Effects of high intensity interval training and crossover point training on blood lipid metabolism in overweight female university students
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摘要:
目的 比较高强度间歇训练与交叉点运动训练对身体的影响,为超重女大学生维持或改善血脂健康提供更有效的运动指导。 方法 研究选取北京高校27名超重女大学生,平均年龄(20.93±2.23)岁。随机分为交叉点运动训练组(COP组)(10人)、高强度间歇训练组(HIIT组)(10人)和对照组(7人)。COP组和HIIT组进行10周每周3次的运动干预,COP组每次完成45 min COP强度持续运动,HIIT组每次完成5组HIIT;对照组保持平时的体力活动状态不变。 结果 在10周的COP强度持续运动或HIIT干预后,COP组的形态学指标显著改善,体质量指数(BMI)(-0.85 kg/m2)、腰围(-2.94 cm)、臀围和体脂率(-2.23 cm,-1.19%)均下降;血脂代谢指标及相关比值指标显著改善,血清载脂蛋白B(ApoB)水平(-9.79 mg/dL)、ApoB/载脂蛋白AI(ApoAI)(-0.19)均下降,且COP组干预前后ApoB/ApoAI的变化量高于HIIT组(-0.19,0.07)(P值均<0.05)。 结论 经过10周的运动干预,COP强度持续运动与HIIT相比是更有效的改善腹部肥胖、血脂健康、心血管危险因素的运动方式。 Abstract:Objective This study compared high-intensity interval training with crossover point training to provide more effective exercise guidance for overweight female university students to maintain or improve blood lipid health. Methods A total of 27 overweight female university students were enrolled in the study (20.93±2.23 years) and randomly divided into a crossover point training group (COP group), high-intensity interval training group (HIIT group) and control group. The COP group and HIIT group took part in an exercise training program three times a week for 10 weeks. The COP group completed 45 min of COP continuous exercise intensity training each time. The HIIT group completed five groups of HIIT each time. The control group kept normal physical activity status. Results After 10 weeks of COP continuous intensity exercise training or HIIT exercise training, the morphological indicators of the COP group were significantly improved, with a significant decrease in BMI (-0.85 kg/m2), a very significant decrease in waist circumference (-2.94 cm) and a significant decrease in hip circumference and body fat percentage (-2.23 cm, -1.19%, P < 0.05). A significant decrease was observed in both serum apolipoprotein B (Apo B) levels (-9.79 mg/dL) and the ApoB/ApoAI ratio (-0.19). Moreover, the change in ApoB/ApoAI of the COP group after the exercise program was significantly greater than that of the HIIT group (-0.19, 0.07, P < 0.05). Conclusion After 10 weeks of taking part in the exercise program, it was found that compared with HIIT, COP continuous intensity exercise training is more effective in improving abdominal obesity, lipid health and cardiovascular risk factors. -
Key words:
- Physical education and training /
- Overweight /
- Health promotion /
- Intervention studies /
- Students /
- Female
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别研究对象干预前后形态学与脂代谢指标比较(x±s)
Table 1. Comparison of morphological and lipid metabolism indexes in different groups before and after intervention(x±s)
组别 选项 统计值 体重/kg BMI/(kg·m-2) 腰围/cm 臀围/cm 腰臀比 体脂/% TC/(mmol·L-1) TG/(mmol·L-1) HDL-C/(mmol·L-1) COP组 干预前 71.24±1.29 25.90±1.90 87.94±5.53 103.15±6.03 0.85±0.03 39.43±4.20 4.40±0.61 0.92±0.32 1.50±0.34 (n=10) 干预后 69.20±3.68 25.05±2.00 85.00±6.86 100.92±6.70 0.84±0.04 38.24±4.00 4.14±0.49 1.00±0.43 1.57±0.44 t值 2.19 2.50 40.32 2.50 1.15 2.37 1.45 -0.68 -1.07 P值 0.06 < 0.05 < 0.01 < 0.05 0.28 < 0.05 0.18 0.51 0.31 HIIT组 干预前 71.37±8.51 25.72±0.90 81.98±8.99 104.51±6.19 0.78±0.06 38.23±6.39 4.12±0.82 0.84±0.24 1.40±0.22 (n=10) 干预后 69.41±6.66 24.86±1.19 81.66±8.73 103.16±6.63 0.79±0.06 37.05±5.81 4.18±0.84 0.95±0.43 1.40±0.25 t值 1.36 1.55 0.19 0.79 -0.78 1.54 -0.35 -1.17 0.02 P值 0.21 0.16 0.85 0.45 0.46 0.16 0.73 0.27 0.99 对照组 干预前 64.43±4.01 25.80±1.19 78.66±4.08 99.37±3.55 0.79±0.04 36.30±2.72 4.30±0.33 0.77±0.19 1.53±0.09 (n=7) 干预后 63.68±2.33 25.20±1.14 76.79±4.53 97.44±3.08 0.79±0.05 35.51±3.36 4.54±0.34 0.91±0.63 1.54±0.20 t值 0.47 0.92 1.32 1.88 0.22 1.19 -1.90 -0.73 -0.18 P值 0.67 0.42 0.24 0.11 0.84 0.28 0.11 0.50 0.86 组别 选项 统计值 LDL-C/(mmol·L-1) ApoAI/(mg·dL-1) ApoB/(mg·dL-1) FFA/(mmol·L-1) 脂蛋白酯酶/(ng·L-1) TC/HDL-C LDL-C/HDL-C TG/HDL-C ApoB/ApoAI COP组 干预前 2.53±0.55 103.42±19.19 85.77±14.26 0.67±0.02 1 147.45±145.37 3.07±0.82 1.81±0.72 0.67±0.35 0.87±0.30 (n=10) 干预后 2.31±0.39 114.40±27.36 75.98±9.28 0.66±0.04 1 463.98±166.99 2.75±0.45 1.55±0.38 0.70±0.39 0.69±0.13 t值 1.39 -1.93 2.55 0.26 -3.30 0.15 1.84 -0.28 2.31 P值 0.20 0.09 < 0.05 0.80 0.19 0.55 0.10 0.79 < 0.05 HIIT组 干预前 2.47±0.71 100.34±11.36 82.59±20.64 0.66±0.03 1 220.41±81.36 2.97±0.59 1.78±0.54 0.63±0.26 0.79±0.22 (n=10) 干预后 2.48±0.71 99.10±12.80 82.73±19.84 0.66±0.03 1 551.70±178.04 3.03±0.54 1.81±0.48 0.73±0.41 0.86±0.20 t值 -0.14 0.40 -0.03 -0.07 -7.06 -0.51 -0.25 -1.02 -1.35 P值 0.89 0.70 0.98 0.94 0.21 0.62 0.81 0.33 0.21 对照组 干预前 2.56±0.43 99.50±10.62 76.00±6.74 0.65±0.04 1 453.67±94.44 2.82±0.26 1.66±0.32 0.51±0.14 0.80±0.14 (n=7) 干预后 2.66±0.40 106.43±11.27 83.57±9.30 0.68±0.02 1 280.60±141.94 3.01±0.54 1.84±0.56 0.62±0.46 0.77±0.13 t值 -2.38 -1.35 -3.98 -1.19 2.43 -1.15 -0.97 -0.76 0.42 P值 0.06 0.23 0.06 0.28 0.14 0.29 0.39 0.48 0.71 -
[1] ONCESCU V, MANCUSO M, ERICKSON D. Cholesterol testing on a smartphone[J]. Lab Chip, 2014, 14(4): 759-763. doi: 10.1039/C3LC51194D [2] 中国成人血脂异常防治指南修订联合委员会. 中国成人血脂异常防治指南(2016年修订版)[J]. 中国循环杂志, 2016, 44(10): 937-953. doi: 10.3969/j.issn.1000-3614.2016.10.001Joint Committee Issued Chinese Guideline for the Management of Dyslipidemia in Adult. 2016 Chinese guideline for the management of dyslipidemia in adults[J]. Chin J Cardiol, 2016, 44(10): 937-953. (in Chinese) doi: 10.3969/j.issn.1000-3614.2016.10.001 [3] BROOKS G A. Importance of the 'crossover' concept in exercise metabolism[J]. Clin Exp Pharmacol Physiol, 1997, 24(11): 889-895. doi: 10.1111/j.1440-1681.1997.tb02712.x [4] BROOKS G A, MERCIER J. Balance of carbohydrate and lipid utilization during exercise: the'crossover'concept[J]. J Appl Physiol, 1994, 76: 2253-2261. doi: 10.1152/jappl.1994.76.6.2253 [5] BOREL B, COQUART J, BOITEL G, et al. Effects of endurance training at the crossover point in women with metabolic syndrome[J]. Med Sci Sports Exerc, 2015, 47(11): 2380-2388. doi: 10.1249/MSS.0000000000000674 [6] KHAMMASSI M, OUERGHI N, HADJ-TAIEB S. Impact of a 12-week high-intensity interval training without caloric restriction on body composition and lipid profile in sedentary healthy overweight/obese youth[J]. J Exerc Rehabil, 2018, 14(1): 118-125. doi: 10.12965/jer.1835124.562 [7] DUPUIT M, MAILLARD F, PEREIRA B, et al. Effect of high intensity interval training on body composition in women before and after menopause: a Meta-analysis[J]. Exp Physiol, 2020, 105(9): 1470-1490. doi: 10.1113/EP088654 [8] 屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 265-268. doi: 10.3760/j.issn:0254-6450.2004.03.021QU N N, LI K J. Study on the reliability and validity of international physical activity questionnaire(Chinese vision, IPAQ)[J]. Chin J Epidemiol, 2004, 25(3): 265-268. (in Chinese) doi: 10.3760/j.issn:0254-6450.2004.03.021 [9] FRAYN K N. Calculation of substrate oxidation rates in vivo from gaseous exchange[J]. J Appl Physiol Respir Environ Exerc Physiol, 1983, 55(2): 628-634. [10] 张勇. 运动与脂肪氧化动力学及最大脂肪氧化研究[D]. 上海: 上海体育学院, 2013.ZHANG Y. Research on fat oxidation kinetics and maximal fat oxidation in exercise[D]. Shanghai: Shanghai University of Sport, 2013. (in Chinese) [11] 朱显贵, 石旅畅, 张海峰. 不同强度运动对脂解激素的影响及在减肥机制中的作用研究进展[J]. 中国运动医学杂志, 2020, 39(7): 569-576. doi: 10.3969/j.issn.1000-6710.2020.07.010ZHU X G, SHI L C, ZHANG H F. Research progress about effect of different intensity exercise on lipolysis hormone and its role in the mechanism of weight loss[J]. Chin J Sports Med, 2020, 39(7): 569-576. (in Chinese) doi: 10.3969/j.issn.1000-6710.2020.07.010 [12] PONNALAGU S D, BI X, HENRY C J. Is waist circumference more strongly associated with metabolic risk factors than waist-to-height ratio in Asians?[J]. Nutrition, 2019, 60: 30-34. doi: 10.1016/j.nut.2018.09.005 [13] EGELAND G M, IGLAND J, VOLLSET S E, et al. High population attributable fractions of myocardial infarction associated with waist-hip ratio[J]. Obesity, 2016, 24(5): 1162-1169. doi: 10.1002/oby.21452 [14] LEMESÍ R, TURI-LYNCH B C, CAVERO-REDONDO I, et al. Aerobic training reduces blood pressure and waist circumference and increases HDL-C in metabolic syndrome: a systematic review and Meta-analysis of randomized controlled trials[J]. J Am Soc Hypertens, 2018, 12(8): 580-588. doi: 10.1016/j.jash.2018.06.007 [15] 白云, 张荷玲. 论运动与脂肪动员的关系[J]. 搏击(体育论坛), 2014, 6(1): 75-78. doi: 10.3969/j.issn.1004-5643(t).2014.01.028BAI Y, ZHANG H L. On the relationship between exercise and fat mobilization[J]. Sports Forum, 2014, 6(1): 75-78. (in Chinese) doi: 10.3969/j.issn.1004-5643(t).2014.01.028 [16] SCALSKY R J, CHEN Y J, DESAI K, et al. Baseline cardiometabolic profiles and SARS-CoV-2 infection in the UK Biobank[J]. PLoS One, 2021, 16(4): e0248602. doi: 10.1371/journal.pone.0248602 [17] PAGONAS N, VLATSAS S, BAUER F, et al. The impact of aerobic and isometric exercise on different measures of dysfunctional high-density lipoprotein in patients with hypertension[J]. Eur J Prev Cardiol, 2019, 26(12): 1301-1309. doi: 10.1177/2047487319848199 [18] 李文玉. 8周有氧运动对青年肥胖者血脂的调节作用及对其肠道菌群的影响[D]. 济南: 山东体育学院, 2018.LI W Y. The effect of 8 weeks aerobic exercise on blood lipid and gut microbiota in young obese volunteers[D]. Jinan: Shandong Sport University, 2018. (in Chinese) [19] CROMWELL W C, BARRINGER T A. Low-density lipoprotein and apolipoprotein B: clinical use in patients with coronary heart disease[J]. Curr Cardiol Rep, 2009, 11(6): 468-475. doi: 10.1007/s11886-009-0067-z [20] LIN X, ZHANG X, GUO J, et al. Effects of exercise training on cardiorespiratory fitness and biomarkers of cardiometabolic health: a systematic review and Meta-analysis of randomized controlled trials[J]. J Am Heart Assoc, 2015, 4(7): e002014. doi: 10.1161/JAHA.115.002014 [21] 赵斐, 张娜, 张勇. 有氧运动改善高脂血症分子机理的研究Ⅳ. 有氧运动上调饮食性高脂血症大鼠肝脏LDL-R基因表达[J]. 中国运动医学杂志, 2002, 21(2): 152-155. doi: 10.3969/j.issn.1000-6710.2002.02.009ZHAO F, ZHANG N, ZHANG Y. Study on molecular mechanism of aerobic exercise improving hyperlipidemia Ⅳ: aerobic exercise up-regulate gene expression of LDL-R in liver of rats with dietary hyperlipidemia[J]. Chin J Sports Med, 2002, 21(2): 152-155. (in Chinese) doi: 10.3969/j.issn.1000-6710.2002.02.009 [22] HATMI Z N, JALILIAN N, PAKRAVAN A. The relationship between premature myocardial infarction with TC/HDL-C ratio subgroups in a multiple risk factor model[J]. Adv J Emerg Med, 2019, 3(3): e24. [23] PARK Y M, SUI X, LIU J, et al. The effect of cardiorespiratory fitness on age-related lipids and lipoproteins[J]. J Am Coll Cardiol, 2015, 65(19): 2091-2100. doi: 10.1016/j.jacc.2015.03.517 [24] KUNUTSOR S K, ZACCARDI F, KARPPI J, et al. Is high serum LDL/HDL cholesterol ratio an emerging risk factor for sudden cardiac death? Findings from the KIHD study[J]. J Atheroscler Thromb, 2017, 24(6): 600-608. doi: 10.5551/jat.37184 [25] DA LUZ P L, FAVARATO D, FARIA-NETO J R, et al. High ratio of triglycerides to HDL-cholesterol predicts extensive coronary disease[J]. Clinics, 2008, 63(4): 427-432. doi: 10.1590/S1807-59322008000400003 -

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