度抗阻结合血流限制训练组,分别进行为期12周的高强度抗阻训练、高强度抗阻训练结合有氧运动、低强度抗阻训练结合血流限制训练,训练结束后进行身体成分、肌肉力量及动脉弹性功能测试。结果与结论:12周的训练干预后,高强度抗阻训练组、低强度抗阻结合血流限制训练组的瘦体质量显著增加(P<0.05),3组的最大重复次数(1RM)和膝关节等速肌力均显著增加(P<0.05),高强度抗阻结合有氧运动组、低强度抗阻结合血流限制训练组的动脉弹性功能显著改善(P<0.05)。结果表明:12周的高强度抗阻训练、低强度抗阻训练结合血流限制训练能显著改善身体成分;3种训练方式均能增加肌肉力量;12周的高强度抗阻训练结合有氧运动、低强度抗阻训练结合血流限制训练均能改善动脉弹性功能,且低强度抗阻训练结合血流限制训练的效果优于高强度抗阻训练结合有氧运动。因此,建议将低强度抗阻训练结合血流限制训练作为首选训练方式,以改善动脉弹性,降低动脉硬化的风险。

Physical exercise in the prevention and treatment of Alzheimer’s disease

Dementia is one of the greatest global challenges for health and social care in the 21st century.Alzheimer’s disease(AD),the most common type of dementia,is by no means an inevitable consequence of growing old.Several lifestyle factors may increase,or reduce,an individual’s risk of developing AD.Much has been written over the ages about the benefits of exercise and physical activity.Among the risk factors associated with AD is a low level of physical activity.The relationship between physical and mental health was established several years ago.In this review,we discuss the role of exercise(aerobic and resistance)training as a therapeutic strategy for the treatment and prevention of AD.Older adults who exercise are more likely to maintain cognition.We address the main protective mechanism on brain function modulated by physical exercise by examining both human and animal studies.We will pay especial attention to the potential role of exercise in the modulation of amyloid b turnover,inflammation,synthesis and release of neurotrophins,and improvements in cerebral blood flow.Promoting changes in lifestyle in presymptomatic and predementia disease stages may have the potential for delaying one-third of dementias worldwide.Multimodal interventions that include the adoption of an active lifestyle should be recommended for older populations.

乳腺癌化疗所致周围神经病变患者运动干预的范围综述

目的对乳腺癌化疗所致周围神经病变运动干预的相关研究进行范围综述,为开展运动干预提供参考。方法基于JBI范围综述框架,系统检索国内外常用数据库,检索时限为建库至2024年3月31日,对检索出的文献进行筛选和信息提取。结果共纳入13篇文献,其中10篇随机对照试验,3篇类实验研究。运动类型包括有氧运动、抗阻运动、感觉运动训练、平衡训练、振动训练、神经舞蹈训练、自行设计的四肢锻炼操等;总干预时长4~12周或化疗时长,运动强度多为轻中度,运动频率多为2~5次/周,30~60 min/次。运动干预评价指标包括安全性、依从性、化疗所致周围神经病变症状及其严重程度、生活质量等。结论运动干预可改善乳腺癌患者化疗所致周围神经病变发生率及严重程度、提高患者生活质量,但运动干预策略和评价标准存在较大差异,有待更多证据以制订最佳运动干预方案。

老年肌少症的运动干预

背景:肌少症是指与增龄相关的进行性、全身肌量减少和/或肌强度下降或肌肉生理功能减退,该病症与老年人多种不良结局的发生有关。运动被认为是老年人对抗肌少症的主要策略之一,但当前缺乏对不同运动方式干预肌少症的具体干预方式研究。目的:阐述肌少症的主要影响因素和不同运动方式改善老年肌少症的研究进展,为老年人对抗肌少症提供参考和依据。方法:英文检索词为“sarcopenia,sport,exercise intervention,resistant training,aerobic exercise,whole body vibration training,mixed training,physical performance,muscle strength,muscle mass等”;中文检索词为“肌少症、运动、运动干预、抗阻运动、有氧运动、全身振动训练、多组分运动、身体表现、肌肉力量、肌肉质量等”,分别检索Web of Science、PubMed、中国知网、维普、万方数据库,检索时限为2000年1月至2023年10月,对入选的126篇文献进行归纳总结。结果与结论:(1)抗阻运动仍是防治老年肌少症的最有效运动方式,且高强度抗阻运动效果更为显著,但在实际应用中应注意训练负荷强度的循序渐进;(2)有氧运动结合抗阻运动对老年人肌肉质量和功能的改善相对于单一运动模式效果更好,建议老年人前期可以进行低强度有氧运动过渡,后期可以个体化增加抗阻运动;(3)全身振动训练是一种新兴的防治老年肌少症的治疗方法,但在实际应用过程中要尤其注意频率、振幅、持续时间对患者的影响;(4)多组分运动结合了不同运动方式,可以最大程度发挥各自的优势,从而对其进行个性化运动干预。

帕金森病相关线粒体功能障碍及运动对其潜在的改善作用

背景:帕金森病是一种神经退行性疾病,其发病机制涉及线粒体功能障碍,运动对帕金森病相关线粒体功能障碍具有潜在的改善作用,但目前尚无综述对这一领域进行综合回顾和深入分析。目的:综合回顾并深入分析帕金森病相关线粒体功能障碍及运动对其潜在的改善作用,旨在为帕金森病的治疗和预防提供新的思路和方法。方法:检索Web of Science、PubMed、中国知网、万方和维普数据库,中文检索词:“线粒体,线粒体功能,线粒体病,线粒体异常,帕金森病,帕金森,运动,体育活动,运动训练,运动治疗,线粒体功能障碍,线粒体损伤,线粒体缺陷,运动训练”;英文检索词:“Mitochondria,Parkinson’s disease,Parkinson disease,Physical exercise,Exercise,Physical activity,Mitochondrial dysfunction,Mitochondrial damage,Mitochondrial impairment,Athletic training,Exercise training,Rehabilitation”。最终纳入文献89篇进行综述分析。结果与结论:①帕金森病与线粒体功能障碍密切相关,包括帕金森病患者体内线粒体生物发生受阻、自噬减少、细胞凋亡增加、Ca2+浓度异常升高和氧化应激增加等现象。②运动对帕金森病相关的线粒体功能障碍有着正面的改善作用,通过促进线粒体生物发生、自噬和调节线粒体形态,改变线粒体呼吸链的可塑性,减少氧化应激,从而有助于改善帕金森病相关的发展和进展。③然而,目前线粒体功能障碍与运动对其的改善作用之间的详细机制仍不完全清楚,未来可开展临床研究验证动物模型结果,深入了解运动对帕金森病患者的益处及机制。

缩唇腹式呼吸联合有氧抗阻运动训练对慢性阻塞性肺疾病肺康复患者的影响

目的探讨缩唇腹式呼吸联合有氧抗阻运动训练对慢性阻塞性肺疾病(COPD)肺康复患者肺功能和运动耐力的影响。方法选取接受肺康复训练的COPD患者153例,按随机数表法分为对照组76例、研究组77例,对照组采用缩唇腹式呼吸训练,研究组采用缩唇腹式呼吸联合有氧抗阻运动训练。治疗3个月后,比较两组患者肺功能指标(用力肺活量(FVC)、1 s用力呼气容积(FEV1/FVC)、每min最大通气量(MVV))、呼吸困难分级(mMRC)、血气分析指标(动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、动脉血二氧化碳分压(PaCO_(2))、6 min步行距离(6 MWD))以及外周血炎性因子(白介素10(IL-10)、IL-17)、血管重塑指标(血管内皮生长因子(VEGF)、高迁移率族蛋白B1(HMGB1))水平。结果治疗后,两组患者FVC、FEV1/FVC和MVV均升高(P<0.05),研究组FVC、FEV1/FVC和MVV显著高于对照组(P<0.05);治疗后,两组患者mMRC评分均降低(P<0.05),研究组显著低于对照组(P<0.05);治疗后,两组患者PaO_(2)、SaO_(2)升高(P<0.05),PaCO_(2)降低(P<0.05),且治疗后与对照组比较,研究组患者PaO_(2)、SaO_(2)升高(P<0.05),PaCO_(2)降低(P<0.05);治疗后,两组患者6MWD均升高(P<0.05),且治疗后研究组高于对照组(P<0.05);治疗后,两组患者外周血IL-10水平升高(P<0.05),IL-17、VEGF、HMGB1水平降低(P<0.05),且治疗后研究组IL-10水平高于对照组(P<0.05),IL-17、VEGF、HMGB1水平低于对照组(P<0.05)。结论缩唇腹式呼吸联合有氧抗阻运动训练能改善COPD肺康复患者肺功能和血气分析指标,提高运动耐力,减轻肺部炎症反应和血管重塑,值得临床推广。

有氧联合抗阻运动对新置管腹膜透析患者生活质量及自理能力的影响

目的:探讨有氧联合抗阻运动对新置管腹膜透析(PD)患者生活质量及自理能力的影响。方法:选取2022年1月—2023年3月在四川省人民医院肾病中心新置管的PD患者60例为研究对象,根据其建档编号的尾号进行分组,单号为对照组(30例),双号为观察组(30例)。两组均给予常规护理,观察组在此基础上进行有氧联合抗阻运动。干预前、干预后3个月分别采用健康调查简表(SF-36)评定两组生活质量,采用Barthel指数评估两组自理能力。结果:干预后3个月,两组SF-36各维度得分及Barthel指数得分均高于干预前,且观察组总体健康、躯体功能、生理职能、社会功能、躯体疼痛维度得分及Barthel指数得分均高于对照组,差异有统计学意义(P<0.05)。结论:有氧联合抗阻运动能提高新置管PD患者生活质量及自理能力,使患者更好地回归社会。

有氧联合抗阻运动降低动脉异常人群内皮损伤和炎症水平

目的研究24周有氧联合抗阻运动对动脉异常人群内皮损伤和炎症水平的影响,并比较ICAM-1、hs-CRP、TNF-α和HCY因子的抗炎价值。方法将30名动脉异常者随机分为对照组和有氧联合抗阻运动组。实验前后分别检测糖脂代谢指标、血管功能指标和炎症水平。结果1)24周运动干预后,有氧联合抗阻运动组TC、TG、两侧ABI、hs-CRP和HCY较实验前显著性下降(p<0.05);LDL-C、FBG、GSP、SBP、两侧baPWV、ICAM-1和TNF-α非常显著性下降(p<0.01);HDL-C非常显著性升高(p<0.01)。2)baPWV与TC、TG、FINS、SBP、HCY、ICAM-1和hs-CRP显著性正相关(p<0.05);ABI与FINS显著性正相关,与HDL-C显著性负相关(p<0.05)。3)TNF-α在诊断运动改善炎症水平时有较高的灵敏性和特异性。结论24周有氧联合抗阻运动可显著降低动脉异常患者的血糖、血脂浓度,改善血管内皮功能及炎症水平。心血管危险因素、炎症因子的改善与baPWV、ABI存在显著相关关系。血清TNF-α的降低在评估运动的抗炎作用上有更好的诊断价值。

有氧联合抗阻运动对中老年2型糖尿病患者糖脂代谢影响的meta分析

目的 探讨有氧运动(AT)联合抗阻运动(ART)对中老年2型糖尿病患者糖脂代谢等指标的影响。方法 以“Type 2 diabetes、concurren、exercise、resistance、combine”等为关键词,检索Web of science、PubMed、Embase数据库,以“有氧联合抗阻运动、2型糖尿病、糖脂代谢”等为关键词检索中国知网、中国生物医学文献数据库、维普、万方数据库,检索时限从建库至2023年2月。将研究资料进行全面收集与整理,运用Cochrane偏倚风险评估工具对纳入文献进行方法学质量评价,采用RevMan5.4.0软件对数据进行统计学分析与处理。结果 共纳入研究文献10篇,其中中文文献8篇,外文文献2篇。受试者共669例,其中试验组357例(以AT联合ART为主要干预手段),对照组342例(以AT运动或常规护理为主)。meta分析结果显示,试验组患者空腹血糖[均方差(MD)=-1.33,95%可信区间(95%CI)-1.62~-1.04,I^(2)=35%,P<0.01]、糖化血红蛋白(MD=-1.43,95%CI-1.60~-1.27,I^(2)=38%,P<0.01)、低密度脂蛋白(MD=-0.51,95%CI-0.58~-0.44,I^(2)=20%,P<0.01)、甘油三酯(MD=-0.60,95%CI-1.07~-0.13,I^(2)=92%,P=0.01)、总胆固醇(MD=-1.19,95%CI-1.35~-1.02,I^(2)=0,P<0.01)均优于对照组,差异均有统计学意义。2组患者高密度脂蛋白(MD=0.06,95%CI-0.04~0.16,I^(2)=0,P=0.23)比较,差异无统计学意义。结论 AT联合ART改善中老年2型糖尿病患者糖脂代谢紊乱的效果优于单纯AT。

阻力呼吸训练联合持续性有氧运动对女性中重度慢性阻塞性肺疾病患者肺功能康复的影响

目的探讨阻力呼吸训练联合持续性有氧运动对女性中重度慢性阻塞性肺疾病患者肺功能康复的影响。方法选取济南市第三人民医院80例女性中重度慢性阻塞性肺疾病患者,研究时间为2018年6月至2023年6月,采用随机数字表法分为两组,每组40例。观察组予以阻力呼吸训练联合持续性有氧运动,对照组予以常规训练,比较两组肺功能、6 min步行试验距离、呼吸困难量表评分。结果干预后观察组肺功能高于对照组(P<0.05);干预后观察组6 min步行试验距离长于对照组(P<0.05);观察组干预后呼吸困难量表评分低于对照组(P<0.05)。结论阻力呼吸训练联合持续性有氧运动在女性中重度慢性阻塞性肺疾病患者中应用,能够提高肺功能,改善呼吸困难,值得推广。

有氧运动结合渐进性抗阻训练对住院老年肌少症患者的干预效果研究

目的探讨有氧运动结合渐进性抗阻训练对住院老年肌少症患者的干预效果。方法选取2022年8月至2023年3月于上海市杨浦区控江医院住院治疗的60例老年肌少症患者作为研究对象,按照随机数表法分为观察组和对照组各30例。对照组患者使用常规有氧运动干预,观察组患者在对照组基础上联合渐进性抗阻训练,均持续干预12周。比较两组患者干预前后的握力、骨骼肌质量指数、大腿周径、Barthel指数(BI)、Berg平衡量表(BBS)评分、6 min步行测试(6MWT)距离和生活质量综合量表-74(GQOLI74)评分的变化。结果干预后,观察组患者的握力、骨骼肌质量指数、大腿周径分别为(21.32±2.08)kg、(6.58±0.41)kg/m^(2)、(52.87±1.46)cm,明显高(长)于对照组的(19.88±1.72)kg、(6.27±0.46)kg/m^(2)、(51.84±1.98)cm,差异均有统计学意义(P<0.05);干预后,观察组患者的BI评分、BBS评分、6MWT分别为(59.30±4.52)分、(48.25±3.76)分、(441.66±31.42)m,明显高于(长)于对照组的(53.07±4.70)分、(45.81±3.71)分、(417.59±32.85)m,差异均有统计学意义(P<0.05);GQOLI74评分中,观察组患者的躯体功能、心理功能、社会功能评分分别为(78.23±6.52)分、(73.24±6.85)分、(77.26±6.13)分,明显高于对照组的(72.67±6.88)分、(66.72±6.91)分、(73.05±6.66)分,差异均有统计学意义(P<0.05)。结论有氧运动结合渐进性抗阻训练对住院老年肌少症患者的干预效果明显,值得临床推广应用。

腹式呼吸、有氧训练联合抗阻运动对老年慢性阻塞性肺疾病患者肺功能与运动能力的影响

目的:探讨分析腹式呼吸、有氧训练联合抗阻运动对老年慢性阻塞性肺疾病(COPD)患者肺功能与运动能力的影响。方法:选取2021年2月—2022年2月于北京市隆福医院呼吸科就诊接受治疗的127例老年COPD患者,依据随机数字表法分为有氧运动组(63例)和联合运动组(64例)。所有患者均接受常规治疗,有氧运动组接受有氧运动治疗,联合运动组接受腹式呼吸、有氧训练联合抗阻运动,均连续治疗12周。于治疗前、治疗12周后,评估并对比两组肺功能、运动能力、呼吸困难程度、生活质量和气道炎症指标[呼出气一氧化氮(FeNO)浓度]。结果:治疗12周后,两组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC),FEV_(1)占FVC的百分比(FEV_(1)/FVC%)水平均较治疗前升高,且联合运动组均高于有氧运动组,差异均有统计学意义(P<0.05)。治疗12周后,两组最大摄氧量(VO_(2)max)、无氧阈(AT)、6分钟步行试验(6MWT)结果均较治疗前升高,改良英国医学研究学会呼吸困难量表(mMRC)评分均较治疗前降低,且联合运动组各指标改善均优于有氧运动组,差异均有统计学意义(P<0.05);治疗12周后,两组COPD评估测试(CAT)评分、FeNO浓度均较治疗前降低,且联合运动组均低于有氧运动组,差异均有统计学意义(P<0.05)。结论:腹式呼吸、有氧训练联合抗阻运动更有助于改善老年COPD患者的肺功能,加强运动能力,降低呼吸困难程度,提高生活质量,减轻气道炎症。

有氧运动联合抗阻力训练对中年男性健身效果影响分析以加壹合健身俱乐部为例

在健康中国、全民健身的大背景下,本文以加壹合健身俱乐部40名35-45岁中年男性为调查和研究对象,将抗阻训练、有氧运动、有氧联合抗阻三种训练方法运用到为期三个月的一对一私教训练中,并对受试者训练前和训练后的体重、体脂、臂围、腰围、臀围、腿围等形态学指标,收缩压、舒张压、安静心率等心肺机能指标,以及卧推、深蹲肌肉力量与耐力、站立体前屈柔韧等素质指标进行测试。在此数据采集、分析的基础上进行比较与论证。结果表明:三种不同方式中,有氧运动联合抗阻力训练方法对中年男性健身效果的影响最佳。该结果可为健身俱乐部采用不同训练方式实现最佳健身效果提供参考。