首页|有氧运动治疗应用在单纯性肥胖儿童中对其糖脂代谢、胰岛素抵抗及血管内皮功能的影响分析

有氧运动治疗应用在单纯性肥胖儿童中对其糖脂代谢、胰岛素抵抗及血管内皮功能的影响分析

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目的 研究分析有氧运动治疗对单纯性肥胖儿童糖脂代谢、胰岛素抵抗以及血管内皮功能的影响.方法 简单随机选取2020年5月—2023年5月福建省泉州市洛江区妇幼保健院收治的60例单纯性肥胖的儿童作为研究对象,依据随机数表法分组,对照组(n=30)予以常规饮食及行为干预,观察组(n=30)基于对照组干预条件予以有氧运动治疗,比较两组儿童不同干预时间的糖脂代谢指标、机体胰岛素抵抗状况以及血管内皮功能.结果 干预后,观察组空腹血糖(Fasting Plasma Glucose,FPG)、胆固醇(Cholesterol,TC)以及三酰甘油(Triglyceride,TG)水平依次为(4.83±0.53)、(4.03±0.42)、(1.56±0.21)mmol/L,均低于对照组,分别为(5.19±0.61)、(4.65±0.53)、(1.79±0.24)mmol/L,差异有统计学意义(t=2.440、5.021、3.950,P均<0.05).干预后,观察组2项胰岛素抵抗指标[空腹胰岛素(Fasting Insulin,FINS)、胰岛素抵抗指数(Insulin Resistance Index,HOMA-IR)]均低于对照组,差异有统计学意义(t=3.472、2.544,P均<0.05).干预后,观察组一氧化氮(Nitric Oxide,NO)较对照组更高,内皮素-1(Endothelin-1,ET-1)较对照组更低,差异有统计学意义(t=2.719、3.298,P均<0.05).结论 对单纯性肥胖儿童实施有氧运动疗法干预,能够有效改善其糖脂代谢状况以及胰岛素抵抗问题,并且对血管内皮功能的恢复有良好助益.
Effects of Aerobic Exercise on Glucose and Lipid Metabolism,Insulin Resis-tance and Vascular Endothelial Function in Children with Simple Obesity
Objective To study and analyze the effects of aerobic exercise on glucose and lipid metabolism,insulin re-sistance and vascular endothelial function in children with simple obesity.Methods A total of 60 children diagnosed with simple obesity in Luojiang Maternal and Child Health Hospital of Quanzhou City,Fujian Province from May 2020 to May 2023 were simple randomly selected as the study objects.The group was designed according to random number table method.The control group(n=30)was given routine diet and behavior intervention,and the observation group(n=30)was given aerobic exercise treatment based on the intervention conditions of the control group.The glu-cose and lipid metabolism indexes,insulin resistance and vascular endothelial function were compared between the two groups of children at different intervention times.Results After intervention,fasting plasma glucose(FPG),choles-terol(TC)and triglyceride(TG)in the observation group were(4.83±0.53),(4.03±0.42)and(1.56±0.21)mmol/L,lower than the control group which were(5.19±0.61),(4.65±0.53)and(1.79±0.24)mmol/L respectivelly,the differences were statistically significant(t=2.440,5.021,3.950,all P<0.05).After the intervention,two insulin resistance indexes[fasting insulin(FINS),insulin resistance index(HOMA-IR)]were lower than control group,the differences were sta-tistically significant(t=3.472,2.544,both P<0.05).After intervention,the Nitric oxide(NO)of the observation group was higher than that of the control group,and the Endothelin-1(ET-1)was lower than that of the control group,the differences were statistically significant(t=2.719,3.298,both P<0.05).Conclusion Aerobic exercise therapy can effec-tively improve the glucose and lipid metabolism and insulin resistance of children with simple obesity,and has a good effect on the restoration of vascular endothelial function.

Simple obesityAerobic exercise therapyGlycolipid metabolismInsulin resistanceVascular endothelial function

林拥军、杨美真、黄丹丹

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福建省泉州市洛江区妇幼保健院儿童保健科,福建泉州 362000

泉州医学高等专科学校附属人民医院手术室,福建泉州 362000

单纯性肥胖 有氧运动治疗 糖脂代谢 胰岛素抵抗 血管内皮功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(9)