新医学2025，Vol.56Issue(6)：575-581,7.DOI:10.12464/j.issn.0253-9802.2024-0461
抗阻呼吸训练联合减重运动训练对中心性肥胖患者平衡功能的影响
Effect of respiratory resistance training combined with weight loss exercise on balance function in patients with central obesity
摘要
Abstract
Objective To investigate the effect of respiratory resistance training combined with weight loss exercise on balance function in patients with abdominal obesity(AO).Methods A total of 66 AO patients who visited the Hypoglycemic Weight Loss Clinic of the Endocrinology Department of the Third Affiliated Hospital of Sun Yat-sen University between November 2022 and May 2024 were enrolled(AO group),along with 35 healthy volunteers(healthy control group).The AO group was divided into a control group(n=33)and an intervention group(n=33).All AO patients received standard weight loss exercise training for 4 weeks;in addition,the intervention group underwent respiratory resistance training.The maximal inspiratory pressure(MIP),maximal expiratory pressure(MEP),diaphragm thickening ratio(DTR),and balance function of participants were collected before and after the intervention.Balance function assessments included the Balance Error Scoring System(BESS)for evaluating static balance and the Functional Reach Test(FRT)for evaluating dynamic balance.Results There were no statistically significant differences in age between the healthy group and the AO group(P>0.05).Before intervention,BMI,waist-to-hip ratio(WHR),MIP,MEP,DTR,and FRT scores were significantly higher in the AO group than in the healthy group,while BESS scores were significantly lower(all P<0.001).No significant differences were observed between the control and intervention groups in BMI,WHR,MIP,MEP,DTR,BESS,or FRT before intervention(all P>0.05).After 4 weeks of intervention,MIP,MEP,DTR,and BESS scores improved significantly in both the control and intervention groups(all P<0.05),with greater improvements observed in the intervention group(P<0.05).FRT results showed no significant change in the control group after intervention(P>0.05),while the intervention group demonstrated better performance than the control group(P=0.005).Conclusion Respiratory resistance training combined with weight loss exercise can significantly improve balance function in patients with AO.关键词
抗阻呼吸训练/中心性肥胖/平衡功能/膈肌Key words
Breathing training/Abdominal obesity/Balance function/Diaphragm引用本文复制引用
王海妹,辛蔚,胡涛,邓钟义,卫小梅,向晓昕,陈燕铭..抗阻呼吸训练联合减重运动训练对中心性肥胖患者平衡功能的影响[J].新医学,2025,56(6):575-581,7.基金项目
国家自然科学基金(82270886) （82270886）
