久坐间断干预对肥胖女大学生身体成分和血脂代谢的影响

刘朝辉; 庞亚俊; 孟慧丽; 焦洁

doi:10.16835/j.cnki.1000-9817.2023.08.005

久坐间断干预对肥胖女大学生身体成分和血脂代谢的影响

doi: 10.16835/j.cnki.1000-9817.2023.08.005

洛阳理工学院体育教学部，河南 471023

基金项目:

河南省高校人文社会科学研究项目 2022-ZZJH-383

详细信息

作者简介:
刘朝辉(1979-)，男，河南南阳人，硕士，教授，主要研究方向为体质测评与健康促进

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中图分类号: G806 R723.14 G804.49
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出版历程
- 收稿日期: 2023-06-05
- 修回日期: 2023-06-28
- 网络出版日期: 2023-08-26
- 刊出日期: 2023-08-25

Effect of sedentary interval intervention on body composition and blood lipid metabolism of obese female college students

Department of Physical Education, Luoyang Institute of Technology, Luoyang(471023), Henan Province, China

摘要

摘要: 结论探讨久坐间断对肥胖女大学生身体成分和血脂代谢的干预效果，为改善肥胖学生健康水平提供参考依据。方法 2022年9—11月选取洛阳理工学院符合纳入标准的80名肥胖一、二年级女大学生为研究对象，采用随机数字表法将研究对象分为对照组(28名)、实验A组(26名)和实验B组(26名)，各组均统一进行适当的饮食指导。按照学校作息时间表，对照组仅每周1次90 min的体育选修课，在对照组基础上，实验A组每个课间进行5 min的快步走(6 km/h)间断干预，实验B组1~4周每个课间进行5 min快步走(6 km/h)间断干预，5~8周每个课间进行4 min快步走(6 km/h)和1 min跳绳(60次/min)间断干预，9~12周每个课间进行4 min快步走(6 km/h)和1 min跳绳(80次/min)间断干预。每天干预10次，周末间断干预时间和频数保持不变。在实验前后检测研究对象的体质量指数(BMI)、体脂百分比(BFR)、腰臀比(WHR)、内脏脂肪指数(VFI)以及总胆固醇(TC)、三酰甘油(TG)和高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)。结果经过12周的久坐行为间断干预，对照组身体成分各项指标和血脂4项指标较干预前差异均无统计学意义(P值均>0.05)；实验A组的BMI、BFR、VFI和TG均低于干预前(t值分别为3.20，2.80，8.19，2.21，P值均 < 0.05)；实验B组的BMI、BFR、WHR、VFI和TG、TC、LDL-C均低于干预前，HDL-C高于干预前(t值分别为6.27，5.85，10.82，19.91，3.86，3.29，7.20，-4.93，P值均 < 0.01)。干预后3组的BMI、BFR、WHR、VFI和HDL-C差异均有统计学意义(F值分别为24.01，23.77，10.00，15.28，6.72，P值均 < 0.01)；组间两两比较发现，实验B组的BMI、BFR、WHR和HDL-C干预效果优于实验A组和对照组(P值均 < 0.01)。结论快步走和跳绳间断干预对肥胖女大学生身体成分和血脂代谢具有良好的改善效果。学校应充分利用课间时间，对肥胖女大学生采用短时间多频次中高强度干预，改善其身体成分和血脂代谢。
- 久坐生活方式 /
- 身体成分 /
- 代谢 /
- 干预性研究 /
- 学生 /
- 女(雌)性
Abstract: Objective To explore the intervention effect of sedentary interval on body composition and blood lipid metabolism of obese female college students, so as to provide reference for health promotion among obese students. Methods Eighty obese female college students from first and second grades were randomly assigned into three groups, the control group (n=28), experimental group A (n=26), and experimental group B (n=26), between September and November 2022. The participants received appropriate dietary guidance, a 90-minute optional physical education course was offered to control group once a week, on the basis of the control group, experimental group A performed 5-minute-intermittent brisk walking (6 km/h) during each break. Experimental group B performed 5-minute-intermittent brisk walking (6 km/h) during each break for the first 4 weeks, then changed to 4-minute-brisk walking (6 km/h) and 1-minute-rope skipping (60 skips/min) during each break for weeks 5-8, and changed to 4-minute-brisk walking (6 km/h) and 1-minute-rope skipping (80 skips/min) during each break for 9-12 weeks. The intervention was performed 10 times per day, with the interruption time and frequency on weekends remaining the same. Body mass index (BMI), body fat rate (BFR), waist hip ratio (WHR), visceral fat index (VFI), total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) were measured before and after the experiment. Results After 12 weeks intervention, there were no significant differences in body composition and blood lipids in control group (P>0.05), BMI, BFR, VFI and TG in Group A were lower than those before intervention (t=3.20, 2.80, 8.19, 2.21, P < 0.05), BMI, BFR, WHR, VFI, TG, TC, LDL-C were lower and HDL-C in group B were higher than those before intervention (t=6.27, 5.85, 10.82, 19.91, 3.86, 3.29, 7.20, -4.93, P < 0.01). There were significant differences in BMI, BFR, WHR, VFI and HDL-C among the three groups (F=24.01, 23.77, 10.00, 15.28, 6.72, P < 0.01), and the intervention effects of BMI, BFR and HDL-C in group B were better than those in group A and control group (P < 0.01). Conclusion The intervention of brisk walking and rope skipping had a good effect on improving body composition and blood lipid metabolism of obese female college students. Schools should make good use of the time between classes and adopt short-time and high-intensity exercise intervention to improve the body composition and blood lipid metabolism of obese students.
- Sedentary lifestyle /
- Body composition /
- Metabolism /
- Intervention studies /
- Students /
- Female
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表 1 不同组别肥胖女大学生干预前后身体成分指标比较(x±s)

Table 1. Comparison of body composition before and after intervention in different groups of obese female college students(x±s)

组别	干预前后	人数	统计值	BMI/(kg·m^-2)	BFR/%	WHR	VFI
对照组	干预前	28		29.63±0.97	38.91±1.03	0.94±0.02	13.59±0.70
	干预后	28		29.68±0.91	38.98±0.92	0.94±0.02	13.66±0.70
			t值	-1.31	-0.87	-0.57	-0.99
			P值	0.20	0.39	0.57	0.33
实验A组	干预前	26		29.60±1.04	38.71±1.35	0.93±0.02	13.53±0.77
	干预后	26		28.69±1.01	37.74±1.18	0.92±0.02	12.93±0.91
			t值	3.20	2.80	1.87	8.19
			P值	< 0.01	< 0.01	0.07	< 0.01
实验B组	干预前	26		29.67±1.09	38.95±1.28	0.94±0.03	13.59±0.83
	干预后	26		27.87±0.98	36.86±1.30	0.91±0.02	12.59±0.81
			t值	6.27	5.85	10.82	19.91
			P值	< 0.01	< 0.01	< 0.01	< 0.01

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表 2 不同组别肥胖女大学生干预前后血脂指标比较x±s), mmol·L^-1]

Table 2. Changes of blood lipid indexes before and after intervention in different groups of obese female college students x±s), mmol·L^-1]

组别	干预前后	人数	统计值	TG	TC	HDL-C	LDL-C
对照组	干预前	28		1.34±0.32	4.48±0.40	1.27±0.14	2.87±0.31
	干预后	28		1.35±0.26	4.50±0.36	1.26±0.12	2.87±0.34
			t值	-0.53	-1.04	0.82	-0.42
			P值	0.60	0.31	0.42	0.68
实验A组	干预前	26		1.33±0.31	4.46±0.47	1.26±0.17	2.91±0.37
	干预后	26		1.29±0.24	4.41±0.35	1.31±0.11	2.79±0.38
			t值	2.21	0.78	-1.73	1.75
			P值	0.04	0.44	0.10	0.09
实验B组	干预前	26		1.35±0.36	4.52±0.47	1.26±0.16	2.94±0.39
	干预后	26		1.21±0.22	4.37±0.36	1.38±0.12	2.66±0.32
			t值	3.86	3.29	-4.93	7.20
			P值	< 0.01	< 0.01	< 0.01	< 0.01

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参考文献(30)

[1]	LVSCHER T F. Nutrition, obesity, diabetes, and cardiovascular outcomes: a deadly association[J]. Eur Heart J, 2020, 41(28): 2603-2607. doi: 10.1093/eurheartj/ehaa622
[2]	CHO Y J, PARK S, KIM S S, et al. The Gangwon obesity and metabolic syndrome study: methods and initial baseline data[J]. J Obes Metab Syndr, 2022, 31(4): 303-312. doi: 10.7570/jomes22064
[3]	中华人民共和国疾病预防控制局. 中国居民营养与慢性病状况报告(2022)[M]. 北京: 人民卫生出版社, 2022: 21-31. Disease Prevention and Control Bureau of the PRC. Report on nutrition and chronic disease status of Chinese residents (2022)[M]. Beijing: People Hygiene Press, 2022: 21-31. (in Chinese)
[4]	WANG Y, ZHAO L, GAO L, et al. Health policy and public health implications of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(7): 446-461. doi: 10.1016/S2213-8587(21)00118-2
[5]	王航平, 孙振武. 低氧训练对肥胖人群身体成分和血脂影响的Meta分析[J]. 环境与职业医学, 2019, 36(2): 157-163, 169. doi: 10.13213/j.cnki.jeom.2019.18435 WANG H P, SUN Z W. Effects of hypoxic training on body composition and blood lipid in obese people: a Meta analysis[J]. J Environ Occup, 2019, 36(2): 157-163, 169. (in Chinese) doi: 10.13213/j.cnki.jeom.2019.18435
[6]	尚延侠, 侯希贺, 潘珊珊, 等. 有氧运动对不同肥胖亚型儿童心血管危险因素的干预效果[J]. 中国运动医学杂志, 2022, 41(4): 266-273. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX202204003.htm SHANG Y X, HOU X H, PAN S S, et al. Effects of aerobic exercise on cardiovascular risk factors among children with different obesity subtypes[J]. Chin J Sports Med, 2022, 41(4): 266-273. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX202204003.htm
[7]	梁晋裕, 卢本涛, 郝亮. 抗阻训练对肥胖儿童身体成分血脂及血清瘦素的影响[J]. 中国学校卫生, 2017, 38(9): 1379-1381, 1384. doi: 10.16835/j.cnki.1000-9817.2017.09.029 LIANG J Y, LU B T, HAO L. Effects of resistance training on body composition, blood lipid and serum leptin in obese children[J]. Chin J Sch Health, 2017, 38(9): 1379-1381, 1384. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.09.029
[8]	林坚, 赵红勤, 黄雄昂, 等. 高强度间歇训练对肥胖女大学生体成分和血脂及空腹胰岛素水平的影响[J]. 中国全科医学, 2016, 19(18): 2139-2144. doi: 10.3969/j.issn.1007-9572.2016.18.007 LIN J, ZHAO H Q, HUANG X A, et al. Effect of high intensity interval training on the body composition, blood lipid and fasting insulin level of obese female college students[J]. Chin Genel Pract, 2016, 19(18): 2139-2144. (in Chinese) doi: 10.3969/j.issn.1007-9572.2016.18.007
[9]	郭强, 汪晓赞, 蒋健保. 我国儿童青少年身体活动与久坐行为模式特征的研究[J]. 体育科学, 2017, 37(7): 17-29. https://www.cnki.com.cn/Article/CJFDTOTAL-TYKX201707003.htm GUO Q, WANG X Z, JIANG J B. A study on the characteristics of physical activity and sedentary behavior patterns among children and adolescents in China[J]. Chin Sport Sci, 2017, 37(7): 17-29. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TYKX201707003.htm
[10]	李博文, 贾冕, 周誉, 等. 体力活动不足、久坐行为与糖代谢异常检出率的关系[J]. 武汉体育学院学报, 2018, 52(5): 95-100. https://www.cnki.com.cn/Article/CJFDTOTAL-WTXB201805015.htm LI B W, JIA M, ZHOU Y, et al. Physical inactivity and sedentary behaviors in relation to prevalence of dysglycemia[J]. J Wuhan Inst Phys Educ, 2018, 52(5): 95-100. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WTXB201805015.htm
[11]	BULL F C, AL-ANSARI S S, BIDDLE S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462. doi: 10.1136/bjsports-2020-102955
[12]	HEALY G N, DUNSTAN D W, SALMON J, et al. Breaks in sedentary time: beneficial associations with metabolic risk[J]. Diabetes Care, 2008, 31(4): 661-666. doi: 10.2337/dc07-2046
[13]	马生霞, 曹振波. 久坐行为间断干预对血糖、胰岛素和血脂影响的系统综述与Meta分析[J]. 中国体育科技, 2018, 54(4): 75-91. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201804010.htm MA S X, CAO Z B. Systematic review and Meta-analysis on effects of sedentary behavior with intermittent intervention on glycemia, insulin and lipidemia[J]. Chin Sport Sci Technol, 2018, 54(4): 75-91. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201804010.htm
[14]	袁尽州, 黄海. 体育测量与评价[M]. 北京: 人民体育出版社, 2011: 72-79. YUAN J Z, HUANG H. Sports measurement and evaluation[M]. Beijing: People's Physical Education Press, 2011: 72-79. (in Chinese)
[15]	运动处方中国专家共识(2023)专家组. 运动处方中国专家共识(2023)[J]. 中国运动医学杂志, 2023, 42(1): 3-13. https://xuewen.cnki.net/CCND-BJSB202304060010.html Expert Group on Chinese Expert Consensus on Exercise Prescription (2023). Chinese expert consensus on exercise prescription (2023)[J]. Chin J Sports Med, 2023, 42(1): 3-13. (in Chinese) https://xuewen.cnki.net/CCND-BJSB202304060010.html
[16]	郁铭萱. 急性中等强度有氧运动对不同体质指数女大学生心率变异性的影响[D]. 上海: 上海体育学院, 2022. YU M X. Effects of acute moderate intensity aerobic exercise on heart rate variability of female college students with different body mass index[D]. Shanghai: Shanghai University of Sport, 2022. (in Chinese)
[17]	JOHNSON J L, SLENTZ C A, HOUMARD J A, et al. Exercise training amount and intensity effects on metabolic syndrome[J]. Am J Cardiol, 2007, 100(12): 1759-1766.
[18]	高莹, 李青阳, 王健. 久坐间断的生理学基础及干预效应[J]. 中国公共卫生, 2022, 38(12): 1623-1629. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202212021.htm GAO Y, LI Q Y, WANG J. Physiological effects of breaking up prolonged sitting time: a review[J]. Chin J Public Health, 2022, 38(12): 1623-1629. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202212021.htm
[19]	吕文璇, 谌晓安. 高校女大学生苗鼓和快步走运动能量消耗的比较研究[J]. 体育研究与教育, 2018, 33(3): 89-92. https://www.cnki.com.cn/Article/CJFDTOTAL-SXST201803021.htm LYU W X, CHEN X A. A comparative study on the energy consumption of female college students' Miao's drum playing and fast walking[J]. Sports Res Educ, 2018, 33(3): 89-92. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SXST201803021.htm
[20]	CHEN Y, QIU J Q, LI Y X, et al. Assessment of characteristics of energy expenditure of rope jumping at different paces: 267[J]. Med Sci Sports Exerc, 2021, 53(1): 83.
[21]	曹甍. 不同训练方案对肥胖男生身体成分和糖脂代谢的干预效果研究[D]. 上海: 上海体育学院, 2020. CAO M. Effect of different exercise programs on body composition and glycolipid metabolism intervention in boys with obesity[D]. Shanghai: Shanghai University of Sport, 2020. (in Chinese)
[22]	CAMPANHAVERSIANI L, PEREIRA D A, RIBEIROSAMORA G A, et al. The effect of a muscle weight-bearing and aerobic exercise program on the body composition, muscular strength, biochemical markers, and bone mass of obese patients who have undergone gastric bypass surgery[J]. Obes Surg, 2017(11): 1-9.
[23]	FERRARI F, BOCK P M, MOTTA M T, et al. Biochemical and molecular mechanisms of glucose uptake stimulated by physical exercise in insulin resistance state: role of inflammation[J]. Arq Bras Cardiol, 2019, 113(6): 1139-1148.
[24]	MIYASHITA M, BURNS S F, STENSEL D J. Accumulating short bouts of brisk walking reduces postprandial plasma triacylglycerol concentrations and resting blood pressure in healthy young men[J]. Am J Clin Nutr, 2008, 88(5): 1225-1231.
[25]	MIYASHITA M. Effects of continuous versus accumulated activity patterns on postprandial triacylglycerol concentrations in obese men[J]. Int J Obes, 2008, 32(8): 1271-1278. http://www.onacademic.com/detail/journal_1000034756275210_7545.html
[26]	BAILEY D P, LOCKE C D. Breaking up prolonged sitting with light-intensity walking improves postprandial glycemia, but breaking up sitting with standing does not[J]. J Sci Med Sport, 2015, 18(3): 294-298.
[27]	DEMPSEY P C, LARSEN R N, SETHI P, et al. Benefits for type 2 diabetes of interrupting prolonged sitting with brief bouts of light walking or simple resistance activities[J]. Diabetes Care, 2016, 39(6): 964-972.
[28]	HAMILTON M T, HAMILTON D G, ZDERIC T W. Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease[J]. Diabetes, 2007, 56(11): 2655-2667.
[29]	RAMAN A, PEIFFER J J, HOYNE G F, et al. Effect of exercise on acute postprandial glucose concentrations and interleukin-6 responses in sedentary and overweight males[J]. Appl Physiol Nutr Metab, 2018, 43(12): 1298-1306.
[30]	BERGOUIGNAN A, LATOUCHE C, HEYWOOD S, et al. Frequent interruptions of sedentary time modulates contraction and insulin-stimulated glucose uptake pathways in muscle: ancillary analysis from randomized clinical trials[J]. Sci Rep, 2016, 6(1): 32044.