吸气肌训练改善肥胖大学生吸气肌力量和运动能力效果分析

朱政; 付常喜; 马文超

doi:10.16835/j.cnki.1000-9817.2021.06.009

吸气肌训练改善肥胖大学生吸气肌力量和运动能力效果分析

doi: 10.16835/j.cnki.1000-9817.2021.06.009

徐州工程学院体育学院, 江苏 221018

基金项目:

江苏省高校哲学社会科学研究一般项目 2020SJA1088

详细信息

作者简介:
朱政(1987-), 男, 江苏徐州人, 硕士, 讲师, 主要研究方向为运动健康促进

中图分类号: R 723.14 G 808
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-24
- 修回日期: 2021-02-23
- 网络出版日期: 2021-06-22
- 刊出日期: 2021-06-25

Inspiratory muscle training improves inspiratory muscle strength and exercise performance in obese college students

Department of Physical Education, Xuzhou Institute of Technology, Xuzhou(221018), Jiangsu Province, China

摘要

摘要: 目的观察8周吸气肌训练对肥胖大学生肺功能、呼吸肌力量、运动能力、身体成分以及脂质代谢的影响，为肥胖患者优化康复方案提供依据。方法于2019年8—10月招募58名肥胖大学生随机分为实验组(28名)和对照组(30名)。实验组进行每周3次强度为50%最大吸气压(P_Imax)、共8周的吸气肌训练，对照组接受的训练除强度设定为5%P_Imax外，其他参数与实验组相同。干预前后分别测定肺功能、呼吸肌力量、运动能力、身体成分和血脂等指标。结果实验组和对照组训练计划完成率(依从性)分别为98.0%和99.2%。干预过程中无严重不良事件发生。干预后，实验组P_Imax和6 min步行试验(6MWT)距离较干预前增加(t值分别为-7.44，-4.11，P值均 < 0.05)，6MWT后的自我疲劳感觉(RPE)和心率下降(t值分别为2.13，2.63，P值均 < 0.05)，而肺功能、身体成分和血脂水平的变化无统计学意义(P值均>0.05)；对照组上述各指标的变化均无统计学意义(P值均>0.05)。结论 8周吸气肌训练能够有效改善肥胖大学生吸气肌力量和运动能力，但对呼气肌力量、肺功能、身体成分和血脂水平并无影响。
- 肥胖症 /
- 肺 /
- 运动活动 /
- 随机对照试验 /
- 健康促进 /
- 学生
Abstract: Objective To observe the effects of 8-week inspiratory muscle training on lung function, respiratory muscle strength, exercise performance, body composition and lipid metabolism in obese college students, and to provide a reference for optimizing rehabilitation plan for obese patients. Methods A total of 58 obese college students were randomly divided into experimental group(n=28) and control group(n=30). The experimental group received inspiratory muscle training with 50% of maximal inspiratory pressure(P_Imax), 3 times a week for a total of 8 weeks. Except for the intensity set to 5% P_Imax, other parameters in the control group were the same as those in the experimental group. Lung function, respiratory muscle strength, exercise performance, body composition and blood lipids were measured before and after intervention. Results The completion rates of the training program (adherence) in the experimental group and the control group were 98.0% and 99.2%, respectively. No serious adverse events occurred during intervention. After intervention, P_Imax and 6-minute walk test (6MWT) distance increased (t=-7.44, -4.11, P < 0.05), ratings of perceived exertion (RPE) and heart rate decreased after 6MWT (t=2.13, 2.63, P < 0.05), but there was no significant difference in lung function, body composition and blood lipid level in the experimental group (P>0.05). There was no significant change in the above indexes in the control group (P>0.05). Conclusion Eight-week inspiratory muscle training can effectively improve inspiratory muscle strength and exercise performance in obese college students, whereas it had no effects on expiratory muscle strength, lung function, body composition and blood lipid profiles.
- Obesity /
- Lung /
- Motor activity /
- Randomized controlled trial /
- Health promotion /
- Students

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表 1 表 1干预前后实验组和对照组身体成分、血脂水平及肺功能测试比较(x ±s)

Table 1. Comparison of body composition, blood lipids and lung function in experimental group and control group before and after intervention(x ±s)

干预前后	组别	人数	统计值	体重/kg	BMI/ (kg·m^-2)		PBF/%		TC/ (mmol·L^-1)		TG/ (mmol·L^-1)	LDL-C (mmol·L^-1)	HDL-C/ (mmol·L^-1)
干预前	实验组	28		89.82±9.04	30.60±2.35		35.63±4.51		5.33±0.95		1.99±0.25	3.68±0.51	0.93±0.22
	对照组	30		88.38±9.71	31.07±2.74		33.55±5.39		5.69±0.94		2.01±0.35	3.71±0.59	1.04±0.29
			t值	0.56	-0.80		1.48		-1.48		-0.24	-0.22	-1.52
			P值	0.58	0.43		0.15		0.15		0.82	0.83	0.13
干预后	实验组	28		87.03±10.55	29.91±5.37		33.33±6.71		5.32±1.03		1.95±0.28	3.41±0.54	1.03±0.21
	对照组	30		88.07±8.62	31.32±5.11		34.40±5.08		5.49±0.88		1.97±0.37	3.49±0.85	1.05±0.26
			t值	-0.43	-1.02		-0.70		-0.63		-0.23	-0.40	-0.46
			P值	0.67	0.31		0.49		0.53		0.82	0.69	0.65

干预前后	组别	人数	统计值	FEV1/L	FVC/L	FEV1与 FVC比值/%		P_Imax/ cm H₂0		P_Emax/ cm H₂0	6MWT 距离/m	HR_mean/ (次·min^-1)	RPE
干预前	实验组	28		2.70±0.83	3.34±0.91	85.41±8.30		85.91±10.55		93.47±12.21	672.49±75.51	127.31±8.93	13.14±2.31
	对照组	30		2.98±0.82	3.64±1.15	88.38±8.12		83.09±7.43		96.02±11.53	665.76±79.39	130.67±7.51	12.68±1.83
			t值	-1.30	-1.12	-1.40		1.17		-0.82	0.32	-1.58	0.60
			P值	0.20	0.27	0.17		0.25		0.42	0.75	0.12	0.55
干预后	实验组	28		2.93±0.78	3.57±0.90	87.37±7.62		117.79±19.38^*		96.38±12.50	750.41±73.92^*	119.43±10.92^*	12.01±1.55^*
	对照组	30		3.02±0.90	3.78±0.96	87.40±10.33		84.81±12.27		98.22±10.14	672.88±82.04	127.36±10.10	13.13±2.10
			t值	-0.39	-0.85	-0.71		7.77		-0.62	3.77	-2.89	-2.10
			P值	0.70	0.40	0.48		< 0.01		0.54	< 0.01	0.01	0.04
注：*表示与干预前比较P < 0.05。1 cm H₂0=0.098 kPa。

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参考文献(16)

[1]	HU L, HUANG X, YOU C, et al. Prevalence of overweight, obesity, abdominal obesity and obesity-related risk factors in southern China[J]. PLoS One, 2017, 12(9): e0183934. doi: 10.1371/journal.pone.0183934
[2]	CANNON C P. Mixed dyslipidemia, metabolic syndrome, diabetes mellitus, and cardiovascular disease: clinical implications[J]. Am J Cardiol, 2008, 102(12A): 5L-9L. http://www.ncbi.nlm.nih.gov/pubmed/19084083
[3]	CARBONE S, DEL BUONO M G, OZEMEK C, et al. Obesity, risk of diabetes and role of physical activity, exercise training and cardiorespiratory fitness[J]. Prog Cardiovasc Dis, 2019, 62(4): 327-333. doi: 10.1016/j.pcad.2019.08.004
[4]	GLOECKL R, SCHNEEBERGER T, JAROSCH I, et al. Pulmonary rehabilitation and exercise training in chronic obstructive pulmonary disease[J]. Dtsch Arztebl Int, 2018, 115(8): 117-123.
[5]	KUO Y C, SONG T T, BERNARD J R, et al. Short-term expiratory muscle strength training attenuates sleep apnea and improves sleep quality in patients with obstructive sleep apnea[J]. Respir Physiol Neurobiol, 2017, 243: 86-91. doi: 10.1016/j.resp.2017.05.007
[6]	KUO Y C, CHAN J, WU Y P, et al. Effect of expiratory muscle strength training intervention on the maximum expiratory pressure and quality of life of patients with Parkinson disease[J]. Neur Rehabil, 2017, 41(1): 219-226. http://www.ncbi.nlm.nih.gov/pubmed/28527233
[7]	BARBALHO-MOULIM M C, MIGUEL G P, FORTI E M, et al. Effects of preoperative inspiratory muscle training in obese women undergoing open bariatric surgery: respiratory muscle strength, lung volumes, and diaphragmatic excursion[J]. Clinics (Sao Paulo), 2011, 66(10): 1721-1727. doi: 10.1590/S1807-59322011001000009
[8]	REDLICH C A, TARLO S M, HANKINSON J L, et al. Official American Thoracic Society technical standards: spirometry in the occupational setting[J]. Am J Respir Crit Care Med, 2014, 189(8): 983-993. doi: 10.1164/rccm.201402-0337ST
[9]	EDWARDS A M, GRAHAM D, BLOXHAM S, et al. Efficacy of inspiratory muscle training as a practical and minimally intrusive technique to aid functional fitness among adults with obesity[J]. Respir Physiol Neurobiol, 2016, 234: 85-88. doi: 10.1016/j.resp.2016.09.007
[10]	SOUZA H, ROCHA T, PESSOA M, et al. Effects of inspiratory muscle training in elderly women on respiratory muscle strength, diaphragm thickness and mobility[J]. J Gerontol A Biol Sci Med Sci, 2014, 69(12): 1545-1553. doi: 10.1093/gerona/glu182
[11]	MILLS D E, JOHNSON M A, BARNETT Y A, et al. The effects of inspiratory muscle training in older adults[J]. Med Sci Sports Exerc, 2015, 47(4): 691-697. doi: 10.1249/MSS.0000000000000474
[12]	BEAUMONT M, FORGET P, COUTURAUD F, et al. Effects of inspiratory muscle training in COPD patients: a systematic review and meta-analysis[J]. Clin Respir J, 2018, 12(7): 2178-2188. doi: 10.1111/crj.12905
[13]	李长青, 冯玉宝, 苏平. 6 min步行试验对于心力衰竭患者的意义[J]. 心血管康复医学杂志, 2018, 27(1): 101-103. doi: 10.3969/j.issn.1008-0074.2018.01.28 LI C Q, FENG Y B, SU P. Significance of 6-minute walk test for patients with heart failure[J]. Chin J Cardiovasc Rehabil Med, 2018, 27(1): 101-103. doi: 10.3969/j.issn.1008-0074.2018.01.28
[14]	HUANG C H, YANG G G, WU Y T, et al. Comparison of inspiratory muscle strength training effects between older subjects with and without chronic obstructive pulmonary disease[J]. J Formos Med Assoc, 2011, 110(8): 518-526. doi: 10.1016/S0929-6646(11)60078-8
[15]	VILLIOT-DANGER J C, VILLIOT-DANGER E, BOREL J C, et al. Respiratory muscle endurance training in obese patients[J]. Int J Obes (Lond), 2011, 35(5): 692-699. doi: 10.1038/ijo.2010.191
[16]	SPRUIT M A. Pulmonary rehabilitation[J]. Eur Respir Rev, 2014, 23(131): 55-63. doi: 10.1183/09059180.00008013