本文選題：有氧運(yùn)動(dòng) + 肥胖�。� 參考：《華東交通大學(xué)》2017年碩士論文

【摘要】：研究目的:本研究通過對(duì)肥胖大學(xué)生和正常大學(xué)生進(jìn)行14周中等強(qiáng)度的有氧運(yùn)動(dòng)干預(yù),分析運(yùn)動(dòng)干預(yù)前后受試者的身體形態(tài)指標(biāo)(體重、BMI、體脂率、腰圍、臀圍、腰臀比、腰圍身高比)、血糖(FBG)、血脂(TG、TC、HDL-C、LDL-C)、胰島素及血清Hcy、LP(a)各指標(biāo)情況的變化,旨在探討有氧運(yùn)動(dòng)對(duì)血清Hcy、LP(a)及身體形態(tài)、糖脂代謝等部分心血管疾病危險(xiǎn)因素相關(guān)指標(biāo)的影響,為心血管疾病危險(xiǎn)因素的早期干預(yù)效果提供實(shí)證研究證據(jù)。同時(shí)重點(diǎn)分析Hcy、Lp(a)兩指標(biāo)在有氧運(yùn)動(dòng)干預(yù)后對(duì)預(yù)防和改善肥胖大學(xué)生心血管疾病患病風(fēng)險(xiǎn)有無重要意義。研究方法:根據(jù)中國肥胖問題工作組(WGOC)于2006年發(fā)布的《中國成人超重和肥胖癥預(yù)防與控制指南》的肥胖標(biāo)準(zhǔn),通過華東交通大學(xué)新生入學(xué)大學(xué)生的體質(zhì)測試篩選出BMI"g28的學(xué)生若干人。在排除繼發(fā)性肥胖后,根據(jù)自愿原則征集到27人參加體質(zhì)健康促進(jìn)班(男生19人,女生8人)確定為實(shí)驗(yàn)組,另外面向全體新生征集18"fBMI"f24的學(xué)生13人(男生6人,女生7人)作為正常對(duì)照組混合加入體質(zhì)健康促進(jìn)班。對(duì)實(shí)驗(yàn)組和對(duì)照組進(jìn)行為期14周,每周5次、每次1小時(shí)的中等強(qiáng)度有氧運(yùn)動(dòng)進(jìn)行鍛煉。運(yùn)動(dòng)干預(yù)前后在同等條件下對(duì)受試者的身體形態(tài)指標(biāo)(體重、BMI、體脂率、腰圍、臀圍、腰臀比、腰圍身高比)、血糖(FBG)、血脂(TG、TC、HDL-C、LDL-C)、胰島素及血清Hcy、LP(a)各指標(biāo)的測試。運(yùn)用SPSS18.0統(tǒng)計(jì)學(xué)軟件進(jìn)行數(shù)理統(tǒng)計(jì)分析。研究結(jié)果:(1)14周有氧運(yùn)動(dòng)鍛煉后,實(shí)驗(yàn)組大學(xué)生的體重、BMI、體脂率、腰圍、臀圍均非常顯著下降(P㩳0.01);身體機(jī)能指標(biāo)中平均收縮壓非常顯著下降(P㩳0.01),肺活量指數(shù)、F.C心功能能力非常顯著增高(P㩳0.01);糖脂代謝和胰島素指標(biāo):FBG、TC、LDL-C、FINS、HOMA-IR均非常顯著下降(P㩳0.01),HDL-C水平顯著升高(P㩳0.01)。對(duì)照組大學(xué)生的體脂率、腰圍、臀圍均顯著下降(P㩳0.05);身體機(jī)能指標(biāo)中肺活量指數(shù)、F.C心功能能力有非常顯著增高(P㩳0.01);糖脂代謝和胰島素指標(biāo),FBG、TC、LDL-C非常顯著性下降(P㩳0.01),HDL-C水平顯著升高,FINS、HOMA-IR水平有一定程度下降,但不具有統(tǒng)計(jì)學(xué)意義。(2)14周有氧運(yùn)動(dòng)干預(yù)后實(shí)驗(yàn)組和對(duì)照的血清Hcy、LP(a)水平均非常顯著下降(P㩳0.01),運(yùn)動(dòng)干預(yù)前實(shí)驗(yàn)組與對(duì)照組比較Hcy、LP(a)水平無顯著性差異,運(yùn)動(dòng)干預(yù)后實(shí)驗(yàn)組與對(duì)照組比較Hcy水平無顯著性差異,而兩組間LP(a)水平具有顯著性差異。結(jié)論:(1)14周有氧運(yùn)動(dòng)能有效降低肥胖和正常大學(xué)生的BMI、體脂率、腰圍、臀圍水平,改善身體形態(tài)。(2)14周有氧運(yùn)動(dòng)可有效控制肥胖大學(xué)生的血壓,改善身體機(jī)能的水平,提高心肺耐力水平。(3)14周有氧運(yùn)動(dòng)能使血糖FBG、血脂TC、LDL-C及胰島素抵抗指數(shù)顯著下降,HDL-C水平顯著升高,能改善正常大學(xué)生血脂狀態(tài),促進(jìn)了肥胖大學(xué)生的糖脂代謝朝有益于健康的方向發(fā)展。(4)14周有氧運(yùn)動(dòng)能降低肥胖大學(xué)生和正常大學(xué)生血清Hcy、Lp(a)水平,并能有效降低肥胖大學(xué)生患心血管病的風(fēng)險(xiǎn)。
[Abstract]:Objective: to analyze the body shape index (body weight, BMI, body fat rate, waist circumference, hip circumference, waist to hip ratio, waist height ratio), blood glucose (FBG), blood lipid (TG, TC, HDL-C, LDL-C), insulin and serum Hcy, LP (a) in the subjects before and after exercise intervention by the intervention of moderate aerobic exercise for 14 weeks. The changes in the standard conditions were designed to explore the effects of aerobic exercise on the risk factors related to cardiovascular diseases, such as serum Hcy, LP (a), body morphology and glycolipid metabolism, and to provide empirical evidence for the early intervention effect of cardiovascular risk factors. Meanwhile, the emphasis was on the prevention and modification of Hcy, Lp (a) two index after aerobic exercise intervention. The risk of cardiovascular disease in obese college students has no significance. Research methods: according to the obesity standard of China's obesity problem working group (WGOC) published in 2006, the guidelines for prevention and control of obesity and obesity in China, a number of students of BMI "G28" were screened through the physical test of freshmen in East China Jiaotong University. After eliminating secondary obesity, 27 people were recruited according to the voluntary principle to participate in the physical health promotion class (19 boys and 8 girls) as the experimental group. In addition, 13 students (6 boys and 7 girls) who were recruited by all the freshmen (6 boys and 7 girls) were mixed with the normal control group and joined the physical health promotion class. The experiment group and the control group were carried out for the experimental group and the control group. 14 weeks, 5 times a week, 1 hours of moderate intensity aerobic exercise. The body shape index (body weight, BMI, body fat rate, waist circumference, hip circumference, waist to hip ratio, waist height ratio), blood glucose (FBG), blood lipid (TG, TC, HDL-C, LDL-C), insulin and serum Hcy, LP (a) were tested under the same condition before and after exercise intervention. Statistical analysis of 0 statistics software. The results were as follows: (1) after 14 weeks of aerobic exercise, the body weight, BMI, body fat rate, waist circumference and hip circumference of the experimental group were significantly decreased (P? 0.01); the average systolic blood pressure in the body function index was significantly decreased (P? 0.01), the vital capacity index and the function of F.C were significantly increased (P? 0.01); glycolipid Metabolic and insulin indicators: FBG, TC, LDL-C, FINS, HOMA-IR were significantly decreased (P? 0.01), HDL-C level was significantly increased (P? 0.01). The body fat rate, waist circumference and hip circumference of the control group were significantly decreased (P? 0.05); the vital capacity index in the body function index, F.C heart function ability was significantly increased (P? 0.01); glycolipid metabolism and insulin index, FBG TC, LDL-C significantly decreased (P? 0.01), HDL-C level significantly increased, FINS, HOMA-IR level decreased to a certain extent, but did not have statistical significance. (2) after 14 weeks of aerobic exercise intervention, the serum Hcy, LP (a) levels of both the experimental group and the control group were significantly decreased (P? 0.01). Before the exercise intervention, the experimental group was not significantly higher than the control group, and there was no significant level of LP. There was no significant difference in the level of Hcy between the experimental group and the control group after the exercise intervention, while the LP (a) level between the two groups had significant differences. Conclusion: (1) 14 weeks of aerobic exercise can effectively reduce the BMI, body fat rate, waist circumference, hip circumference and body shape of normal college students. (2) 14 weeks of aerobic exercise can effectively control Obese College Students Blood pressure, improve the level of physical function, improve the level of cardiopulmonary endurance. (3) 14 weeks of aerobic exercise can reduce blood sugar FBG, blood lipid TC, LDL-C and insulin resistance index significantly decreased, HDL-C level significantly increased, can improve normal college students blood lipid status, and promote the obesity of Obese College students to health benefits in the direction of development. (4) 14 Zhou Youyang Exercise can reduce the serum Hcy, Lp (a) levels of Obese College Students and normal college students, and can effectively reduce the risk of cardiovascular disease among obese college students.

【學(xué)位授予單位】：華東交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：G804.2

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