Effects of high-intensity interval exercise on obesity

J. Zhan, Ruan Ling, W. Guanghua, Wu Rongping
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Abstract

: With the increasing improvement of people's living standards, obesity has become a chronic disease all over the world, which can make people's physical shape and various physical indicators abnormal, resulting in a variety of complications, posing a threat to people's lives. Osteoporosis (OP) is one of the complications caused by Osteoporosis, which is mainly characterized by decreased bone density and easy to fracture. Obese people with OP have a higher probability of fracture than normal people. Once fracture occurs, they will lose their ability to exercise and may even threaten their lives. Exercise is one of the measures against obesity. High-intensity Interval Training (HIIT) has been widely used in the field of weight loss, and the right amount of exercise can prevent OP. In this paper, a large number of literature was reviewed to find out the possible mechanism of HIIT in preventing and treating OP in obese people, so as to reduce the probability of obesity and obese people suffering from OP. relationship. Studies have found that increased fat mass and body fat percentage are positively correlated with bone mineral density, obesity can increase bone mineral density, and higher bone mineral density can reduce the occurrence of OP [12]. Another study found that obesity was highly correlated with OP, and the increase of abdominal fat was negatively correlated with bone mineral density. The more abdominal fat accumulated, the greater the impact on bone mineral density, and the corresponding increase in the prevalence of OP. AbDOMinal fat is composed of visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT). Studies have shown that VAT has a negative effect on OP, while SAT and OP have a positive effect [11] . Vat can secrete a large amount of Leptin (LEP). Other studies have found that LEP receptors exist on the surface of osteoblast (OB) and chondrocytes, and LEP can reduce differentiation of osteoclast (OC) and accelerate OB division, mineralization of bone minerals, and accelerate collagen synthesis [13] . LEP in the human body is positively correlated with body mass and fat content. Compared with normal body weight, serum LEP level of obese patients is significantly higher. ObESE individuals secrete more LEP due to fat, which has a protective effect on OP. However, obese people have LEP resistance, so LEP cannot play its due role [14] , the mechanism may be that LEP passes through the blood-brain barrier. It enters the skull and activates the OB-Rb receptor in the hypothalamus, so that the hypothalamus is stimulated to secrete inhibitory OB factor [15] . VAT can also cause inflammation and promote the secretion of inflammatory cytokines. Inflammation plays a key role in OP. Inflammatory cytokines produced by fat cells link obesity its metabolism-producing diseases, Tumor necrosis factor- α (TN F- α) , interleukin (interleukin) and TNF- α the main inflammatory cytokines . IL- , IL-6, transforming growth
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高强度间歇运动对肥胖的影响
随着人们生活水平的日益提高,肥胖已经成为一种世界性的慢性病,它可以使人们的体型和各种身体指标出现异常,从而产生各种并发症,对人们的生命构成威胁。骨质疏松症(Osteoporosis, OP)是骨质疏松症引起的并发症之一,主要表现为骨密度降低,易骨折。肥胖的OP患者骨折的概率比正常人高。一旦发生骨折,他们将失去运动能力,甚至可能危及生命。运动是对抗肥胖的措施之一。高强度间歇训练(High-intensity Interval Training, HIIT)在减肥领域得到了广泛的应用,适量的运动可以预防OP。本文通过对大量文献的梳理,找出HIIT在肥胖人群中预防和治疗OP的可能机制,从而降低肥胖与肥胖者患OP的概率关系。研究发现,脂肪量和体脂率的增加与骨密度呈正相关,肥胖可以增加骨密度,较高的骨密度可以减少OP的发生[12]。另一项研究发现,肥胖与OP高度相关,腹部脂肪增加与骨密度呈负相关。腹部脂肪堆积越多,对骨密度的影响越大,op患病率也相应增加。腹部脂肪由内脏脂肪组织(VAT)和皮下脂肪组织(SAT)组成。研究表明,VAT对OP有负作用,而SAT和OP有正作用[11]。Vat可以分泌大量的瘦素(LEP)。另有研究发现,LEP受体存在于成骨细胞(OB)和软骨细胞表面,LEP可减少破骨细胞(OC)分化,加速OB分裂,促进骨矿物质矿化,加速胶原合成[13]。人体LEP与体重和脂肪含量呈正相关。与正常体重相比,肥胖患者血清LEP水平明显升高。肥胖个体由于脂肪分泌较多的LEP,对op有保护作用,但肥胖人群存在LEP抵抗,LEP无法发挥应有的作用[14],其机制可能是LEP通过血脑屏障。它进入颅骨,激活下丘脑OB- rb受体,从而刺激下丘脑分泌抑制性OB因子[15]。VAT还能引起炎症,促进炎症细胞因子的分泌。炎症在op中起关键作用,脂肪细胞产生的炎症因子与肥胖有关,其代谢产生疾病,肿瘤坏死因子- α (TN F- α)、白细胞介素(interleukin)和TNF- α是主要的炎症因子。IL-, IL-6,转化生长
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