本文關(guān)鍵詞：24周北歐健步走對糖尿病前期非酒精性脂肪肝中老年女性身體成分和肝臟脂肪含量的影響　出處：《上海體育學(xué)院》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 糖尿病前期 非酒精性脂肪肝 北歐健步走 身體成分 肝臟脂肪含量

【摘要】：研究目的本研究擬通過雙能X射線吸收掃描儀和氫質(zhì)子磁共振波譜技術(shù)對糖尿病前期非酒精性脂肪肝中老年女性身體成分和肝臟脂肪含量進行定量評估,進而評價24周北歐健步走運動是否能夠改善糖尿病前期非酒精性脂肪肝,為更好的利用有氧運動干預(yù)和控制非酒精性脂肪肝提供參考依據(jù)。研究方法1.研究對象:以上海市楊浦區(qū)糖尿病前期非酒精性脂肪肝中老年女性40名為研究對象,隨機分成運動組和對照組,每組20人。研究期間有7人因病因事退出,共有17名運動組(平均年齡60.0±3.7歲)和16名對照組(平均年齡58.8±4.2歲)完成本研究。受試者均自愿參與研究,簽署知情同意書。2.干預(yù)方案:運動方式以北歐健步走有氧運動為主,結(jié)合拉伸訓(xùn)練和太極拳作為準備練習(xí)和整理活動。受試者在社區(qū)運動場地以群練的形式進行運動,運動強度從最大攝氧量的60%逐步提升至75%,運動時間由每次45分鐘逐步提升至每次60分鐘,次數(shù)由每周3次逐步提升至每周5次,持續(xù)24周。3.宣傳教育:對照組將接受包括慢性病防治、健康飲食教育以及運動指導(dǎo)的宣傳教育并被告知保持原有的體力活動水平和生活、飲食方式不變。4.測試指標(biāo):在干預(yù)前后分別采用雙能X射線吸收掃描儀進行檢測受試者體脂率;上肢、下肢、軀干、腰腹部、腹臀部、全身的脂肪含量和瘦體重;采用超導(dǎo)型磁共振成像系統(tǒng)對肝臟脂肪含量進行非侵入性檢測。研究結(jié)果1.24周北歐健步走干預(yù)后,運動組體脂率、體重較干預(yù)前降低有顯著統(tǒng)計學(xué)意義(p0.05);對照組體重較干預(yù)前略有升高,但統(tǒng)計學(xué)意義不顯著(p0.05)。組間比較,運動組體重較對照組呈降低趨勢,但統(tǒng)計學(xué)意義不顯著(p0.05)。2.24周北歐健步走干預(yù)后,運動組各部位脂肪含量較干預(yù)前降低統(tǒng)計學(xué)意義顯著(p0.05);對照組除腰腹部外,各部位脂肪含量較干預(yù)前升高統(tǒng)計學(xué)意義顯著(p0.05)。干預(yù)后,運動組腰腹部、腹臀部脂肪含量較對照組均降低顯著(p0.05)。3.24周北歐健步走干預(yù)后,運動組上下肢瘦體重較干預(yù)前升高統(tǒng)計學(xué)意義顯著(p0.05);對照組下肢、軀干、全身瘦體重較干預(yù)前降低統(tǒng)計學(xué)意義顯著(p0.05)。干預(yù)后,運動組各部位瘦體重與對照組相比,統(tǒng)計學(xué)意義不顯著(p0.05)。4.24周北歐健步走干預(yù)后,運動組肝臟脂肪含量較干預(yù)前降低統(tǒng)計學(xué)意義顯著(p0.05),對照組肝臟脂肪含量較干預(yù)前升高統(tǒng)計學(xué)意義顯著(p0.05)。組間比較,運動組肝臟脂肪含量較對照組降低統(tǒng)計學(xué)意義顯著(p0.05)。5.腰腹部脂肪含量與肝臟脂肪含量呈高度相關(guān)(R0.7,p0.05);腹臀部脂肪含量與肝臟脂肪含量呈低度相關(guān)(R0.4,p0.05)。研究結(jié)論1.24周北歐健步走能明顯降低體脂率、體重和明顯改善中心性肥胖內(nèi)臟脂肪的堆積,也改善全身脂肪的堆積。2.24周北歐健步走能有效增加上肢瘦體重,提高了運動時機體的能量代謝。3.24周北歐健步走能有效改善非酒精性脂肪肝患者肝臟脂肪堆積情況,對非酒精性脂肪肝的治療有積極作用。4.腰腹部脂肪含量與肝臟脂肪含量高度相關(guān),表明腰腹部脂肪含量可作為輔助判斷非酒精性脂肪肝的生理學(xué)指標(biāo)。
[Abstract]:The purpose of this study is by dual energy X ray scanner and proton magnetic resonance spectroscopy of pre diabetes in nonalcoholic fatty liver disease in elderly female body composition and liver fat content were quantitatively assessed and evaluated 24 weeks of Nordic walking exercise to improve pre diabetes of nonalcoholic fatty liver disease, to better use aerobic exercise intervention and provide reference for the control of non alcoholic fatty liver. Research methods 1. object of study: 40 middle-aged and elderly women with non-alcoholic fatty liver disease in Yangpu District, Shanghai, were randomly divided into exercise group and control group, 20 in each group. During the study, 7 people withdrew from the cause of the disease. A total of 17 sports groups (average age 60 + 3.7 years old) and 16 control groups (average age 58.8 + 4.2 years old) were completed. The subjects voluntarily participated in the study and signed the informed consent. 2. intervention plan: movement to the Nordic walking aerobic exercise, stretching by training and Taijiquan as preparatory exercises and consolidation activities. Subjects in the exercise of community sports training group in the form of exercise intensity from 60% VO2max increased gradually to 75%, the exercise time every 45 minutes up to 60 minutes each time, 3 times a week by the number of up to 5 times a week for 24 weeks. 3. publicity and education: the control group will receive publicity and education including chronic disease prevention, health diet education and sports guidance, and is told to keep the original physical activity level and lifestyle and diet mode unchanged. 4. test index: before and after the intervention by dual energy X ray absorption scanner to detect subjects of body fat rate; the fat content of upper and lower limbs, torso, waist and abdomen, buttocks, abdomen and body weight; non invasive detection of hepatic fat content by superconducting magnetic resonance imaging system. Results 1.24 weeks of Nordic walking exercise group after the intervention, body fat, body weight than before the intervention significantly decreased (P0.05); the control group body weight increased slightly compared with before intervention, but were not significant (P0.05). Compared with the control group, the body weight of the sports group was lower than that of the control group, but the statistical significance was not significant (P0.05). Nordic walking 2.24 weeks after the intervention, the fat content of each part of the exercise group lower than before intervention were statistically significant (P0.05); the control group in addition to the waist and abdomen, fat content in different parts of statistically significantly increased compared with before intervention (P0.05). The fat content in the lumbar abdomen and abdomen of the exercise group was significantly lower than that of the control group (P0.05). 3.24 weeks of Nordic walking intervention, exercise group on lower limb lean body weight compared with before intervention statistically significantly increased (P0.05); control group, lower limbs and trunk lean body weight lower than before intervention were statistically significant (P0.05). After the intervention, the lean body weight of each part of the exercise group was not statistically significant compared with the control group (P0.05). 4.24 weeks of Nordic walking intervention, exercise group liver fat content lower than before intervention were statistically significant (P0.05), the control group of liver fat content compared with before intervention statistically significantly increased (P0.05). Compared with the control group, the fat content of the liver in the exercise group was significantly lower than that in the control group (P0.05). 5. the fat content of the waist and abdomen was highly correlated with the fat content of the liver (R0.7, P0.05), and the fat content in the abdomen and buttocks was correlated with the liver fat content in a low degree (R0.4, P0.05). The conclusion of the study 1.24 weeks walking Nordic can significantly reduce the accumulation of body fat percentage, body weight and improve central obesity, visceral fat, also improve the accumulation of body fat. 2.24 weeks of Nordic walking can effectively increase the upper limb lean body mass, improve the energy metabolism during exercise. 3.24 weeks of Nordic walking can effectively improve the patients with non-alcoholic fatty liver fatty liver, have a positive role in the treatment of nonalcoholic fatty liver disease. 4. the fat content of the waist and abdomen is highly correlated with the fat content of the liver, which indicates that the fat content in the waist and abdomen can be used as a physiological index to judge non-alcoholic fatty liver.
【學(xué)位授予單位】：上海體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：G804.2

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1 Paola Dongiovanni;Benedetta Donati;Roberta Fares;Rosa Lombardi;Rosellina Margherita Mancina;Stefano Romeo;Luca Valenti;;PNPLA3 I148M polymorphism and progressive liver disease[J];World Journal of Gastroenterology;2013年41期

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本文編號：1340582