Effect of Exercise Intervention on the Cardiovascular Health of Untrained Women: A Meta-Analysis and Meta-Regression

Yahui Zhang, Lisheng Xu, Liling Hao, Yang Yao, Xiao-fan Guo, Xiaodong Zhang
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引用次数: 4

Abstract

Objective: Research on the untrained women’s cardiovascular health is a hot topic in the world. It is important to systematically assess the effects of exercise duration on cardiovascular health in untrained women. Methods: Published articles from 1988 to May 2015 were identified using electronic databases for randomized controlled trails. The weighted mean differences and 95% confidence intervals were calculated using fixed-effects and random-effects models. Meta-regression and subgroup analysis were performed to explore the possible heterogeneity. Results: Data from 28 published studies with a total of 544 untrained women aged less than 60 years were identified. There were significant pooled effects of different exercise durations on VO2max (within 3 months 95% CI: -2.51 to -1.57; I2=0%; 4-6 months 95% CI: -4.63 to -2.44; I2=0%) and Systolic Blood Pressure (4-6 months 95% CI: 5.55 to 7.52; I2=35%). Additionally, Systolic Blood Pressure was significantly decreased in unhealthy women (95% CI: 5.78 to 8.73; I2=84.3%). The Heart Rate, Total Cholesterol, High Density Lipoprotein-Cholesterol and Low Density Lipoprotein-Cholesterol of untrained women were significantly improved with short-duration, mid-duration and long-duration exercise. Conclusion: There are different effects of exercise duration on cardiovascular health in untrained women aged less than 60 years. The short-duration exercise can improve aerobic capacity in women, but the improvement becomes less with the increase of age. The short-duration, mid-duration and long-duration exercise can improve cholesterol metabolism and decrease Heart Rate in untrained women. The mid-duration exercise can significantly decrease Systolic Blood Pressure in unhealthy women but not in healthy women.
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运动干预对未训练女性心血管健康的影响:meta分析和meta回归
目的:对未受训妇女心血管健康的研究是当今世界的热点。系统地评估运动时间对未受过训练的女性心血管健康的影响是很重要的。方法:采用电子数据库对1988 - 2015年5月发表的论文进行随机对照检索。加权平均差和95%置信区间采用固定效应和随机效应模型计算。采用meta回归和亚组分析探讨可能的异质性。结果:从28项已发表的研究中确定了544名年龄小于60岁的未受过训练的女性的数据。不同运动持续时间对最大摄氧量有显著的综合影响(3个月内95% CI: -2.51至-1.57;I2 = 0%;4-6个月95% CI: -4.63 ~ -2.44;I2=0%)和收缩压(4-6个月95% CI: 5.55 ~ 7.52;I2 = 35%)。此外,不健康女性的收缩压显著降低(95% CI: 5.78 ~ 8.73;I2 = 84.3%)。未经训练的女性在短、中、长时间运动后心率、总胆固醇、高密度脂蛋白-胆固醇和低密度脂蛋白-胆固醇均有显著改善。结论:不同运动时间对60岁以下未锻炼女性心血管健康的影响存在差异。短时间的运动可以提高女性的有氧能力,但随着年龄的增长,这种改善效果越来越弱。短、中、长时间的运动可以改善未训练女性的胆固醇代谢,降低心率。中期运动可以显著降低不健康女性的收缩压,但对健康女性没有作用。
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