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以抗阻运动为主的运动处方对超重和肥胖成年人群糖脂代谢影响的Meta分析

Meta-Analysis of the Effect of Resistance Exercise Prescription on Glucose and Lipid Metabolism in Overweight and Obese Adults

    摘要
  • 摘要: 目的 探讨抗阻运动对超重或肥胖成年人群糖脂代谢的效果，以期为临床制订合适的抗阻运动方案提供依据。方法 系统检索PubMed、Cochrane Library、EmBase、Web of Science、中国知网、万方数据知识服务平台从建库至2023年12月31日抗阻运动对超重和肥胖人群血糖和血脂代谢影响的相关文献。文献类型限定为随机对照研究，其中试验组的运动干预包含抗阻运动，对照组不包含抗阻运动。由2名研究人员按照纳入与排除标准对文献进行筛选，并提取相关数据。采用RevMan 5.3软件进行Meta分析，采用漏斗图评估文献发表偏倚情况。结果 共纳入17篇文献，700例研究对象，含抗阻运动的试验组351例，不含抗阻运动的对照组349例。Meta分析结果显示，与对照组比较，含抗阻运动的试验组糖化血红蛋白SMD (95%CI)=-0.30(-0.53，-0.07)，P=0.010、空腹血糖SMD (95%CI)=-0.57(-0.89，-0.24)，P<0.001、胰岛素抵抗指数SMD (95% CI)=-0.90(-1.42，-0.38)，P<0.001、低密度脂蛋白胆固醇SMD (95%CI)=-0.28(-0.53，-0.04)，P=0.020水平降低。亚组分析显示，采用单纯抗阻运动和抗阻-有氧运动的混合运动的试验组糖代谢水平低于对照组，差异有统计学意义(P<0.050);抗阻运动对亚洲人群的糖代谢影响异质性小(I2>0.050)，且糖代谢指标下降水平显著(P<0.05)。结论 抗阻运动能显著降低超重或肥胖成年人群的糖脂代谢指标水平。

     

    Abstract: Objective To explore the effect of resistance exercise on glycolipid metabolism in overweight or obese people, with the aim of providing reference for the clinical development of appropriate resistance exercise programs. Methods PubMed, Cochrane Library, EmBase, Web of Science, China Knowledge Network, and Wanfang Data Knowledge Service Platform were systematically searched to obtain the relevant literature on the effects of resistance exercise on glucose and lipid metabolism from the establishment of the library to December 31, 2023 in overweight and obese populations. The type of literature was limited to randomized controlled studies in which the exercise intervention included resistance exercise in the test group but did not include resistance exercise in the control group. The literature was screened by 2 researchers according to inclusion and exclusion criteria and relevant data were extracted. Meta-analysis was performed using RevMan 5.3 software, and publication bias was assessed using funnel plots. Results A total of 17 papers and 700 study subjects were included, with 351 cases in the test group with resistance exercise, and 349 cases in the control group without resistance exercise. Metaanalysis results showed that compared with the control group, the glycosylated hemoglobin of the test group with resistance exerciseSMD (95%CI)=-0.30 (-0.53, -0.07), P=0.010, fasting blood glucoseSMD (95%CI)=-0.57(-0.89, -0.24), P<0.001, insulin resistance indexSMD (95%CI)=-0.90 (-1.42, -0.38), P<0.001, and low-density lipoprotein cholesterol (LDL-C)SMD (95%CI)=-0.28 (-0.53, -0.04), P=0.020 levels were reduced. Subgroup analysis showed that the glucose metabolism levels of the test group with only resistance exercise and a combination of resistanceanaerobic exercise were significantly lower than those of the control group (P<0.050). The effect of resistance exercise on glucose metabolism in Asian populations was of small heterogeneity (I2>0.05), and the level of decrease in glucose metabolism indexes was significant (P<0.050). Conclusion Resistance exercise can significantly reduce the level of glycolipid metabolism indexes in overweight or obese people.

     

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