|本期目录/Table of Contents|

[1]严天盈,吴锵,白云飞,等.运动对不同CVD风险等级人群干预效果的研究[J].体育科学研究,2021,25(4):64-74.
　YAN Tian-ying,WU Qiang,BAI Yun-fei,et al.Study on Intervention Effect of Exercise on People with Different CVD Risk Levels[J].sports science research,2021,25(4):64-74.
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运动对不同CVD风险等级人群干预效果的研究(PDF)
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《体育科学研究》[ISSN:1006-6977/CN:61-1281/TN]

卷:
25
期数:
2021年4期
页码:
64-74
栏目:
体育生物科学
出版日期:
2021-07-20

文章信息/Info

Title:
Study on Intervention Effect of Exercise on People with Different CVD Risk Levels
作者:
严天盈1; 吴锵1; 白云飞2; 刘磊1
（1.集美大学体育学院，福建 厦门361021；2.国家体育总局运动医学研究所，北京 100061）
Author(s):
YAN Tian-ying1; WU Qiang1; BAI Yun-fei2; LIU Lei1
(1.College of physical education,Jimei University,Xiamen 361021，China；2.National Research Institute of Sports Medicine，Beijing 100061，China)
关键词:
运动干预; 心血管风险; 血压; 血糖; 血脂
Keywords:
exercise intervention; cardiovascular risk; blood pressure; blood glucose; blood lipid
分类号:
-
DOI:
-
文献标志码:
A
摘要:
研究在不同心血管风险等级的人群中，运动干预对血压、血糖和血脂的影响。研究方法：招募慢性病患者150例，根据心血管危险程度分为健康、低危、中危三大组，每组中再依据体力活动随机分为健康未达标组（HNS）、健康达标组（HRS）、低危未达标组（LNS）、低危达标组（LRS）、中危未达标组（MNS）和中危达标组（MRS）共6组，受试者同时参与集体运动干预。观察干预前后各组SBP、DBP、FBG、HbA1c、TC、LDLC、HDLC和TG指标的变化。结果表明：（1）24周后，19例受试者的心血管风险等级从低危降至健康，21例由中危降至低危；（2）LNS组、MNS组和所有达标组的SBP和DBP均出现显著性下降（P＜0.05）；（3）各组FBG 和HbA1c均出现不同程度下降，其中达标组出现显著性下降（P＜0.05）；（4）各组血脂均出现不同幅度下降，所有达标组的TC、LDL-C和HDL-C均得到显著改善（P＜0.05），MRS组的TG出现显著性下降（P＜0.05）；（5）未达标组中，SBP和DBP变化幅度呈阶梯式增加，血糖和血脂的改善幅度变化相差不大；达标组中，除HDL-C和TG外各指标变化幅度呈阶梯式增加。结论：（1）通过中等强度的有氧运动可以改善血压、血糖和血脂等相关危险因素，从而降低不同心血管风险人群的危险等级，其中心血管中危人群参与运动后获得的健康效益最高；（2）运动对心血管危险因素的改善程度主要受运动总量的驱动，除此之外还与心血管危险等级和基线水平有关。
Abstract:
Objective:To study the effects of exercise intervention on blood pressure,blood sugar and blood lipids in people with different cardiovascular risk levels.Methods:150 patients with chronic diseases were recruited and divided randomly into 6 groups:Health and not up to standard group (HNS),Health and reach the standard group (HRS),Low-risk and not up to standard group (LNS),Low-risk and reach the standard group (LRS)，Middle-risk and not up to standard group (MNS),Middle-risk and reach the standard group (MRS).All the subjects participated in the collective exercise intervention of 24 weeks.SBP,DBP,FBG,HbA1c,TC,LDL-C,HDL-C and TG were observed before and after intervention.Results:(1) After 24 weeks,a total of 19 participants dropped from low cardiovascular risk to cardiovascular health,and a total of 21 participants dropped from middle-risk to low-risk;(2) SBP and DBP of LNS group,MNS group and all the standard groups were significantly decreased (P<0.05);(3) FBG and HbA1c in each group decreased to varying degrees,among which the up-to-standard group showed a significant decrease (P<0.05);(4) The blood lipids of each group decreased in different degrees.TC,LDL-C and HDL-C of all the standard groups were significantly improved (P<0.05),and the TG of the MRS group decreased significantly (P＜0.05);(5) In the not up to standard group,the changes of SBP and DBP increased in a step-by-step manner,while the changes of blood glucose and blood lipid were similar;in the up-to-standard group,the changes of all indexes except HDL-C and TG increased in a step-by-step manner.Conclusion:(1) Moderate-intensity aerobic exercise can reduce the risk levels of different cardiovascular risk groups by reducing blood pressure,blood sugar and blood lipids and other related risk factors.Among them,the middle-risk group can obtain the highest health benefits after participating in exercise;(2) The degree of reduction of cardiovascular risk factors by exercise is mainly related to the total amount of exercise,cardiovascular risk level and baseline level.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2021-09-20