Clinical Question: Does a Three-month Supervised Exercise Training Improve Lipid Profiles and Reduce Body Fat in Obese Postmenopausal Women?

三個月的運動訓練是否可以改善停經後肥胖婦女的血脂及降低身體脂肪？

王儷穎(Li-Ying Wang)

《物理治療》 32卷1期 (2007/02) Pp. 33-38

摘要

背景與目的：尋找是否三個月監督下執行的運動訓練可以改善停經後肥胖婦女婦女的血脂及降低身體脂肪的相關證據。方法：我們利用MEDLINE、PubMed及CINAHL三個資料庫進行和主題相關文獻的搜尋。所使用的關鍵字為：脂質、停經、肥胖、及運動。我們並限制搜尋的文獻範圍為：以英文刊登、過去五年內發表的（2001到2006年）、統合分析(meta-analysis)、隨機對照試驗、回顧性文獻、及以人類為對象的研究。結果：我們一共檢閱並評論三篇隨機對照試驗的研究。有效的證據顯示，為期三個月監督下執行的運動訓練可以改善部分代謝相關的危險因子（如胰島素及瘦體素），降低體重，及減少腰臀的周長。但對改善全身脂肪、脂肪所佔的比例、及血脂無明顯效果。結論：參考目前的證據結果，我們會建議我們的病人參加為期三個月在監督下執行的運動訓練，並說明保持身體活動對於維持心肺適能及降低肥胖相關心血管疾病危險因子的重要性。

關鍵字

運動訓練 ； 停經後 ； 血脂肪 ； 體脂肪

並列摘要

Background and Purpose: To seek for evidence whether a three-month supervised exercise training can improve lipid profiles and reduce body fat in our obese postmenopausal female client. Methods: MEDLINE, PubMed and CINAHL database were used to retrieve relevance articles to the topic using the keywords ”lipids AND postmenopause AND obesity AND exercise”. Options of ”LIMITS” were applied that included English, published in the last five years (2001 to 2006), Meta-Analysis, and Randomized Controlled Trial (RCT), Reviews, and Humans. Results: A total of three articles, all with RCT design, were reviewed. The available evidence showed that a three-month supervised exercise program could modify certain metabolic risk factors (insulin and leptin), reduce body weight, and hip and waist circumferences. However total and percent body fat and serum lipoproteins remained unchanged. A 12-month training period was needed for reducing percent body fat especially intra-abdominal fat. Conclusions: Based on the available evidence, we would encourage our client to take a three-month supervised exercise training and the importance to keep physically active to maintain cardiorespiratory fitness and to reduce obese-related cardiovascular risks.

並列關鍵字

Exercise training ； Postmenopausal ； Lipid profile ； Body fat