中国临床保健杂志2026，Vol.29Issue(1)：44-50,7.DOI:10.3969/J.issn.1672-6790.2026.01.007
多组分运动训练对心血管疾病患者和健康人体适能的影响
Efficacy of multicomponent exercise training on fitness in patients with cardiovascular disease and healthy adults
摘要
Abstract
Objective To investigate the efficacy of multicomponent exercise training on fitness in cardiovascular disease(CVD)patients and healthy adults.Methods This study was a non-randomized observational study.CVD patients and healthy volunteers to participate were recruited at the Department of Cardiology at Beijing Hospital in an 8-week exercise training program conducted twice weekly.Each training session consists of a multi-component structured exercise regimen including aerobic exercise,strength training,and flexibility training.Aerobic training intensity was set at the anaerobic threshold determined by cardiopulmonary exercise testing,performed on a lower-body ergometer for 30 minutes per session.Resistant training utilized resistance band exercises,while flexibility training employed stretching routines.Primary outcome was peak oxygen uptake.Other outcomes measurements included peak power,peak oxygen uptake,upper and lower limb strength assessments,and upper and lower limb flexibility evaluations.Results A total of 100 participants were enrolled,with 50 cases in CVD group and 50 cases in healthy controls.In terms of cardiopulmonary function,when comparing between groups,the CVD group exhibited significant lower peak oxygen uptake,lower peak power,and lower oxygen pulse(P＜0.05).However,when comparing within groups,no significant improvements were observed in peak oxygen uptake,peak power output,or peak oxygen pulse before and after training(P＞0.05).In terms of strength test,strength in CVD group was significant lower than control group(P＜0.05).Bilateral arm raises(P=0.003)and bilateral leg extensions(P=0.042)before training were significant difference between the CVD group and the control group(P＜0.05),but no differences were found after training between two groups(P＞0.05).Patients in the CVD group showed significant post-training improvements in strength of two-arm pull-down(P=0.004),two-arm overhead press(P=0.001),and two-leg knee extension(P=0.006).In terms of flexibility,CVD patients showed significantly reduced performance of back stretch test and sit-and-reach test compared to the control group both before and after training.Both groups showed varying degrees of improvement in flexibility after training.Intragroup comparisons revealed significant improvements in right-leg sit-and-reach in the CVD group post-training(P=0.001)and in right-side back stretch strength in the control group post-training(P=0.004).Conclusions Patients with CVD exhibit significantly lower physical fitness than healthy individuals,yet an 8-week multi-component exercise training program still contributes to improving strength and flexibility in both groups.关键词
心血管疾病/运动/身体机能/康复Key words
Cardiovascular diseases/Exercise/Physical functional performance/Rehabilitation引用本文复制引用
巫华兰,都明辉,周筱悦,周文博,汪芳,陈浩,贾娜..多组分运动训练对心血管疾病患者和健康人体适能的影响[J].中国临床保健杂志,2026,29(1):44-50,7.基金项目
中央高水平医院临床科研业务费专项(BJ-2024-165) （BJ-2024-165）
国家重点研发计划项目(2023YFC3606105,2021YFC2009205) Special Fund for Clinical Scientific Research Business Expenses of Central High-level Hospitals(BJ-2024-165) （2023YFC3606105,2021YFC2009205）
National Key Research and Development Program of China(2023YFC3606105,2021YFC2009205) （2023YFC3606105,2021YFC2009205）
