抗阻运动对绝经综合征妇女代谢相关指标影响的系统评价

doi:10.3761/j.issn.1672-9234.2022.12.015

摘要/Abstract

摘要：

目的采用Meta分析评价抗阻运动对绝经综合征妇女代谢相关指标影响的效果。方法计算机检索Cochrane Library、PubMed、Embase、中国知网、万方等数据库中有关抗阻运动对绝经综合征妇女代谢相关指标影响的随机对照试验，检索时限为建库至2021年8月，由2名研究者独立筛选文献、提取资料、评价文献质量后，采用RevMan 5.2对数据进行Meta分析。结果最终纳入11篇文献，共289例研究对象。Meta分析结果显示，与对照组相比，抗阻运动可改善绝经综合征妇女的收缩压[SMD=-0.46，95%CI（-0.92，-0.01），P=0.04]、体重[MD=-2.20，95%CI（-4.25，-0.16），P=0.03]和BMI[MD=-0.82，95%CI（-1.61，-0.03），P=0.04]，但对体重和BMI进行敏感性分析后，其改善效果不明显，Meta分析结果不稳定；抗阻运动对舒张压[SMD=-0.21，95%CI（-0.66，0.23），P=0.35]、总胆固醇[SMD=-0.10，95%CI（-0.54，0.34），P=0.65]、高密度脂蛋白胆固醇[SMD=0.31，95%CI（-0.06，0.68），P=0.10]、低密度脂蛋白胆固醇[SMD=-0.08，95%CI（-0.47，0.32），P=0.69]、甘油三酯[SMD=-0.19，95%CI（-0.75，0.37），P=0.51]和血糖[SMD=-0.42，95%CI（-1.19，0.35），P=0.28]的改善效果不明显。结论抗阻运动能有效改善绝经综合征妇女的收缩压，但对绝经综合征妇女的舒张压、血脂、血糖、体重和BMI的影响尚需更大样本量、更高质量的研究予以验证。

关键词: 抗阻运动, 绝经, 代谢相关指标, Meta分析

Abstract:

Objective To systematically evaluate the effects of resistance exercises on the metabolism-related indicators of menopausal women using meta-analysis. Methods We searched databases including Cochrane Library，PubMed，Embase，CNKI，Wanfang etc. to collect studies about the effects of resistance exercises on the metabolism-related indicators of menopausal women published from their inception to August 2021. Meta-analysis was performed using RevMan 5.2 software after two reviewers independently screened the studies，extracted data，and evaluated paper quality. Results Eleven studies were recruited，including 289 participants. The results of meta-analysis showed that resistance exercises could significantly improve the systolic blood pressure[SMD=-0.46，95%CI（-0.92，-0.01），P=0.04]，body mass[MD=-2.20，95%CI（-4.25，-0.16），P=0.03]，and BMI[MD=-0.82，95%CI（-1.61，-0.03），P=0.04]. The results of sensitivity analysis on body mass and BMI showed that there was no statistically significant differences between the two groups，and the meta-analysis results were unstable. However，resistance exercises could not significantly improve diastolic blood pressure[SMD=-0.21，95%CI（-0.66，0.23），P=0.35]，TC[SMD=-0.10，95%CI（-0.54，0.34），P=0.65]，HDL-C[SMD=0.31，95%CI（-0.06，0.68），P=0.10]，LDL-C[SMD=-0.08，95%CI（-0.47，0.32），P=0.69]，TG[SMD=-0.19，95%CI（-0.75，0.37），P=0.51] and blood glucose[SMD=-0.42，95%CI（-1.19， 0.35），P=0.28]. Conclusion Resistance exercises can improve the systolic blood pressure of menopausal women. However，a larger sample size is still needed to provide evidence regarding the effectiveness of resistance exercises on diastolic blood pressure，blood lipids，blood glucose，body mass and BMI of menopausal women.

Key words: Resistance exercises, Menopause, Metabolism-related indicators, Meta analysis

武莉莉, 杨娜, 赵辉. 抗阻运动对绝经综合征妇女代谢相关指标影响的系统评价[J]. 中华护理教育, 2022, 19(12): 1130-1135.

WU Lili, YANG Na, ZHAO Hui. The effects of resistance exercises on the metabolism-related indicators of menopausal women：a systematic review[J]. Chinese Journal of Nursing Education, 2022, 19(12): 1130-1135.

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