本文選題：低氧 + 運動與飲食控制��； 參考：《上海體育學(xué)院》2015年碩士論文

【摘要】：研究目的:本研究以肥胖青少年為研究對象,比較低氧艙睡眠結(jié)合運動與飲食控制和單純運動與飲食控制減肥效果以及受試者血漿食欲調(diào)節(jié)激素水平的差異,分析低氧艙睡眠對肥胖青少年食欲調(diào)節(jié)激素的影響,為低氧艙睡眠結(jié)合運動與飲食控制的減肥方式提供科學(xué)依據(jù)。研究方法:將35名超重和肥胖青少年隨機分為對照組(19人)和實驗組(16人)進行為期4周的干預(yù)。對照組采用有氧運動結(jié)合飲食控制的傳統(tǒng)減肥方式,根據(jù)受試者的健康狀況和運動負(fù)荷試驗確定運動強度,制定個性化的運動處方,營養(yǎng)師根據(jù)受試者的基礎(chǔ)代謝率制定合理的飲食方案,保證熱量和必需營養(yǎng)物質(zhì)的供給。實驗組除進行與對照組相同的運動與飲食控制干預(yù)外,受試者每日夜間于低氧艙內(nèi)眠,低氧環(huán)境為模擬海拔2700米高度,每日睡眠時間為10小時。干預(yù)前、后分別檢測受試者形態(tài)學(xué)指標(biāo)及血漿食欲調(diào)節(jié)激素(Insulin,Leptin,Ghrelin,PYY,CCK,GLP-1,MCP-1)水平。研究結(jié)果:(1)干預(yù)后,兩組受試者體重、BMI、體脂含量、腰臀比、舒張壓、安靜心率均顯著低于干預(yù)前水平(p0.01);對照組干預(yù)后收縮壓低于干預(yù)前水平(p0.01),而實驗組干預(yù)前后無顯著性差異(p0.05)。干預(yù)后,實驗組體重變化率和BMI下降程度均顯著大于對照組(p0.05),而其他形態(tài)學(xué)指標(biāo)變化量組間無顯著差異(p0.05)。干預(yù)后,實驗組男性受試者體重變化率和BMI下降程度均顯著高于對照組(p0.05),實驗組女性受試者各項形態(tài)學(xué)指標(biāo)變化量與對照組相比均無顯著差異(p0.05)。(2)干預(yù)后,對照組血漿Insulin水平顯著低于干預(yù)前(p0.01),實驗組干預(yù)前后無顯著性差異(p0.05),且Insulin水平的變化量組間存在顯著性差異(p0.05);干預(yù)后兩組Leptin水平均顯著低于干預(yù)前(p0.01),但對照組Leptin水平的下降程度顯著大于實驗組(p0.05);干預(yù)后,實驗組Ghrelin水平顯著高于干預(yù)前(p0.05),對照組干預(yù)前后無顯著性差異(p0.05),且Ghrelin水平的變化量組間無顯著性差異(p0.05);干預(yù)后,對照組CCK水平顯著下降(p0.05),實驗組CCK水平無顯著變化(p0.05),且CCK水平的變化量組間存在顯著性差異(p0.05);對照組MCP-1呈下降趨勢,實驗組MCP-1呈升高趨勢,且MCP-1水平的變化量組間存在顯著性差異(p0.05)。(3)男性受試者:干預(yù)后,對照組Insulin水平呈下降趨勢,實驗組Insulin水平呈上升趨勢,Insulin變化量組間存在顯著性差異(p0.05);對照組PYY水平呈下降趨勢,實驗組PYY水平呈上升趨勢,PYY水平變化量組間存在顯著性差異(p0.05);兩組CCK水平均呈下降趨勢,實驗組下降程度顯著小于對照組(p0.05)。女性受試者:干預(yù)后實驗組各項食欲調(diào)節(jié)激素水平與對照組均無顯著性差異(p0.05)。研究結(jié)論:(1)單純運動與飲食控制和低氧艙睡眠結(jié)合運動與飲食控制均可顯著降低肥胖青少年體重、BMI和體脂含量;相比之下,低氧艙睡眠結(jié)合運動與飲食控制對肥胖青少年減肥效果更有利。(2)運動結(jié)合飲食控制的減肥方式在起到減、控體重效果的同時使肥胖青少年血漿食欲抑制激素(CCK,Insulin,Leptin)水平下降,可能導(dǎo)致受試者食欲增強;而低氧艙睡眠結(jié)合運動與飲食控制可通過維持食欲抑制激素(Insulin,Leptin,CCK)的水平改善單純運動結(jié)合飲食控制導(dǎo)致食欲增強的狀況,可能更有利于肥胖青少年減重過程中食欲的控制。(3)低氧艙睡眠結(jié)合運動與飲食控制的減肥方式對肥胖青少年形態(tài)學(xué)和食欲調(diào)節(jié)激素指標(biāo)的影響存在性別差異,男性肥胖青少年形態(tài)學(xué)(體重,BMI)和食欲調(diào)節(jié)激素指標(biāo)(Insulin,PYY,CCK)受低氧艙睡眠刺激的影響更為顯著,應(yīng)根據(jù)實際情況選擇性使用。
[Abstract]:Objective: To compare the effects of sleep binding exercise, diet control, diet control, diet control and diet control, and the difference in the level of plasma appetite regulating hormones in the subjects, and to analyze the effects of hypoxia on the appetite of obese adolescents and the sleep binding activity of the hyperoxygen chamber. 35 overweight and obese adolescents were randomly divided into the control group (19 people) and the experimental group (16 people) for 4 weeks. The control group adopted the traditional diet control method with aerobic exercise combined with diet control, and determined exercise according to the health status of the subjects and exercise load test. The dietitians make a reasonable diet plan according to the basal metabolic rate of the subjects to ensure the supply of heat and essential nutrients. In addition to the same exercise and diet control intervention with the control group, the experimental group sleep at night in the hypoxia compartment and the hypoxic environment is 2700 meters high. Degree, daily sleep time was 10 hours. Before intervention, the morphological indexes of subjects and plasma appetite regulating hormone (Insulin, Leptin, Ghrelin, PYY, CCK, GLP-1, MCP-1) were measured respectively. The results were as follows: (1) after the intervention, the body weight, BMI, body fat content, waist to hip ratio, diastolic pressure and quiet heart rate of the two subjects were significantly lower than those before intervention (P0.01); After intervention, the systolic pressure was lower than that before intervention (P0.01), but there was no significant difference between the experimental group before and after intervention (P0.05). The weight change rate and the decrease degree of BMI in the experimental group were significantly greater than those in the control group (P0.05), but there was no significant difference between the changes of other morphological indexes (P0.05). The prognosis of the male subjects in the experimental group was not significant (P0.05). The degree of decrease in BMI was significantly higher than that of the control group (P0.05). There was no significant difference in the changes of the morphological indexes between the experimental group and the control group (P0.05). (2) the plasma Insulin level in the control group was significantly lower than that before the intervention (P0.01), and there was no significant difference before and after the intervention (P0.05) in the experimental group (P0.05), and the changes of the Insulin level were between the groups. There was significant difference (P0.05). The level of Leptin in two groups was significantly lower than that before intervention (P0.01), but the level of Leptin in the control group was significantly greater than that in the experimental group (P0.05); the Ghrelin level in the experimental group was significantly higher than that before the intervention (P0.05), and there was no significant difference (P0.05) in the control group before and after the dry pre intervention (P0.05), and the variation of the level of Ghrelin was between the groups. There was no significant difference (P0.05); the level of CCK in the control group decreased significantly (P0.05), and there was no significant change in the level of CCK in the experimental group (P0.05), and there was a significant difference between the changes of the CCK level (P0.05); the control group MCP-1 showed a downward trend, and the MCP-1 in the experimental group increased, and there was a significant difference (P0.05) between the MCP-1 levels. (3) Male subjects: the Insulin level in the control group showed a downward trend, the level of Insulin in the experimental group showed an upward trend, and there was a significant difference between the Insulin changes (P0.05), the level of PYY in the control group was declining, the PYY level in the experimental group was rising, the PYY level was significantly different (P0.05), and the two groups of CCK were all lower. The decreasing degree of the experimental group was significantly lower than that of the control group (P0.05). There was no significant difference in the level of appetite regulating hormone between the experimental group and the control group (P0.05). (1) the study conclusions: (1) simple exercise and diet control and low oxygen chamber sleep combined transport and diet control can significantly reduce the weight of obese adolescents, BMI and In contrast, the sleep binding and diet control of the low oxygen chamber is more beneficial to obese adolescents. (2) the way of reducing weight loss with diet control and reducing the level of CCK, Insulin, Leptin in obese adolescents may lead to increased appetite. The sleep binding exercise and diet control in the hypoxic chamber can improve the condition of appetite enhancement through the maintenance of appetite suppressor hormone (Insulin, Leptin, CCK) and diet control, which may be more beneficial to the control of appetite in the weight loss process of obese adolescents. (3) low oxygen chamber sleep combined exercise and diet controlled weight loss methods There is a gender difference in the effects of morphologic and appetite regulating hormone indicators in obese adolescents. The morphological (weight, BMI) and appetite regulating hormone indicators (Insulin, PYY, CCK) of male obese adolescents are more affected by the sleep stimulation of the hyperoxygen chamber, and should be selected according to the actual conditions.
【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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