不同运动方式对肥胖青年身体慢性炎症状态的影响
The Effect of Different Exercises on Chronic Inflammation of Obese Youth
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摘要: 目的:肥胖通常伴随着机体的慢性炎症状态,近几年来,国外学者在分析肥胖特征时,趋向于使用“慢性炎症反应状态”来表述。旨在通过对肥胖受试对象分别采用有氧运动和抗阻运动,探讨2种不同运动方式对肥胖青年身体慢性炎症状态的影响。方法:37名志愿者(男=18人、女=19人)分为有氧运动组(男=10人、女=10人,年龄=21.1±2.0岁,BMI=30.28±2.17)和抗阻运动组(男=8人、女=9人,年龄=21.1±1.6岁,BMI=30.10±2.35),两组分别进行4周有氧运动和抗阻运动,每周运动6天、每天运动1.5h;有氧组以慢跑和健身操的形式进行运动,以个体心率进行强度监控;抗阻运动组以增肌为目的,以自身重量运动为主,辅以弹力带及少量器械运动。整个运动期间根据受试者自身静息代谢率分组控制饮食,并分别在运动前、运动4周后、停训4周后进行3次双能X光体成分测试并取受试者静脉血,采用ELISA法测试受试者血清TNF-α、Visfatin浓度。结果:1)经4周运动后,有氧运动组的体重由92.13±13.68kg下降到84.08±11.90kg(P<0.01),停训4周后为84.49±12.60kg;抗阻运动组的体重由86.68±13.91kg下降到79.79±11.82kg(P<0.01),停训4周后为79.72±12.36kg。2)体脂百分率也表现出相同的变化趋势,有氧运动组的体脂百分率由38.84%±5.54%下降到34.65%±6.31%(P<0.01),停训4周后为33.99%±7.33%;抗阻运动组体脂百分率则由38.52%±5.41%下降到34.30%±6.91%(P<0.01),停训4周后为33.10%±6.82%。3)有氧运动组TNF-α初始水平为16.60±2.22U/ml,4周后为16.20±1.65U/ml,停训4周后显著下降为14.13±1.82U/ml(P<0.01);抗阻运动组初始水平为16.29±2.55μg/ml,4周后为16.77±2.82 U/ml,停训4周后显著下降为14.93±2.48U/ml(P<0.01)。4)有氧运动组Visfatin初始水平为24.58±11.14mg/L,4周后显著下降到10.35±6.46 mg/L(P<0.01),停训4周后显著回升到19.66±8.64mg/L(P<0.01);抗阻运动组Visfatin初始水平为23.45±14.13 mg/L,4周后显著下降到16.07±14.32mg/L,停训4周后为17.40±9.98 mg/L。结论:1)有氧运动和抗阻运动均能通过减少机体脂肪重量,有效降低体重;2)有氧运动和抗阻运动通过降低机体血清TNF-a、Visfatin水平,改善肥胖机体的慢性炎症状态;3)抗阻运动方式在改善肥胖机体慢性炎症状态效果上优于有氧运动。Abstract: This paper is aimed to observe the effect of aerobic exercise and resistance exercise on the chronic inflammation of obese youth.37 volunteers are divided into aerobic exercise group(mail-10,female-10,21.1±2.0years,BMI=30.28± 2.17)and resistance exercise group(mail-8,female-9,21.1±1.6years,BMI=30.10±2.35).All the volunteers had taken 4weeks exercise,6days per week and 1.5 hours per day.The mode of the aerobic exercise group is jogging with the individual heart rate to monitor the intensity.While the aim of resistance exercise group is to build muscle by using own body weight or Thera-band.The diet of the volunteers is designed by the resting metabolic rate of themselves.All the volunteers were taken 3times dual energy X-ray testing and drawn 3times venous blood before exercise,after4 weeks and 8weeks later to test the concentration of TNF-αand Visfatin with ELISA.The results show that the body weight of aerobic exercise group significantly decreased from 92.13±13.68 kg to 84.08±11.90kg(P<0.01)after 4 weeks.The body weight of resistance exercise group significant decreased from 86.68±13.91 kg to 79.79 ±11.82kg(P<0.01)after 4weeks.There exists the same change in body fat rate.The fat% decreased from 38.84± 5.54% to 34.65±6.31%(P<0.01)after 4weeks and continued decreased to 33.99±7.33% after 8weeks in aerobic exercise group.The fat% decreased from 38.52±5.41% to34.30±6.91% %(P<0.01)after 4weeks and continued decreased to 33.10±6.82% after 8weeks in resistance exercise group.The concentration of TNF-αdecreased from 16.60±2.22 U/ml to 16.20±1.65 U/ml after 4weeks,but there is no significant difference,while significantly decreased to 14.13±1.82 U/ml(P<0.01)after 8 weeks in aerobic exercise group.The concentration of TNF-αincreased from 16.29± 2.55μg/ml to 16.77±2.82U/ml after 4 weeks,but there is no significant difference,while significantly decreased to 14.93±2.48 U/ml(P<0.01)after 8 weeks in resistance exercise group.The concentration of Visfatin significantly decreased from 24.58±11.14mg/L to 10.35±6.46mg/L(P<0.01)after 4weeks,but significantly increased to 19.66±8.64mg/L(P<0.01)after 8weeks in aerobic exercise group.The concentration of Visfatin significantly decreased from 23.45±14.13 mg/L to 16.07±14.32mg/L(P<0.01)after 4weeks and remained at 17.40±9.98mg/L after 8weeks in resistance exercise group.It can be conclude that the body weight will be decreased by reduce the body fat rate in aerobic and resistance exercise groups,and the chronic inflammation state of obese youth will be better through the reducing of the concentration of TNF-αand Visfatin by exercise with the effect of resistance exercise is better than aerobic exercise.