低容量高强度间歇训练对肥胖或超重人群心血管疾病风险因子影响的Meta分析

Effect of low-volume high-intensity interval training on cardiovascular risk factor in obese or overweight populations:a Meta-analysis

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摘要目的:通过Meta分析综合定量评价低容量高强度间歇训练对预防肥胖或超重人群心血管疾病的效果,进一步验证低容量高强度间歇训练在肥胖等特殊人群中应用的可行性。方法:在中国知网、PubMed、Web of Science、Cochrane Library和EBSCO-SPORTD运动科学全文数据库检索关于低容量高强度间歇训练相关研究的随机对照试验文献,检索时限为各数据库建库至2024年2月。由2名研究人员对所纳入的研究进行筛选、质量评价和数据提取,采用RevMan 5.4和Stata 17.0软件对结局指标进行Meta分析,包括合并效应量、亚组分析、Leave-One-Out敏感性分析以及发表Egger检验和绘制漏斗图。该方案已在国际系统综述前瞻性注册中心注册(CRD42024534409)。结果:①最终筛选纳入符合要求的13项随机对照试验,共包含349例受试者,纳入文献整体质量较高。②低容量高强度间歇训练干预对心肺适能(SMD=-0.65,95%CI:-0.87至-0.43,P<0.05)、收缩压(SMD=0.38,95%CI:0.11-0.65,P<0.05)、舒张压(SMD=0.42,95%CI:0.15-0.68,P<0.05)和体脂百分比(SMD=0.25,95%CI:0.02-0.49,P<0.05)4项指标具有改善效果。③低容量高强度间歇训练与中等强度持续训练相比在改善超重或肥胖人群心肺适能、收缩压、舒张压、体脂百分比、标准体质量、体质量指数、高密度脂蛋白、低密度脂蛋白和总胆固醇指标方面干预效果相似(P>0.05),但在改善三酰甘油效果方面中等强度持续训练优于低容量高强度间歇训练(SMD=-0.30,95%CI:-0.57至-0.02,P<0.05)。④亚组分析结果进一步显示,低容量高强度间歇训练和中等强度持续训练干预对各项指标的改善效果相似。结论:当前证据表明,低容量高强度间歇训练可以有效提升超重或肥胖人群的心肺适应能力以及促进减脂和血压调控,且改善效果与中等强度持续训练相似。短时间的低容量高强度间歇训练相比于长时间的中等强度持续训练更具有时� OBJECTIVE:This study comprehensively and quantitatively evaluates the effect of low-volume high-intensity interval training(LV-HIIT)on the prevention of cardiovascular disease in obese or overweight people through a meta-analysis,and further verifies the feasibility of LV-HIIT application in special populations such as obese people.METHODS:Literature addressing randomized controlled trials of LV-HIIT-related studies was searched in CNKI,PubMed,Web of Science,Cochrane library,and EBSCO-SPORTD Exercise Science full-text database from database inception to February 2024.Screening,quality assessment and data extraction of included studies were performed by two researchers,and Meta-analyses of outcome indicators,including combined effect sizes,subgroup analyses,Leave-One-Out sensitivity analyses,as well as the publication of Egger's test and the plotting of funnel plots,were performed using the software Review Manager 5.4 and the software Stata 17.0.The protocol was registered with the International Prospective Registry for Systematic Reviews(CRD42024534409).RESULTS:(1)Finally,13 randomized controlled trials,including 349 subjects,were eligible and included,and the overall quality of the included literature was high.(2)LV-HIIT intervention significantly improved cardiorespiratory fitness[standardized mean difference(SMD)=-0.65,95%confidence interval(CI):-0.87 to-0.43,P<0.05],systolic blood pressure(SMD=0.38,95%CI:0.11-0.65,P<0.05),diastolic blood pressure(SMD=0.42,95%CI:0.15-0.68,P<0.05),and body fat percentage(SMD=0.25,95%CI:0.02-0.49,P<0.05).(3)LV-HIIT and moderate-intensity continuous training(MICT)had similar interventional effects on cardiorespiratory fitness,systolic blood pressure,diastolic blood pressure,body fat percentage,standardized body weight,body mass index,high-density lipoprotein,low-density lipoprotein,and total cholesterol in people with overweight or obesity(P>0.05),but MICT was better than LV-HIIT in improving triglyceride level(SMD=-0.30,95%CI:-0.57 to-0.02,P<0.05).(4)The results of subgroup anal

作者李秀鹏苏玉莹王悦同彭亮王艺达荆雯 Li Xiupeng;Su Yuying;Wang Yuetong;Peng Liang;Wang Yida;Jing Wen(School of Physical Education,Bohai University,Jinzhou 121013,Liaoning Province,China;School of Physical Training,Beijing Sport University,Beijing 100086,China;School of Education,Beijing Sport University,Beijing 100086,China;College of Physical Education and Health,Dalian University of Technology,Dalian 116024,Liaoning Province,China)

机构地区渤海大学体育学院北京体育大学体能训练学院北京体育大学教育学院大连理工大学体育与健康学院

出处《中国组织工程研究》 CAS 北大核心 2025年第12期2590-2604,共15页 Chinese Journal of Tissue Engineering Research

基金辽宁省教育厅基本科研项目-青年项目(LJKQR20222558),项目负责人:苏玉莹国家社会科学基金-一般项目(22BTY080),项目负责人:荆雯。

关键词低容量高强度间歇训练中等强度持续训练心血管疾病心脏代谢血压效果体脂血脂肥胖超重随机对照试验 META分析 low-volume high-intensity interval training moderate-intensity continuous training cardiovascular disease cardiometabolism blood pressure effect body fat blood lipids obesity overweight randomized controlled trial Meta-analysis