高强度间歇训练与中强度持续训练对中国超重或肥胖人群干预效果比较的Meta分析
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摘要
目的:利用Meta分析的方法比较高强度间歇训练(High-Intensity Interval Training,HIIT)与中强度持续训练(Moderate-Intensity Continuous Training,MICT)对中国超重或肥胖人群干预作用的有效性。方法:在中英文电子数据库中检索2017年12月之前所有相关的临床随机对照研究文献,并对参考文献进行相关文献的补充检索,利用Review Manager 5.3软件合并效应量。结果:研究共纳入13篇研究,HIIT组和MICT组分别纳入214例和208例成年超重或肥胖患者。结果显示:HIIT降低超重或肥胖患者体脂百分数[WMD=-1.23(95%CI=-2.31,-0.15),I2=68%]及提高最大摄氧量(VO2max)[WMD=1.02(95%CI=0.14,1.90),I2=0%]的能力优于MICT;而HIIT和MICT对体重、BMI(Body mass index)、瘦体重(LBM,Lean Body Mass)、腰围、臀围及腰臀比(Waist-to-Hip Ratio,WHR)的改变无显著差异。结论:平均10.5周(3次/周以上)的最大摄氧量(VO2max)为85%～95%的高强度间歇训练(HIIT)处方治疗降低中国超重或肥胖患者体脂量的能力优于中强度持续训练(MICT),但对其他体测指标方面两种运动没有差异。
The objective of this study was to compare the intervention effect of High-intensity Interval Training(HIIT)and Moderate-intensity Continuous Training(MICT)in overweight and obese Chinese adults.Randomly controlled studies before May 2017 were retrieved by using keywords in electric database.Data after the strict quality evaluation and Review Manager 5.3 software for merging effect size included that 13 papers,214 participants in HIIT group and 208 participants in MICT group.Meta-analysis showed that HIIT was better at lowering the body fat percentage[WMD=-1.23(95%CI=-2.31,-0.15),I2=68%],and at improving the VO2 maxlevel[WMD=1.02(95%CI=0.14,1.90,I2=0%]in overweight/obese patients.But there were no significant difference in weight,BMI(Body mass index,LBM(Lean Body Mass),waist circumference(WC),hip circumference(HC)and WHR(Waist-to-Hip Ratio)between two type approaches.It could be seen that an average 10.5 weeks×3 sessions per week HIIT had more effectiveness in lowering the body fat percentage and improving the VO2 maxlevel,but the similar picture was obtained in other body measurements.
The objective of this study was to compare the intervention effect of High-intensity Interval Training(HIIT)and Moderate-intensity Continuous Training(MICT)in overweight and obese Chinese adults.Randomly controlled studies before May 2017 were retrieved by using keywords in electric database.Data after the strict quality evaluation and Review Manager 5.3 software for merging effect size included that 13 papers,214 participants in HIIT group and 208 participants in MICT group.Meta-analysis showed that HIIT was better at lowering the body fat percentage[WMD=-1.23(95%CI=-2.31,-0.15),I2=68%],and at improving the VO2 maxlevel[WMD=1.02(95%CI=0.14,1.90,I2=0%]in overweight/obese patients.But there were no significant difference in weight,BMI(Body mass index,LBM(Lean Body Mass),waist circumference(WC),hip circumference(HC)and WHR(Waist-to-Hip Ratio)between two type approaches.It could be seen that an average 10.5 weeks×3 sessions per week HIIT had more effectiveness in lowering the body fat percentage and improving the VO2 maxlevel,but the similar picture was obtained in other body measurements.
引文
[1]王京京,韩涵,张海峰.高强度间歇训练对青年肥胖女性腹部脂肪含量的影响[J].中国运动医学杂志,2015,34(1):15-20,30.
[2]Boudou P,Sobngwi E,Mauvais-Jarvis F,et al.Absence of exercise-induced variations in adiponectin levels despite decreased abdominal adiposity and improved insulin sensitivity in type 2diabetic men[J].European Journal of Endocrinology,2003,149(5):421-424.
[3]Kodama S,Saito K,Tanaka S,et al.Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women A Meta-analysis[J].JAMA-JOURNAL OF THE AMERICAN MEDI-CAL ASSOCIATION,2009,301(19):2024-2035.
[4]Borsheim E,Bahr R.Effect of exercise intensity,duration and mode on post-exercise oxygen consumption[J].Sports Medicine,2003,33(14):1037-1060.
[5]Bartlett J D,Close G L,Maclaren D P M,et al.Highintensity interval running is perceived to be more enjoyable than moderate-intensity continuous exercise:Implications for exercise adherence[J].JOURNAL OF SPORTS SCI-ENCES,2011,29(6):547-553.
[6]Little J P,Gillen J B,Percival M E,et al.Low-volume highintensity interval training reduces hyperglycemia and increases muscle mitochondrial capacity in patients with type2diabetes[J].JOURNAL OF APPLIED PHYSIOLOGY,2011,111(6):1554-1560.
[7]Munk P S,Breland U M,Aukrust P,et al.High intensity interval training reduces systemic inflammation in post-PCIpatients[J].EUROPEAN JOURNAL OF CARDIOVAS-CULAR PREVENTION&REHABILITATION,2011,18(6):850-857.
[8]Sijie T,Hainai Y,Fengying Y,et al.High intensity interval exercise training in overweight young women.[J].Journal of Sports Medicine&Physical Fitness,2012,52(3):255.
[9]齐玉刚,黄津虹,谭思洁.HIIT和持续性有氧运动对肥胖女大学生减肥效果的比较研究[J].中国体育科技,2013,49(1):30-33.
[10]Cheema B S,Davies T B,Stewart M,et al.The feasibility and effectiveness of high-intensity boxing training versus moderate-intensity brisk walking in adults with abdominal obesity:apilot study.[J].Bmc Sports Science Medicine&Rehabilitation,2015,7(1):3.
[11]Ahmadizad S,Avansar A S,Ebrahim K,et al.The effects of short-term high-intensity interval training vs.moderateintensity continuous training on plasma levels of nesfatin-1and inflammatory markers[J].Horm Mol Biol Clin Investig,2015,21(3):165-173.
[12]Sim A Y,Wallman K E,Fairchild T J,et al.Effects of High-Intensity Intermittent Exercise Training on Appetite Regulation.[J].Medicine&Science in Sports&Exercise,2015,47(11):2441-2449.
[13]Helen L,Nick D,Marshall H C,et al.High Intensity Interval Training in a Real World Setting:A Randomized Controlled Feasibility Study in Overweight Inactive Adults,Measuring Change in Maximal Oxygen Uptake[J].Plos One,2014,9(1):e83256.
[14]Martins C,Kazakova I,Ludviksen M,et al.High-Intensity Interval Training and Isocaloric Moderate-Intensity Continuous Training Result in Similar Improvements in Body Composition and Fitness in Obese Individuals.[J].International Journal of Sport Nutrition&Exercise Metabolism,2016,26(3):197.
[15]Kong Z,Fan X,Sun S,et al.Comparison of High-Intensity Interval Training and Moderate-to-Vigorous Continuous Training for Cardiometabolic Health and Exercise Enjoyment in Obese Young Women:A Randomized Controlled Trial[J].Plos One,2016,11(7):e158589.
[16]Keating S,Machan E,O Conner H,et al.Endurance exercise but not high-intensity interval training improves abdominal fat distribution in overweight adults[J].Journal of Obesity,2014,2014(2014):834865.
[17]Eveleth P B.Physical status:the use and interpretation of anthropometry:[M].World Health Organization,1995.786-787.
[18]杨晓妍,李鸿浩.知证卫生决策工具附件---评估设计(改编自Cochrane干预措施系统评价手册)(文18附件2)[J].中国循证医学杂志,2010,10(6):647.
[19]刘洪富,刘忠民,王常敏.高强度间歇训练对肥胖青年女性减肥效果的研究[J].山东体育学院学报,2016(6):95-98.
[20]Zhang H,Tong T K,Qiu W,et al.Comparable Effects of High-Intensity Interval Training and Prolonged Continuous Exercise Training on Abdominal Visceral Fat Reduction in Obese Young Women[J].J Diabetes Res,2017,2017:5071740.
[21]Sawyer B J,Tucker W J,Bhammar D M,et al.Effects of high-intensity interval training and moderate-intensity continuous training on endothelial function and cardiometabolic risk markers in obese adults[J].J Appl Physiol(1985),2016,121(1):279-288.
[22]Keating S,Machan E,O Conner H,et al.Endurance exercise but not high-intensity interval training improves abdominal fat distribution in overweight adults[J].Journal of Science&Medicine in Sport,2013,16(2014):834865.
[23]Martins C,Kazakova I,Ludviksen M,et al.High-Intensity Interval Training and Isocaloric Moderate-Intensity Continuous Training Result in Similar Improvements in Body Composition and Fitness in Obese Individuals[J].Int JSport Nutr Exerc Metab,2016,26(3):197-204.
[24]Barry J C,Simtchouk S,Durrer C,et al.Short-Term Exercise Training Alters Leukocyte Chemokine Receptors in Obese Adults[J].Med Sci Sports Exerc,2017,49(8):1631-1640.
[25]Higgins S,Fedewa M V,Hathaway E D,et al.Sprint interval and moderate-intensity cycling training differentially affect adiposity and aerobic capacity in overweight youngadult women[J].Appl Physiol Nutr Metab,2016,41(11):1177-1183.
[26]王京京,韩涵,张海峰.高强度间歇训练对青年肥胖女性腹部脂肪含量的影响[J].中国运动医学杂志,2015(1):15-20.
[27]高艳敏,王光明,杨文礼,等.高强度间歇训练和有氧运动对肥胖青年脂代谢及慢性炎症的影响[J].中国运动医学杂志,2017(7):628-632.
[28]Rowley T W,Espinoza J L,Akers J D,et al.Effects of run sprint interval training on healthy,inactive,overweight/obese women:A pilot study[J].FACETS,2017,2.
[29]Zhang H,Tong T K,Qiu W,et al.EFFECT OF HIGH-INTENSITY INTERVAL TRAINING PROTOCOL ONABDOMINAL FAT REDUCTION IN OVERWEIGHTCHINESE WOMEN:A RANDOMIZED CONTROLLEDTRIAL[J].KINESIOLOGY,2015,47(1):57-66.
[30]Cheema B S,Davies T B,Stewart M,et al.The feasibility and effectiveness of high-intensity boxing training versus moderate-intensity brisk walking in adults with abdominal obesity:apilot study[J].BMC Sports Sci Med Rehabil,2015,7:3.
[31]曾帅.中等强度持续和高强度间歇运动对肥胖青年女性心电QTc及血压影响以及训练适应[D].石家庄:河北师范大学,2014.
[32]Weston M,Taylor K L,Batterham A M,et al.Effects of Low-Volume High-Intensity Interval Training(HIT)on Fitness in Adults:A Meta-Analysis of Controlled and Non-Controlled Trials[J].Sports Medicine,2014,44(7):1005-1017.
[33]Fox A M,Mann D M,Ramos M A,et al.Barriers to Physical Activity in East Harlem,New York[J].Journal of O-besity,2012,(2012-7-12),2012,2012:719140.
[34]Bartlett J D,Close G L,Maclaren D P,et al.High-intensity interval running is perceived to be more enjoyable than moderate-intensity continuous exercise:implications for exercise adherence.[J].Journal of Sports Sciences,2011,29(6):547.
[35]赵广高,洪熊,苏利强,等.高强度间歇训练与中强度持续训练对超重/肥胖成人体成分干预作用的比较:Meta分析[J].成都体育学院学报,2017,43(4):93-99.
[36]张戈.高强度间歇训练:运动量和锻炼效果研究进展[J].中国运动医学杂志,2016,35(2):184-188.
[37]Yoshizumi T,Nakamura T,Yamane M,et al.Abdominal fat:standardized technique for measurement at CT[J].Radiology,1999,211(1):283.
[38]王斌.HIIT对成年人心肺功能影响的meta对比分析[J].体育科技,2017,38(3).
[39]张勇,李之俊.高水平耐力运动员高强度间歇训练的生理机制[J].体育科研,2005,26(5):66-69.
[40]Gibala M J,Little J P,Van E M,et al.Short-term sprint interval versus traditional endurance training:similar initial adaptations in human skeletal muscle and exercise performance[J].Journal of Physiology,2006,575(3):901.
[41]Burgomaster K A,Hughes S C,Heigenhauser G J,et al.Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans.[J].Journal of Applied Physiology,2005,98(6):1985.
[42]雷鸣枝.乒乓球专项课运动损伤的调查与分析[J].吉林体育学院学报,2009,25(2):78-79.
[2]Boudou P,Sobngwi E,Mauvais-Jarvis F,et al.Absence of exercise-induced variations in adiponectin levels despite decreased abdominal adiposity and improved insulin sensitivity in type 2diabetic men[J].European Journal of Endocrinology,2003,149(5):421-424.
[3]Kodama S,Saito K,Tanaka S,et al.Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women A Meta-analysis[J].JAMA-JOURNAL OF THE AMERICAN MEDI-CAL ASSOCIATION,2009,301(19):2024-2035.
[4]Borsheim E,Bahr R.Effect of exercise intensity,duration and mode on post-exercise oxygen consumption[J].Sports Medicine,2003,33(14):1037-1060.
[5]Bartlett J D,Close G L,Maclaren D P M,et al.Highintensity interval running is perceived to be more enjoyable than moderate-intensity continuous exercise:Implications for exercise adherence[J].JOURNAL OF SPORTS SCI-ENCES,2011,29(6):547-553.
[6]Little J P,Gillen J B,Percival M E,et al.Low-volume highintensity interval training reduces hyperglycemia and increases muscle mitochondrial capacity in patients with type2diabetes[J].JOURNAL OF APPLIED PHYSIOLOGY,2011,111(6):1554-1560.
[7]Munk P S,Breland U M,Aukrust P,et al.High intensity interval training reduces systemic inflammation in post-PCIpatients[J].EUROPEAN JOURNAL OF CARDIOVAS-CULAR PREVENTION&REHABILITATION,2011,18(6):850-857.
[8]Sijie T,Hainai Y,Fengying Y,et al.High intensity interval exercise training in overweight young women.[J].Journal of Sports Medicine&Physical Fitness,2012,52(3):255.
[9]齐玉刚,黄津虹,谭思洁.HIIT和持续性有氧运动对肥胖女大学生减肥效果的比较研究[J].中国体育科技,2013,49(1):30-33.
[10]Cheema B S,Davies T B,Stewart M,et al.The feasibility and effectiveness of high-intensity boxing training versus moderate-intensity brisk walking in adults with abdominal obesity:apilot study.[J].Bmc Sports Science Medicine&Rehabilitation,2015,7(1):3.
[11]Ahmadizad S,Avansar A S,Ebrahim K,et al.The effects of short-term high-intensity interval training vs.moderateintensity continuous training on plasma levels of nesfatin-1and inflammatory markers[J].Horm Mol Biol Clin Investig,2015,21(3):165-173.
[12]Sim A Y,Wallman K E,Fairchild T J,et al.Effects of High-Intensity Intermittent Exercise Training on Appetite Regulation.[J].Medicine&Science in Sports&Exercise,2015,47(11):2441-2449.
[13]Helen L,Nick D,Marshall H C,et al.High Intensity Interval Training in a Real World Setting:A Randomized Controlled Feasibility Study in Overweight Inactive Adults,Measuring Change in Maximal Oxygen Uptake[J].Plos One,2014,9(1):e83256.
[14]Martins C,Kazakova I,Ludviksen M,et al.High-Intensity Interval Training and Isocaloric Moderate-Intensity Continuous Training Result in Similar Improvements in Body Composition and Fitness in Obese Individuals.[J].International Journal of Sport Nutrition&Exercise Metabolism,2016,26(3):197.
[15]Kong Z,Fan X,Sun S,et al.Comparison of High-Intensity Interval Training and Moderate-to-Vigorous Continuous Training for Cardiometabolic Health and Exercise Enjoyment in Obese Young Women:A Randomized Controlled Trial[J].Plos One,2016,11(7):e158589.
[16]Keating S,Machan E,O Conner H,et al.Endurance exercise but not high-intensity interval training improves abdominal fat distribution in overweight adults[J].Journal of Obesity,2014,2014(2014):834865.
[17]Eveleth P B.Physical status:the use and interpretation of anthropometry:[M].World Health Organization,1995.786-787.
[18]杨晓妍,李鸿浩.知证卫生决策工具附件---评估设计(改编自Cochrane干预措施系统评价手册)(文18附件2)[J].中国循证医学杂志,2010,10(6):647.
[19]刘洪富,刘忠民,王常敏.高强度间歇训练对肥胖青年女性减肥效果的研究[J].山东体育学院学报,2016(6):95-98.
[20]Zhang H,Tong T K,Qiu W,et al.Comparable Effects of High-Intensity Interval Training and Prolonged Continuous Exercise Training on Abdominal Visceral Fat Reduction in Obese Young Women[J].J Diabetes Res,2017,2017:5071740.
[21]Sawyer B J,Tucker W J,Bhammar D M,et al.Effects of high-intensity interval training and moderate-intensity continuous training on endothelial function and cardiometabolic risk markers in obese adults[J].J Appl Physiol(1985),2016,121(1):279-288.
[22]Keating S,Machan E,O Conner H,et al.Endurance exercise but not high-intensity interval training improves abdominal fat distribution in overweight adults[J].Journal of Science&Medicine in Sport,2013,16(2014):834865.
[23]Martins C,Kazakova I,Ludviksen M,et al.High-Intensity Interval Training and Isocaloric Moderate-Intensity Continuous Training Result in Similar Improvements in Body Composition and Fitness in Obese Individuals[J].Int JSport Nutr Exerc Metab,2016,26(3):197-204.
[24]Barry J C,Simtchouk S,Durrer C,et al.Short-Term Exercise Training Alters Leukocyte Chemokine Receptors in Obese Adults[J].Med Sci Sports Exerc,2017,49(8):1631-1640.
[25]Higgins S,Fedewa M V,Hathaway E D,et al.Sprint interval and moderate-intensity cycling training differentially affect adiposity and aerobic capacity in overweight youngadult women[J].Appl Physiol Nutr Metab,2016,41(11):1177-1183.
[26]王京京,韩涵,张海峰.高强度间歇训练对青年肥胖女性腹部脂肪含量的影响[J].中国运动医学杂志,2015(1):15-20.
[27]高艳敏,王光明,杨文礼,等.高强度间歇训练和有氧运动对肥胖青年脂代谢及慢性炎症的影响[J].中国运动医学杂志,2017(7):628-632.
[28]Rowley T W,Espinoza J L,Akers J D,et al.Effects of run sprint interval training on healthy,inactive,overweight/obese women:A pilot study[J].FACETS,2017,2.
[29]Zhang H,Tong T K,Qiu W,et al.EFFECT OF HIGH-INTENSITY INTERVAL TRAINING PROTOCOL ONABDOMINAL FAT REDUCTION IN OVERWEIGHTCHINESE WOMEN:A RANDOMIZED CONTROLLEDTRIAL[J].KINESIOLOGY,2015,47(1):57-66.
[30]Cheema B S,Davies T B,Stewart M,et al.The feasibility and effectiveness of high-intensity boxing training versus moderate-intensity brisk walking in adults with abdominal obesity:apilot study[J].BMC Sports Sci Med Rehabil,2015,7:3.
[31]曾帅.中等强度持续和高强度间歇运动对肥胖青年女性心电QTc及血压影响以及训练适应[D].石家庄:河北师范大学,2014.
[32]Weston M,Taylor K L,Batterham A M,et al.Effects of Low-Volume High-Intensity Interval Training(HIT)on Fitness in Adults:A Meta-Analysis of Controlled and Non-Controlled Trials[J].Sports Medicine,2014,44(7):1005-1017.
[33]Fox A M,Mann D M,Ramos M A,et al.Barriers to Physical Activity in East Harlem,New York[J].Journal of O-besity,2012,(2012-7-12),2012,2012:719140.
[34]Bartlett J D,Close G L,Maclaren D P,et al.High-intensity interval running is perceived to be more enjoyable than moderate-intensity continuous exercise:implications for exercise adherence.[J].Journal of Sports Sciences,2011,29(6):547.
[35]赵广高,洪熊,苏利强,等.高强度间歇训练与中强度持续训练对超重/肥胖成人体成分干预作用的比较:Meta分析[J].成都体育学院学报,2017,43(4):93-99.
[36]张戈.高强度间歇训练:运动量和锻炼效果研究进展[J].中国运动医学杂志,2016,35(2):184-188.
[37]Yoshizumi T,Nakamura T,Yamane M,et al.Abdominal fat:standardized technique for measurement at CT[J].Radiology,1999,211(1):283.
[38]王斌.HIIT对成年人心肺功能影响的meta对比分析[J].体育科技,2017,38(3).
[39]张勇,李之俊.高水平耐力运动员高强度间歇训练的生理机制[J].体育科研,2005,26(5):66-69.
[40]Gibala M J,Little J P,Van E M,et al.Short-term sprint interval versus traditional endurance training:similar initial adaptations in human skeletal muscle and exercise performance[J].Journal of Physiology,2006,575(3):901.
[41]Burgomaster K A,Hughes S C,Heigenhauser G J,et al.Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans.[J].Journal of Applied Physiology,2005,98(6):1985.
[42]雷鸣枝.乒乓球专项课运动损伤的调查与分析[J].吉林体育学院学报,2009,25(2):78-79.