Program of exercise training as Total Health Promotion Plan and its evaluation
Program of exercise training as Total Health Promotion Plan and its evaluation
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DOI：
10.1539/joh.41.76
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发表时间：
1999-04-01
影响因子：
3
通讯作者：
Ozawa, H
中科院分区：
文献类型：
--
作者：
Fukahori, M;Aono, H;Ozawa, H
作为全面健康促进计划（THP）的一部分，在工作场所，定量运动的基础上的最大心率（HR-最大）在跑步机上持续了六个月，并与脂质代谢的可能关系进行了评估。研究对象为从某石油公司1,300名职工中选出的108名男性职工，这些职工1996年在工作场所进行年度健康检查时证实有高血压、高脂血症、肥胖和高血糖等两种或两种以上循环系统疾病的危险因素，并且能够进行体育锻炼。他们被随机分配到一个运动组（54名男性）和一个对照组（54名男性）。运动组被要求在跑步机上进行20分钟的步行运动，每周三次，持续六个月。设置跑步机的速度，使步行时的心率保持在HRmax的70-75%范围内。经过六个月的锻炼，在运动组中观察到腰臀比（WHR）的降低和HDL-和HDL 2胆固醇（HDL 2C）的显著升高。运动组HDL 2C/HDL 3胆固醇比值升高，对照组降低，但未观察到改善总胆固醇的作用。此外，运动组的适应性步行速度增加，在70- 75%HRmax范围内步行可以继续。本研究提出以心率为指标的6个月运动计划作为THP的一部分。结果，发现运动组的HDL C和HDL 2C增加，这是已知的具有抗动脉炎作用。除了这些对血脂的影响，运动计划被证明是有效的，在增加适应性步行速度和降低腰臀比。
As part of a Total Health Promotion Plan (THP) at the workplace, quantitative exercise on the basis of the maximum heart rate (H R-max) on a treadmill was continued for six months and the possible relationship with lipid metabolism was evaluated. Subjects were 108 male workers selected from among 1,300 employees of a petroleum complex, having two or more risk factors for circulatory disorders including hypertension, hyperlipidemia, obesity and hyperglycemia confirmed by annual health checkups at the workplace in 1996 and being able to take exercise. They were randomly assigned to one exercise group (54 men) and one control group (54 men). The exercise group was instructed to take 20 minutes' walking exercise on a treadmill, three times a week for six months. The speed of the treadmill was set so that the heart rate while walking would be maintained within the range 70-75% of the HRmax. After six months' exercise, decreases in the waist-hip ratio (WHR) and significant increases in HDL- and HDL2 cholesterol (HDL2C) were seen in the exercise group. The HDL2C/HDL3 cholesterol ratio increased in the exercise group, and decreased in the control group, but no effect in improving total cholesterol was observed, Furthermore, in the exercise group an increase was noted in the adaptive walking speed at which the walking in the 70-75% HRmax range could be continued. In the present study a 6-month exercise program with the heart rate as an index was proposed as a part of THP. As a result, the exercise group were found to have increases in HDLC and HDL2C, which are known to have an anti-arteriosclerotic action. In addition to these effects on serum lipids, the exercise program proved to be effective in increasing adaptive walking speed and in lowering WHR.