發(fā)布時間：2018-04-20 21:20

  本文選題：非酒精性脂肪肝 + 抗阻訓練　； 參考：《廣州體育學院》2017年碩士論文

【摘要】：研究目的近年來,抗阻訓練在減肥方面有一定的研究,非酒精性脂肪肝人群大部分伴隨肥胖狀態(tài),有氧運動對脂肪肝的干預效果已有大量的研究,并取得良好效果�？棺栌柧毥Y(jié)合有氧運動共同干預性脂肪肝當前未見有研究,本研究通過制定12周規(guī)律、合理、個體化的抗阻訓練結(jié)合健步走運動處方對非酒精性脂肪肝患者實施干預,觀察分析非酒精性脂肪肝患者的身體形態(tài)、身體成分、肝功能、血脂和肝臟B超影像等的變化,探討抗阻訓練結(jié)合健步走運動對非酒精性脂肪肝的干預效果,以期望能為非酒精性脂肪肝的防治工作提供有效的依據(jù)。研究方法采用自愿報名參加的形式,在醫(yī)學體檢的基礎(chǔ)上,通過問卷調(diào)查和肝臟B超篩選出符合脂肪肝診斷標準的非酒精性脂肪肝患者進行抗阻訓練結(jié)合健步走運動干預。其中男性18名,女性10名,年齡在32歲-56歲之間,平均年齡45.82±7.55歲。12周的抗阻訓練結(jié)合健步走運動后,將13名連續(xù)1周內(nèi)不能達到3次運動次數(shù)的研究對象視為脫落,對其余15名研究對象數(shù)據(jù)進行分析。實驗過程中進行四次健康教育講座;在開始實驗前和實驗結(jié)束后相同實驗條件下測試研究對象的各項指標,包括肝臟B超、身體形態(tài)指標、身體成分、肝功能和血脂等指標。數(shù)據(jù)分析采用SPSS17.0社會科學統(tǒng)計軟件包完成,運動干預前后的比較采用配對樣本T檢驗完成,P0.05為差異有統(tǒng)計學意義。實驗結(jié)果1運動前后身體形態(tài)的變化經(jīng)過12周的運動干預后,非酒精性脂肪肝患者形態(tài)指標均有非常明顯的降低。其中體重、BMI、腰圍、臀圍、腰臀比、胸圍、大腿圍均呈現(xiàn)出非常顯著性降低(P0.01);運動干預前BMI僅有3例(20%)在正常范圍內(nèi),運動后增加到7例(46.6%);腰臀比2例(13.3%)運動后增加到4例(26.6%),運動干預前有5例(33.3%)腰臀比超過1.0,運動后降低到0例。2運動前后身體成分的變化經(jīng)過12周的運動干預后,非酒精性脂肪肝患者脂肪百分比、內(nèi)臟脂肪水平和去脂肪軟體重、腹部脂肪厚度具有非常顯著性差異(P0.05)。3運動前后肝功能的變化經(jīng)過12周的運動干預后,非酒精性脂肪肝患者ALP、γ—GT、LDH、DBIL、IBIL、TBIL、TP、GLOB、ALT、AST均降低,其中GLOB的降低具有顯著性差異(P0.05),ALT和AST具有非常顯著性差異(P0.01),其他指標均無統(tǒng)計學意義(P0.05)。另外A/G、ALB、AST/ALT有所上升。4運動前后血脂的變化經(jīng)過12周的運動干預后,非酒精性脂肪肝患者運動前后除ApoA1/ApoB均值上升外,TG、CHOL、HDL-C、LDL-C、ApoA1、ApoB等六項指標均值均降低,除TG的降低具有顯著性差異外(P0.05),其他指標的降低均不具統(tǒng)計學意義(P0.05)。運動干預前TG異常有10例(66%),經(jīng)12周運動干預后,下降為4例(26%),CHOL從運動干預前的7例(46%)下降為5例(33%),LDL-C從運動前的6例(40%)下降為4例(26%)。5運動前后脂肪肝程度和療效的分析經(jīng)過12周的運動訓練后,非酒精性脂肪肝患者中,3例中度脂肪肝均降低到輕度脂肪肝;12例輕度脂肪肝中有8例變?yōu)闊o脂肪肝,7例仍為輕度脂肪肝,B超圖像顯示5例在同等級中程度減輕,其他2例B超聲像圖顯示無改變。本實驗非酒精性脂肪肝患者中,治愈率為53.3%,有效但無治愈率為40%,無效率為6.7%,總有效率為93.3%。研究結(jié)論1本研究制定的12周抗阻訓練結(jié)合健步走運動方案,可有效的改善NAFLD患者的體重、腰圍和腰臀比等身體形態(tài)指標。2本研究制定的12周抗阻訓練結(jié)合健步走運動方案,可有效的改善NAFLD的體脂率、內(nèi)臟脂肪含量和腹部脂肪厚度。3本研究制定的12周抗阻訓練結(jié)合健步走運動方案,可以有效改善NAFLD患者的肝功能、血脂指標。4堅持進行本研究制定的12周抗阻訓練結(jié)合健步走運動方案,可有效的治療NAFLD,并可使大部分輕度NAFLD完全逆轉(zhuǎn)。5本研究制定的抗阻訓練結(jié)合健步走運動方案安全有效且容易重復,可作為防治非酒精性脂肪性肝病的一項重要、安全、有效的基礎(chǔ)治療措施,值得在社區(qū)、臨床上推廣使用。
[Abstract]:In recent years, anti resistance training has been studied in the field of weight loss. The majority of non alcoholic fatty liver groups are associated with obesity, and the effect of aerobic exercise on fatty liver has been studied, and good results have been achieved. There is no research on the combination of resistance training and aerobic exercise. Formulating 12 weeks regular, rational, individualized resistance training combined with walking exercise prescription for non-alcoholic fatty liver patients, observe and analyze the changes of body shape, body composition, liver function, blood lipid and liver B ultrasound in patients with non-alcoholic fatty liver, and explore the resistance training combined with walking exercise for non-alcoholic fatty liver. The effect of intervention is expected to provide an effective basis for the prevention and control of non-alcoholic fatty liver disease. The research method, on the basis of voluntary registration, is based on a questionnaire survey and the liver B ultrasound screening of non alcoholic fatty liver patients who are in line with the criteria of fatty liver diagnosis and carry out anti resistance training combined with walking exercise. Among them, 18 men and 10 women, aged between 32 years old and -56 years old, the average age of 45.82 + 7.55 years old and.12 weeks of resistance training combined with walking exercise, the subjects of 13 consecutive 1 weeks that could not reach 3 times of movement were regarded as falling off, and the data of the other 15 subjects were analyzed. Four health education was carried out during the experiment. The indexes of the subjects were tested under the same experimental conditions before and after the beginning of the experiment, including the indexes of liver B ultrasound, body shape index, body composition, liver function and blood lipid. The data analysis was completed by SPSS17.0 social science statistics software package, and the comparison before and after exercise intervention was completed by paired sample T test, P0.05 The results were statistically significant. Results 1 after 12 weeks of exercise after 12 weeks of exercise, the morphological indexes of nonalcoholic fatty liver patients were significantly reduced. The weight, BMI, waist circumference, hip circumference, waist to hip ratio, chest circumference, thigh circumference were significantly decreased (P0.01); before exercise intervention, only 3 cases (2) 0%) in the normal range, 7 cases (46.6%) were increased after exercise, 2 cases of waist hip ratio (13.3%) increased to 4 cases (26.6%), 5 (33.3%) waist to hip ratio before exercise intervention was more than 1, after exercise, the changes of body composition before and after.2 movement were after 12 weeks of exercise, the percentage of fat and visceral fat in nonalcoholic fatty liver patients. After 12 weeks of exercise after 12 weeks of exercise, the changes in liver function after.3 exercise were significantly different from those of non alcoholic fatty liver patients, such as ALP, gamma GT, LDH, DBIL, IBIL, TBIL, TP, GLOB, ALT, and AST. The difference (P0.01), the other indexes were not statistically significant (P0.05). In addition, the changes of blood lipid in A/G, ALB and AST/ALT were increased after 12 weeks of exercise after.4 exercise. The mean value of TG, CHOL, HDL-C, LDL-C, ApoA1, etc. decreased with the increase of the mean value of ApoA1/ApoB in non alcoholic fatty liver patients before and after exercise. The reduction of other indicators (P0.05) was not statistically significant (P0.05). Before exercise intervention, there were 10 cases (66%) of TG abnormality. After 12 weeks of exercise, 4 cases (26%), 7 cases (46%) before exercise intervention decreased to 5 (33%), LDL-C decreased from 6 (40%) before movement to 4 (26%) the degree of fatty liver and efficacy before and after.5 exercise. After 12 weeks of exercise training, 3 patients with nonalcoholic fatty liver were reduced to mild fatty liver, 8 in 12 mild fatty liver and 7 in mild fatty liver, 7 in mild fatty liver, 5 in the same grade, and 2 in the other 2. In patients with fatty liver, the cure rate is 53.3%, effective but no cure rate is 40%, inefficiency is 6.7%, the total effective rate is 93.3%. study conclusion 1 this study of 12 weeks resistance training combined with walking exercise program, can effectively improve the body weight of NAFLD patients, waist circumference and waist hip ratio body shape index.2 developed for 12 weeks resistance training knot It can effectively improve the body fat rate of NAFLD, the content of visceral fat and the thickness of abdominal fat, which can effectively improve the liver function of the patients with NAFLD, which can effectively improve the liver function of the patients with NAFLD, and the blood lipid index.4 persists in the 12 week resistance training combined with the walking exercise scheme, which can be carried out by this study. Effective treatment of NAFLD, and can make most of the mild NAFLD completely reversal of.5, the anti resistance training combined with walking exercise program is safe and effective and easy to repeat. It can be used as an important, safe and effective basic treatment for non-alcoholic fatty liver disease. It is worth to be used in the community.

【學位授予單位】：廣州體育學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：G804.2

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本文編號：1779493