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Effects of exercise on blood glucose levels and pregnancy outcomes in women with gestational diabetes mellitus: A meta-analysis and meta-regression 运动对妊娠期糖尿病妇女血糖水平和妊娠结局的影响:荟萃分析和荟萃回归
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-09-11 DOI: 10.1016/j.jesf.2025.09.001
Li Shu , Ruizhe Jiang , Fang Wang , Yongjin Xu , Ping Wang , Yuanying Ma , Jinxia Pan , Cong Huang
<div><h3>Background</h3><div>Gestational diabetes mellitus (GDM) increases the risk of adverse pregnancy outcomes. Due to variations in exercise protocols, the effects of exercise on GDM remain inconsistent. This review aims to explore the effects of exercise on maternal and neonatal outcomes in women with GDM, and whether there is a dose-response relationship between exercise volume and pregnancy outcomes.</div></div><div><h3>Methods</h3><div>PubMed, Embase, Web of Science, EBSCO, ScienceDirect, Cochrane Library, China National Knowledge Infrastructure, WanFang Data, and VIP Chinese Science and Technology Periodicals Full-Text Databases were searched for randomized controlled trials. Cochrane RevMan and R were used for statistical analysis, and studies were evaluated using the Cochrane Risk of Bias Assessment Tool. Weighted-mean standardized mean differences were calculated using a random effects model. Heterogeneity was evaluated using <em>I</em><sup>2</sup>.</div></div><div><h3>Results</h3><div>Twenty-four studies and 3,477 participants were included. Results from meta-analysis showed that exercise significantly lowered fasting blood glucose (FBG) (SMD = −1.69, <em>I</em><sup>2</sup> = 96 %, <em>p</em> < 0.0001), 2-h postprandial blood glucose (2-hPBG) (SMD = −2.10, <em>I</em><sup>2</sup> = 96 %, <em>p</em> < 0.0001), and glycated hemoglobin (MD = −0.95, <em>I</em><sup>2</sup> = 98 %, <em>p</em> < 0.0001) and reduced the risk of gestational hypertension (RR = 0.24, <em>I</em><sup>2</sup> = 0 %, <em>p</em> < 0.0001) and cesarean section (RR = 0.71, <em>I</em><sup>2</sup> = 53 %, <em>p</em> = 0.0005), preterm birth (RR = 0.51, <em>I</em><sup>2</sup> = 31 %, <em>p</em> = 0.002), macrosomia (RR = 0.40, <em>I</em><sup>2</sup> = 19 %, <em>p</em> < 0.0001), and neonatal hypoglycemia (RR = 0.49, <em>I</em><sup>2</sup> = 0 %, <em>p</em> = 0.03). Subgroup analyses indicated that moderate combined aerobic and resistance exercise improved FBG (SMD = −2.39, <em>I</em><sup>2</sup> = 98 %, <em>p</em> < 0.0001), 2-hPBG (SMD = −2.96, <em>I</em><sup>2</sup> = 97 %, <em>p</em> < 0.0001) and reduced the risks of cesarean section (RR = 0.68, <em>I</em><sup>2</sup> = 40 %, <em>p</em> = 0.02), preterm birth (RR = 0.46, <em>I</em><sup>2</sup> = 23 %, <em>p</em> = 0.01) and macrosomia (RR = 0.27, <em>I</em><sup>2</sup> = 0 %, <em>p</em> < 0.0001). In addition, the meta-regression analysis demonstrated a significant dose-response relationship between exercise volume and 2-hPBG (<em>β</em> = −0.004, <em>I</em><sup>2</sup> = 36.9 %, <em>p</em> = 0.002).</div></div><div><h3>Conclusions</h3><div>Moderate-intensity combined aerobic and resistance exercise, performed for at least 30 min per session on more than three days per week for at least six weeks, is associated with more pronounced improvements in glycemic control in women with GDM. It also reduces the risk of cesarean section, preterm birth, and macrosomia. These findings underscore the import
背景:妊娠期糖尿病(GDM)会增加不良妊娠结局的风险。由于运动方案的差异,运动对GDM的影响仍然不一致。本综述旨在探讨运动对GDM妇女孕产妇和新生儿结局的影响,以及运动量与妊娠结局之间是否存在剂量反应关系。方法检索spubmed、Embase、Web of Science、EBSCO、ScienceDirect、Cochrane Library、中国知识基础设施、万方数据、VIP中国科技期刊全文数据库进行随机对照试验检索。采用Cochrane RevMan和R进行统计分析,采用Cochrane偏倚风险评估工具对研究进行评价。采用随机效应模型计算加权平均标准化平均差。采用I2评价异质性。结果共纳入24项研究,3477名受试者。荟萃分析的结果表明,运动显著降低空腹血糖(FBG) (SMD =−1.69,I2 = 96%, p & lt; 0.0001), 2 h餐后血糖(2-hPBG) (SMD =−2.10,I2 = 96%, p & lt; 0.0001),和糖化血红蛋白(MD =−0.95,I2 = 98%, p & lt; 0.0001)和降低妊娠高血压的风险(RR = 0.24, I2 = 0%, p & lt; 0.0001)和剖腹产(RR = 0.71, I2 = 53%, p = 0.0005),早产(RR = 0.51, I2 = 31%, p = 0.002),巨大胎儿(RR = 0.40,I2 = 19%, p & lt; 0.0001),和新生儿低血糖(RR = 0.49, I2 = 0%, p = 0.03)。亚组分析显示,适度有氧和阻力联合运动改善了FBG (SMD = - 2.39, I2 = 98%, p < 0.0001)、2-hPBG (SMD = - 2.96, I2 = 97%, p < 0.0001)、剖宫产(RR = 0.68, I2 = 40%, p = 0.02)、早产(RR = 0.46, I2 = 23%, p = 0.01)和巨大儿(RR = 0.27, I2 = 0%, p < 0.0001)的风险。此外,meta回归分析显示,运动量与2-hPBG之间存在显著的剂量-反应关系(β = - 0.004, I2 = 36.9%, p = 0.002)。结论:中等强度有氧和抗阻联合运动,每次至少30分钟,每周3天以上,持续至少6周,与GDM女性血糖控制的显著改善相关。它还可以降低剖腹产、早产和巨大儿的风险。这些发现强调了优化运动处方以提高孕产妇和新生儿健康的重要性。普洛斯彼罗临床试验注册号(CRD42021286338)。
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引用次数: 0
Impact of aerobic exercise on immune components across healthy and diseased populations: A systematic review and meta-analysis of randomized controlled trials 有氧运动对健康和患病人群免疫成分的影响:随机对照试验的系统回顾和荟萃分析
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-09-09 DOI: 10.1016/j.jesf.2025.09.002
Gengxin Dong , Xueying He , Jiya He , Dapeng Bao , Qi Gao , Junhong Zhou

Background

Aerobic exercise may improve immune component quantities in healthy and diseased populations, but its effects across different health conditions and immune systems remain unclear. This review examined its impact on immune components in both populations.

Methods

A search in June 2025 across four databases included randomized controlled studies on aerobic exercise's effects on immune components in adults. Data (M ± SD) were extracted and converted to standardized mean difference (SMD) using random-effect meta-analysis.

Results

Seventeen studies (502 participants) were included. The meta-analysis results showed long-term aerobic exercise increased T-cell counts in diseased individuals (p < 0.05) but not in healthy ones (p > 0.05). It significantly reduced IgA levels in healthy participants compared to non-exercising controls (p < 0.05), potentially counteracting natural temporal increases observed in sedentary populations, without affecting IgG, IgM, leukocytes, neutrophils, or monocytes in either group (p > 0.05). Single-pass exercise did not alter leukocytes, lymphocytes, CD3+, or NK cells in healthy participants (p > 0.05).

Conclusions

Long-term aerobic exercise primarily affects adaptive immune components, benefiting individuals with unstable immune conditions. Single-pass exercise has no effect on healthy populations, making long-term interventions more suitable for improving adaptive immunity in unstable immune states.

Systematic review registration

www.crd.york.ac.uk/PROSPERO/, identifier: CRD42024546696.
有氧运动可以提高健康和患病人群的免疫成分数量,但其对不同健康状况和免疫系统的影响尚不清楚。本综述研究了其对两种人群免疫成分的影响。方法于2025年6月在四个数据库中检索了有氧运动对成人免疫成分影响的随机对照研究。提取数据(M±SD),采用随机效应meta分析转换为标准化平均差(SMD)。结果纳入17项研究(502名受试者)。荟萃分析结果显示,长期有氧运动增加了患病个体的t细胞计数(p < 0.05),而没有增加健康个体的t细胞计数(p < 0.05)。与不运动的对照组相比,它显著降低了健康参与者的IgA水平(p < 0.05),潜在地抵消了久坐人群中观察到的自然时间增加,而不影响两组的IgG、IgM、白细胞、中性粒细胞或单核细胞(p < 0.05)。单次运动没有改变健康参与者的白细胞、淋巴细胞、CD3+或NK细胞(p > 0.05)。结论长期有氧运动主要影响适应性免疫成分,有利于免疫状态不稳定的个体。单次运动对健康人群没有影响,使得长期干预更适合于在不稳定的免疫状态下提高适应性免疫。系统综述注册www.crd.york.ac.uk/PROSPERO/,标识符:CRD42024546696。
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引用次数: 0
Acute effect of dark chocolate intake before high-intensity resistance exercise on arterial stiffness in healthy young men 高强度抗阻运动前摄入黑巧克力对健康年轻男性动脉硬化的急性影响
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-08-25 DOI: 10.1016/j.jesf.2025.08.005
Urara Hata , Yuto Hashimoto , Midori Natsume , Takanobu Okamoto

Aims

This study investigated the effect of dark chocolate (DC) intake before resistance exercise (RE) on arterial stiffness.

Methods

Twelve healthy adult males (age, 23.0 ± 1.0 years) performed DC or white chocolate (WC) intake trial on separate days in a randomized crossover trials. Participants consumed 50g of DC containing 1285 mg cocoa polyphenols or an isocaloric amount of WC 50g without polyphenols. All participants performed 5 sets of 5 repetitions using 80 % of the 1 repetition maximum (1RM) bench press and 5 sets of 10 repetitions using 70 % of the 1RM biceps curl. Brachial–ankle pulse wave velocity (baPWV), blood pressure, and heart rate were measured before chocolate intake (baseline); and before (at 60 min after chocolate intake), immediately after, and at 30 and 60 min after completing the RE.

Results

In both trials, there was a significant increase in baPWV immediately after the RE compared with baseline (baseline: DC 1103 ± 94 cm/s, WC 1108 ± 167 cm/s; immediately after RE: DC 1300 ± 187 cm/s, WC 1325 ± 178 cm/s; P < 0.05). In the DC intake trial, baPWV decreased to 1210 ± 180 cm/s at 30 min and 1155 ± 134 cm/s at 60 min after RE, compared to immediately after RE (P < 0.05). In contrast, in the WC intake trial baPWV was decreased to 1222 ± 176 cm/s at 60 min after RE compared to immediately after RE (P < 0.05).

Conclusion

These results suggest that in comparison with WC intake, DC intake before RE might quickly reduce post-exercise increased arterial stiffness. Clinical Trials Registry Number: UMIN000052616.
目的探讨抗阻运动(RE)前摄入黑巧克力(DC)对动脉硬化的影响。方法12名健康成年男性(年龄23.0±1.0岁)采用随机交叉试验,在不同的日子分别进行DC或白巧克力(WC)摄入试验。参与者摄入50g含有1285毫克可可多酚的DC或50g不含多酚的等量WC。所有参与者都进行了5组5次重复,使用80%的1次最大重复(1RM)卧推和5组10次重复,使用70%的1RM二头肌弯曲。在巧克力摄入前(基线)测量肱-踝脉搏波速度(baPWV)、血压和心率;结果在两项试验中,与基线(基线:DC为1103±94 cm/s, WC为1108±167 cm/s; RE后立即:DC为1300±187 cm/s, WC为1325±178 cm/s; P < 0.05)相比,RE后立即的baPWV显著增加。在直流吸入试验中,与直接吸入相比,吸入后30分钟和60分钟的baPWV分别降至1210±180 cm/s和1155±134 cm/s (P < 0.05)。相比之下,在进食WC试验中,与立即进食相比,进食后60分钟的baPWV降至1222±176 cm/s (P < 0.05)。结论与摄入WC相比,运动前摄入DC可迅速降低运动后增加的动脉僵硬度。临床试验注册号:UMIN000052616。
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引用次数: 0
Effectiveness of hard court slide braking technique and influencing factors in elite college tennis players 高校优秀网球运动员硬地滑轨制动技术的有效性及其影响因素
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-08-21 DOI: 10.1016/j.jesf.2025.08.004
Yutian Ji , Tianhao Gao , Wentao Zhang , Ruichao Zhang , Yifan Wang , Liya Xu , Xinyu Wang , Xu Wen

Objective

The study aimed to evaluate the effectiveness of hard court slide braking technique of elite college tennis players and to analyze the factors that influence the use of hard court slide braking technique.

Methods

A total of 100 elite tennis players (58 males and 42 females) participated in tests involving hard court hit-to-return and Forcedecks Dual Force Plates System-based physical function. Independent samples t-tests, paired samples t-tests and binary logistic regression were employed in data analysis.

Results

The use of slide braking technique on hard courts, compared to traditional methods, led to a 10 % reduction in time for short-distance shots and a 7 % reduction for long-distance shots (p < 0.001). Athletes skilled in the hard court slide braking technique completed the movement faster when they employed traditional braking technique than those who are unskilled in the hard court slide braking technique (p < 0.001). Key factors that significantly influenced the use of slide braking technique included years of training, left hip abduction, 10-m sprint speed, braking leg reactive strength index (RSI), ground reaction force on the braking leg and recovery balance time of the braking leg (p < 0.05).

Conclusions

The findings offer new perspectives into tennis-specific physical training, assisting more tennis players in enhancing their athletic skills effectively.
目的评价高校优秀网球运动员硬地滑块制动技术的使用效果,分析影响硬地滑块制动技术使用的因素。方法对100名优秀网球运动员(男58名,女42名)进行硬地击球回球和基于forcedeck双力板系统的身体机能测试。数据分析采用独立样本t检验、配对样本t检验和二元logistic回归。结果在硬地球场使用滑块制动技术,与传统方法相比,导致近距离击球时间减少10%,远距离击球时间减少7% (p < 0.001)。熟练硬地滑行制动技术的运动员在使用传统制动技术时完成动作的速度比不熟练硬地滑行制动技术的运动员快(p < 0.001)。影响滑梯制动技术使用的关键因素包括训练年限、左髋关节外展、10米冲刺速度、制动腿反应强度指数(RSI)、制动腿地面反作用力和制动腿恢复平衡时间(p < 0.05)。结论本研究为网球专项体能训练提供了新的视角,有助于更多网球运动员有效提高运动技能。
{"title":"Effectiveness of hard court slide braking technique and influencing factors in elite college tennis players","authors":"Yutian Ji ,&nbsp;Tianhao Gao ,&nbsp;Wentao Zhang ,&nbsp;Ruichao Zhang ,&nbsp;Yifan Wang ,&nbsp;Liya Xu ,&nbsp;Xinyu Wang ,&nbsp;Xu Wen","doi":"10.1016/j.jesf.2025.08.004","DOIUrl":"10.1016/j.jesf.2025.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to evaluate the effectiveness of hard court slide braking technique of elite college tennis players and to analyze the factors that influence the use of hard court slide braking technique.</div></div><div><h3>Methods</h3><div>A total of 100 elite tennis players (58 males and 42 females) participated in tests involving hard court hit-to-return and Forcedecks Dual Force Plates System-based physical function. Independent samples t-tests, paired samples t-tests and binary logistic regression were employed in data analysis.</div></div><div><h3>Results</h3><div>The use of slide braking technique on hard courts, compared to traditional methods, led to a 10 % reduction in time for short-distance shots and a 7 % reduction for long-distance shots (<em>p</em> &lt; 0.001). Athletes skilled in the hard court slide braking technique completed the movement faster when they employed traditional braking technique than those who are unskilled in the hard court slide braking technique (<em>p</em> &lt; 0.001). Key factors that significantly influenced the use of slide braking technique included years of training, left hip abduction, 10-m sprint speed, braking leg reactive strength index (RSI), ground reaction force on the braking leg and recovery balance time of the braking leg (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The findings offer new perspectives into tennis-specific physical training, assisting more tennis players in enhancing their athletic skills effectively.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 399-408"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute effects of blue and red light exposure on cognitive performance, exercise capacity, perceived effort, and dynamic balance: A randomized crossover study 蓝光和红光照射对认知表现、运动能力、感知努力和动态平衡的急性影响:一项随机交叉研究
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-08-13 DOI: 10.1016/j.jesf.2025.08.003
Ukbe Sirayder , Merdan Orunoglu , Oguzhan Yilmaz

Background

This study investigated the acute effects of narrow-band blue (460 nm) and red (630 nm) light exposure on cognitive performance, exercise capacity, perceived fatigue, and dynamic balance in healthy young males. To our knowledge, this is the first randomized crossover study to systematically assess the combined impact of pre-exercise light exposure on both cognitive-motor integration and aerobic performance within an exercise context.

Methods

Fifty physically active young males participated in a randomized crossover design. Participants were exposed to either blue or red light, followed immediately by assessments of simple reaction time (SRT), Incremental Shuttle Walk Test (ISWT) distance, heart rate, perceived exertion, and Y-Balance Test performance.

Results

Blue light exposure led to a significant and large improvement in SRT (Δ = −53.33 ms; p < 0.001, η2p = 0.270) and enhanced dynamic balance. Red light exposure produced greater increases in ISWT distance (Δ = +36.98 m; p = 0.004, η2p = 0.453) and significant reductions in perceived fatigue and dyspnea. A moderate positive correlation was observed between SRT improvement and ISWT distance under blue light (β = 0.1869, p = 0.008).

Conclusion

This study demonstrates that short-term, wavelength-specific light exposure may optimize both cognitive and physiological readiness prior to exercise. These findings provide novel evidence supporting the integration of individualized light-based strategies in athletic preparation protocols.
本研究探讨了窄带蓝光(460 nm)和红光(630 nm)照射对健康年轻男性认知能力、运动能力、感知疲劳和动态平衡的急性影响。据我们所知,这是第一个随机交叉研究,系统地评估运动前光照对运动背景下认知-运动整合和有氧表现的综合影响。方法采用随机交叉设计,选取50名体力活跃的年轻男性。参与者被暴露在蓝光或红光下,随后立即评估简单反应时间(SRT)、增量穿梭行走测试(ISWT)距离、心率、感知运动和y -平衡测试的表现。结果蓝光照射可显著改善SRT (Δ =−53.33 ms; p < 0.001, η2p = 0.270),增强动态平衡。红光照射使ISWT距离增加(Δ = +36.98 m; p = 0.004, η2p = 0.453),感觉疲劳和呼吸困难明显减少。蓝光下SRT改善与ISWT距离呈正相关(β = 0.1869, p = 0.008)。该研究表明,短期特定波长的光照射可以优化运动前的认知和生理准备。这些发现提供了新的证据,支持在运动准备方案中整合个性化的基于光的策略。
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引用次数: 0
Enhancing cognitive function through blood flow restriction: An effective resistance exercise modality for middle-aged women 通过限制血流增强认知功能:一种有效的中年妇女抗阻运动方式
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-08-12 DOI: 10.1016/j.jesf.2025.08.002
Dohyeon Lee , Kyeongho Byun , Sewon Lee

Purpose

Cognitive decline progresses more rapidly in women than in men, with a higher prevalence of neurodegenerative diseases observed in females. Exercise has been shown to enhance cognitive function through the upregulation of neurotrophic factors such as brain-derived neurotrophic factor (BDNF), vascular endothelial growth factor (VEGF) and insulin-like growth factor-1 (IGF-1). However, high-load resistance exercise may not be suitable for all populations, particularly middle-aged women. Low-load resistance exercise with blood flow restriction (LLBFR) has emerged as an effective alternative. This study investigated the acute effects of LLBFR on neurotrophic factors and cognitive function in middle-aged women.

Methods

Fifteen healthy middle-aged women completed a randomized crossover trial involving four conditions: control (CON), low-load resistance exercise (LLRE), LLBFR, and moderate-load resistance exercise (MLRE). Cognitive function was assessed before and after each session using the color-word matching Stroop task (CWST). Blood samples were analyzed for serum levels of BDNF, VEGF, and IGF-1, and lactate concentrations were measured to evaluate metabolic responses.

Results

Only the LLBFR condition showed significant improvements in CWST reaction time (p = 0.002) with no changes in error rates, indicating enhanced cognitive performance. Serum BDNF and VEGF levels increased significantly following both LLBFR (p < 0.001, p = 0.014, respectively) and MLRE (p < 0.001, p = 0.004, respectively), whereas IGF-1 levels remained unchanged across conditions. Increases in lactate concentrations were positively correlated with changes in BDNF and VEGF (p < 0.001 for both), but not with IGF-1.

Conclusion

A single session of LLBFR improved cognitive function and upregulated neurotrophic factors, particularly BDNF and VEGF, in middle-aged women. These findings suggest that LLBFR may be an effective intervention for promoting cognitive health in this population.
目的:女性认知能力下降的进展比男性更快,女性神经退行性疾病的患病率更高。运动已被证明可以通过上调脑源性神经营养因子(BDNF)、血管内皮生长因子(VEGF)和胰岛素样生长因子-1 (IGF-1)等神经营养因子来增强认知功能。然而,高负荷阻力运动可能并不适合所有人群,尤其是中年女性。低负荷阻力运动与血流限制(LLBFR)已成为一种有效的替代方案。本研究探讨了LLBFR对中年妇女神经营养因子和认知功能的急性影响。方法15名健康中年妇女完成了一项随机交叉试验,包括4种条件:对照组(CON)、低负荷阻力运动(LLRE)、低负荷阻力运动(llfr)和中负荷阻力运动(MLRE)。认知功能在每次会话前后使用色词匹配Stroop任务(CWST)进行评估。分析血液样本的血清BDNF、VEGF和IGF-1水平,并测量乳酸浓度以评估代谢反应。结果只有LLBFR组在CWST反应时间上有显著改善(p = 0.002),而错误率没有变化,表明认知能力有所提高。在LLBFR (p < 0.001, p = 0.014)和MLRE (p < 0.001, p = 0.004)后,血清BDNF和VEGF水平均显著升高,而IGF-1水平在各条件下保持不变。乳酸浓度的增加与BDNF和VEGF的变化呈正相关(两者p <; 0.001),但与IGF-1无关。结论:单次LLBFR可改善中年妇女的认知功能,上调神经营养因子,特别是BDNF和VEGF。这些发现表明,LLBFR可能是促进这一人群认知健康的有效干预措施。
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引用次数: 0
Compared to moderate-intensity continuous training, short-term high-intensity interval training demonstrates enhanced effects on metabolic flexibility in adult males with obesity 与中等强度的连续训练相比,短期高强度间歇训练对成年肥胖男性代谢灵活性的影响更大
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-07-26 DOI: 10.1016/j.jesf.2025.07.005
Jia-Zheng Zhang , Xiao-Mei Liu , Shi-Qi Lu , Zhen-Bo Cao , Zheng Zhu

Background

The aim of this study was to assess the effects of short-term high-intensity interval training (HIIT) and moderate-intensity continuous aerobic training (MICT) with matched energy expenditure on metabolic flexibility and other metabolic parameters in adult male individuals with obesity.

Methods

Twenty male individuals with obesity (age: 21.4 ± 1.5 years; body mass index: 31.0 ± 3.6 kg/m2) were enrolled in this crossover design study. Participants were randomly allocated to an intervention sequence of 1) 3 consecutive days of HIIT (30 min, 6 × 2.5 min bouts at 90 % Peak Oxygen Uptake (VO2peak), alternated with 2.5 min active recovery periods [25 % VO2peak]), or 2) three consecutive days of MICT (60 min at 50 % VO2peak), with a washout period of 1 week. Respiratory quotient (RQ), glucose, C-peptide, insulin, and non-esterified fatty acid (NEFA) levels were measured both during fasting and throughout a 180 min oral glucose tolerance test (OGTT), conducted before and after the intervention. The incremental area under the curve (iAUC) and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) were derived. ΔRQ was defined as the average RQ during the OGTT minus fasting RQ.

Results

Short-term exercise intervention significantly reduced HOMA-IR in male individuals with obesity (P < 0.001) and concurrently increased the Matsuda index (P = 0.001). Both exercise interventions led to a similar decrease in fasting RQ (P = 0.001), C-peptide, insulin, and HOMA-IR (P < 0.001). Additionally, they reduced the iAUC for glucose and insulin during the OGTT (P < 0.001). The ΔRQ and the RQ iAUC in the HIIT group were significantly higher than those in the MICT group, and different exercise intensities exhibited interactive effects within groups for RQ iAUC and ΔRQ (P = 0.013 and P = 0.012).

Conclusions

Two short-term exercise interventions similarly improved glucose tolerance, with HIIT demonstrating a more advantageous effect on metabolic flexibility than MICT in male individuals with obesity.

Trial registration

The trial was officially registered at www.chictr.org.cn (ChiCTR2300072884).
本研究的目的是评估短期高强度间歇训练(HIIT)和中等强度连续有氧训练(MICT)匹配能量消耗对成年男性肥胖个体代谢柔韧性和其他代谢参数的影响。方法男性肥胖患者20例(年龄:21.4±1.5岁;体重指数:31.0±3.6 kg/m2)的患者被纳入这项交叉设计研究。参与者被随机分配到1)连续3天的HIIT(30分钟,6 × 2.5分钟,90%峰值摄氧量),交替进行2.5分钟的活跃恢复期[25%峰值摄氧量]),或2)连续3天的MICT(60分钟,50%峰值摄氧量),洗脱期为1周。呼吸商(RQ)、葡萄糖、c肽、胰岛素和非酯化脂肪酸(NEFA)水平均在禁食期间和干预前后进行的180分钟口服葡萄糖耐量试验(OGTT)中测量。导出了胰岛素抵抗的增量曲线下面积(iAUC)和稳态模型评估(HOMA-IR)。ΔRQ定义为OGTT期间的平均RQ减去禁食RQ。结果短期运动干预可显著降低男性肥胖患者的HOMA-IR (P <;0.001),同时增加了Matsuda指数(P = 0.001)。两种运动干预均导致空腹RQ (P = 0.001)、c肽、胰岛素和HOMA-IR (P <;0.001)。此外,他们还降低了OGTT期间葡萄糖和胰岛素的iAUC (P <;0.001)。HIIT组的ΔRQ和RQ iAUC均显著高于MICT组,组内不同运动强度对RQ iAUC和ΔRQ有交互作用(P = 0.013和P = 0.012)。结论:两种短期运动干预同样改善了葡萄糖耐量,在男性肥胖患者中,HIIT比MICT对代谢灵活性的影响更有利。试验注册该试验已在www.chictr.org.cn (ChiCTR2300072884)上正式注册。
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引用次数: 0
Autoregulated resistance training for maximal strength enhancement: A systematic review and network meta-analysis 自动调节阻力训练增强最大力量:系统回顾和网络荟萃分析
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-07-26 DOI: 10.1016/j.jesf.2025.07.006
Zijing Huang , Jian Sun , Duanying Li , Chao Chen , Dexin Wang

Objectives

This study aims to systematically review the effects of Autoregulating Progressive Resistance Exercise (APRE), Rating of Perceived Exertion (RPE), and Velocity-based Resistance Training (VBRT) on maximal strength through a network meta-analysis.

Methods

Forest plots and network diagrams visualized training modality differences and intervention relationships. Pooled standard mean difference (SMD) of different studies and the corresponding 95 % confidence intervals (CIs) quantified effect sizes, with inconsistency models assessing heterogeneity and surface under the cumulative ranking curve (SUCRA) values ranking protocols by optimal probability.

Results

For back squat 1RM, no moderate/large effect sizes were observed between interventions. SUCRA rankings showed APRE (93.0 %) as the most optimal intervention, followed by RPE (66.8 %), VBRT (27.0 %), and PBRT (13.2 %). In bench press 1RM, PBRT demonstrated a large effect vs APRE (SMD = −0.83, −1.22 to −0.44), while RPE showed a moderate effect vs APRE (SMD = −0.76, −1.70 to 0.19). SUCRA rankings prioritized APRE (97.1 %), followed by VBRT (57.1 %), RPE (29.9 %), and PBRT (15.9 %).

Conclusion

In this study, the network meta-analysis confirmed that APRE, VBRT, and RPE were significantly more effective than PBRT in enhancing maximum strength. Among these, APRE demonstrated the greatest effect, ranking first in the improvement of both the back squat and bench press 1RM, followed by VBRT, RPE, and PBRT.
目的本研究旨在通过网络荟萃分析,系统回顾自动调节渐进式阻力训练(APRE)、感知用力等级(RPE)和基于速度的阻力训练(VBRT)对最大力量的影响。方法采用森林图和网络图可视化训练方式差异和干预关系。不同研究的混合标准平均差(SMD)和相应的95%置信区间(ci)量化了效应大小,不一致模型评估异质性,并在累积排序曲线(SUCRA)值下表面以最优概率排序方案。结果对于后蹲1RM,干预之间没有观察到中等/较大的效应量。SUCRA排名显示,APRE(93.0%)是最优干预措施,其次是RPE(66.8%)、VBRT(27.0%)和PBRT(13.2%)。在卧推1RM中,PBRT与APRE相比效果显著(SMD = - 0.83, - 1.22至- 0.44),而RPE与APRE相比效果适中(SMD = - 0.76, - 1.70至0.19)。SUCRA排名优先的是APRE(97.1%),其次是VBRT(57.1%)、RPE(29.9%)和PBRT(15.9%)。结论在本研究中,网络meta分析证实APRE、VBRT和RPE在增强最大强度方面明显优于PBRT。其中,APRE效果最大,对后蹲和卧推1RM的提高均排名第一,其次是VBRT、RPE和PBRT。
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引用次数: 0
Relationship between cardiorespiratory fitness and arterial health in young-, and middle-age women: A mediation effect of body composition 中青年女性心肺健康与动脉健康的关系:身体成分的中介作用
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-07-16 DOI: 10.1016/j.jesf.2025.07.004
Jitanan Laosiripisan , Napasakorn Chuensiri , Prin Ongkeaw , Thanonwat Sriputsayathanoth , Sawitree Poonpetpradab , Pornpicha Narmgate
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引用次数: 0
Comparing the effects of 25-minute electrical muscle stimulation vs. 90-minute full-body resistance training on body composition and strength: A 20-week intervention 比较25分钟肌肉电刺激与90分钟全身阻力训练对身体成分和力量的影响:为期20周的干预
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2025-07-16 DOI: 10.1016/j.jesf.2025.07.002
Süleyman Ulupınar , Uğur Arı , Necip Fazıl Kishalı , İzzet İnce , Salih Çabuk , Cebrail Gençoğlu , Serhat Özbay

Objectives

Electromyostimulation (EMS) and traditional resistance training (TradRT) are widely used methods for improving muscle strength and body composition. However, comparative studies employing a multi-week longitudinal design remain limited. This study aimed to investigate the effects of 20 weeks of EMS vs. TradRT on body composition and strength performance in physically active adults.

Methods

Forty-six participants were randomly assigned to either the EMS group (n = 22) or the TradRT group (n = 24). The EMS group performed twice-weekly, 25-min whole-body EMS sessions, while the TradRT group completed twice-weekly, 90-min full-body resistance training sessions.

Results

Assessments of body weight, body mass index (BMI), fat percentage, and maximal strength were conducted at baseline, 10 weeks, and 20 weeks. A significant time effect was observed for all variables (p < 0.001), indicating improvements in both groups. However, group × time interactions revealed distinct adaptation patterns. The TradRT group exhibited greater reductions in body fat percentage and superior strength gains in bench press, leg press, shoulder press, and triceps pushdown, and abdominal strength. Conversely, the EMS group showed greater reductions in body weight and BMI. No significant interaction effect was observed for biceps curl strength. Both EMS and TradRT were effective in improving strength and body composition, but TradRT led to greater strength development and fat reduction, while EMS was more effective for weight and BMI reduction.

Conclusions

These findings suggest that EMS may serve as a viable alternative for individuals unable to engage in high-load resistance training, whereas TradRT remains superior for maximizing strength and fat loss.
目的肌电刺激(EMS)和传统阻力训练(TradRT)是目前广泛应用的提高肌力和肌体成分的方法。然而,采用多周纵向设计的比较研究仍然有限。本研究旨在探讨20周的EMS与TradRT对体力活动成年人身体成分和力量表现的影响。方法46例患者随机分为EMS组(n = 22)和TradRT组(n = 24)。EMS组每周进行两次25分钟的全身EMS训练,而TradRT组每周进行两次90分钟的全身阻力训练。结果在基线、10周和20周进行体重、体重指数(BMI)、脂肪百分比和最大力量的评估。所有变量均观察到显著的时间效应(p <;0.001),表明两组患者均有改善。然而,组×时间相互作用显示出不同的适应模式。TradRT组表现出更大的体脂率降低,在卧推、腿推、肩推、三头肌俯卧撑和腹部力量方面的力量增加。相反,EMS组的体重和身体质量指数下降幅度更大。对肱二头肌弯曲强度没有观察到显著的相互作用效应。EMS和TradRT在改善力量和身体成分方面都有效,但TradRT在力量发展和脂肪减少方面更有效,而EMS在体重和BMI降低方面更有效。这些研究结果表明,EMS可能是无法进行高负荷阻力训练的个体的可行替代方案,而TradRT在最大限度地增强力量和减少脂肪方面仍然优越。
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引用次数: 0
期刊
Journal of Exercise Science & Fitness
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