不同运动方式对久坐成年人心代谢指标影响的网状Meta分析

A Network Meta-Analysis of the Effects of Different Exercise Patterns on Cardiac Metabolic Parameters in Sedentary Adults

摘要: 久坐行为在成年人中普遍存在，代谢综合征患病率高达28.6%，增加多种健康风险。为明确不同运动方式对久坐成年人心代谢指标的影响，本研究采用网状Meta分析，纳入21项随机对照试验(共799例受试者，久坐时间 ≥ 8小时/天)，干预措施包括有氧运动、高强度间歇训练、抗阻运动及有氧结合抗阻运动。结果显示，有氧运动对BMI、WC、RHR指标改善效果显著；高强度间歇运动在改善DBP、SBP方面效果最佳，在LDL改善上与有氧结合抗阻运动效果接近；抗阻运动对Weight、BFP、TG指标影响显著；有氧结合抗阻运动则在FBG、HDL、TC指标上效果更好。各运动方式优势不同，联合运动疗效优于单一运动，建议久坐成年人群根据自身情况选择适宜的运动方式、强度与频率。

Abstract: Prolonged sedentary behavior is prevalent among adults, with a metabolic syndrome prevalence rate as high as 28.6%, which increases multiple health risks. To clarify the effects of different exercise modalities on cardiometabolic indicators in sedentary adults, this study employed a network meta-analysis, incorporating 21 randomized controlled trials (totaling 799 participants, sedentary duration ≥ 8 hours/day). Intervention measures included aerobic exercise, high-intensity interval training, resistance training, and aerobic-resistance combined exercise. Results demonstrated that aerobic exercise significantly improved BMI, WC, RHR. High-intensity interval training demonstrated optimal efficacy in improving DBP and SBP, while its effect on LDL modification was comparable to that of aerobic exercise combined with resistance training. Resistance training significantly influenced body Weight, BFP, and TG levels, whereas aerobic exercise combined with resistance training showed superior effects on FBG, HDL, and TC. Different exercise modalities exhibit distinct advantages, with combined exercise demonstrating superior efficacy compared to single modalities. Sedentary adults are advised to select appropriate exercise modalities, intensity, and frequency based on individual circumstances.