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规律运动对成年人糖脂代谢影响的Meta分析
孙小刚
(山西师范大学 体育学院)
摘要:
目的:评价规律运动对成年人糖脂代谢的影响效果,为预防和控制糖脂代谢紊乱提供科学的锻炼指导。方法:检索中国知网、万方、维普数据库,收集关于规律运动对成年人糖脂代谢影响的研究成果,采用Cochrane偏倚风险评估工具对文献质量进行评估,采用RevMan 5.2进行Meta分析。结果:共纳入17篇研究文献,其中较高质量的2篇、中等质量的8篇、低等质量的7篇;Meta分析结果显示,与对照组相比较,规律运动能够有效降低机体的血糖、甘油三酯和总胆固醇含量,增加高密度脂蛋白含量,但规律运动对于降低低密度脂蛋白含量没有显著效果;进一步亚组分析结果显示,规律运动的干预时间无论长短均与血糖含量存在显著差异,但多于3个月时才能降低甘油三酯、总胆固醇含量,增加高密度脂蛋白含量。结论:规律运动能够有效改善糖脂代谢水平,当运动持续时间多于3个月,改善糖脂代谢水平的效果将更明显。
关键词:  规律运动  成年人  糖脂代谢  Meta分析
DOI:
基金项目:
A Meta-analysis of Effects of Regular ExerciseTraining on Glucolipid Metabolism in Adults
SUN Xiao-gang
(School of Physical Education, Shanxi Normal University)
Abstract:
Objective:The aim of this study is to provide scientific exercise guidance for preventing and controlling glucolipid metabolism disorders by evaluating regular exercise effects on the adults’ glucolipid metabolism. Method: Search the database of CNKI, Wanfang, and Weipu to acquire the research literature about the effects of regular exercise on glucolipid metabolism of adults. The methodological quality of previous researches is assessed by the Cochrane collaborations tool for assessing risk of bias,The Meta-analysis is performed by using RevMan 5.2. Results: Among the seventeen studies concluded, two studies are graded as high quality, eight as moderate, and other seven as low. The result of Meta-analysis shows the following:Compared with control group, regular exercise can effectively reduce the body’s blood sugar, triglyceride, total cholesterol level, and increase HDL-C level.But regular exercise has no significant effect on reducing LDL-C level. The sub-group analysis suggests that intervention has significant difference with blood sugar level, regardless of the intervention duration of regular exercise, but when intervention goes longer than three months, regular exercise can reduce triglyceride and total cholesterol levels, and increase HDL-C content.Conclusions:Regular exercise can improve the glucolipid metabolism, and when the exercise duration goes more than three months, the effect of regular exercise is more obvious on improving glucolipid metabolism.
Key words:  regular exercise  adults  glucolipid metabolism  meta-analysis

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