Effects of high-intensity interval exercise training on knee health and articular cartilage volume in patients with obesity: A comparative study between bicycle and treadmill groups

IF 1.4 Q3 REHABILITATION JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2024-10-01 Epub Date: 2024-05-04 DOI:10.1016/j.jbmt.2024.04.053
Chen Peishun , Min Yu , Luo Yanjun , Guo Hua , Guan Hongli , Zhang Wanrong
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Abstract

Objective

It's a comparative study between bicycle and treadmill groups to observe the effects of high-intensity interval exercise training on knee health and articular cartilage volume in patients with obesity, thus to provide a scientific basis for the healthy exercise methods to lose weight.

Methods

60 patients with simple obesity were randomly divided into two groups of 30: the bicycle group and the treadmill group. Both groups received high-intensity interval exercise training, power bicycle training and moving treadmill training (MTT) were accepted respectively. Both groups received consecutive treatment for 12 weeks, five times a week, and every single time lasted for 30 min. Before and after treatment, the body mass index (BMI), the knee's articular cartilage volume was measured with magnetic resonance imaging (MRI),the pain of knee was assessed with visual analogue scale (VAS). Before and after each training session, the local skin temperature of the knee was measured with an electronic thermometer.

Results

After 12 weeks of treatment, the BMI was both decreased, the VAS and the local skin temperature of knee was increased significantly, the knee's articular cartilage volume in the treadmill group was reduced significantly, while the above indicators in the bicycle group did not change significantly, and the difference between the two groups was statistically significant (p < 0.001).

Conclusion

Power bicycle training can avoid a decrease in the volume of knee joint cartilage, while MTT can easily lead to a decrease in the volume of knee joint cartilage, an increase in local skin temperature and pain of knee joint.

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高强度间歇运动训练对肥胖症患者膝关节健康和关节软骨体积的影响:自行车组与跑步机组的比较研究
方法将60例单纯性肥胖患者随机分为自行车组和跑步机组两组,每组30例。两组均接受高强度间歇运动训练,分别为动力自行车训练和移动跑步机训练(MTT)。两组均连续治疗 12 周,每周 5 次,每次 30 分钟。治疗前后,分别测量体重指数(BMI)、磁共振成像(MRI)测量膝关节软骨体积、视觉模拟量表(VAS)评估膝关节疼痛。结果治疗12周后,跑步机组的BMI均明显下降,VAS和膝关节局部皮肤温度明显升高,膝关节软骨体积明显缩小,而自行车组的上述指标变化不明显,两组差异有统计学意义(P < 0.001).结论功率自行车训练可避免膝关节软骨体积减少,而MTT易导致膝关节软骨体积减少、局部皮肤温度升高及膝关节疼痛。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
133
审稿时长
321 days
期刊介绍: The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina
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