Chinese Journal of Tissue Engineering Research ›› 2022, Vol. 26 ›› Issue (8): 1305-1312.doi: 10.12307/2022.240
Wu Min1, Zhang Yeting2, Wang Lu3, Wang Junwei4, Jin Yu3, Shan Jixin5, Bai Bingyi3, Yuan Qiongjia3
Received:
2020-12-28
Revised:
2020-12-30
Accepted:
2021-01-23
Online:
2022-03-18
Published:
2021-11-02
Contact:
Yuan Qiongjia, MD, Professor, Doctoral supervisor, School of Sports Medicine and Health, Chengdu Sport University, Chengdu 610041, Sichuan Province, China
About author:
Wu Min, MD candidate, School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China
Supported by:
CLC Number:
Wu Min, Zhang Yeting, Wang Lu, Wang Junwei, Jin Yu, Shan Jixin, Bai Bingyi, Yuan Qiongjia. Effect of concurrent training sequences on body composition and hormone response: a Meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2022, 26(8): 1305-1312.
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2.2 纳入文献基本特征和质量评估结果 此19篇文献的基本特征见表1,2,对19篇文献进行了7个方面的偏倚风险评估,结果见图3,4。根据改良Jadad评分仅3篇文献高质量研究[32,36,38]。 为了方便接下来的研究,文章将所有“耐力-力量训练序列”统称为“ES”,将“力量-耐力训练序列”统称为“SE”。Meta分析共纳入510例受试者,ES组259例,SE组271例。有2项研究在激素指标的测量中分别共用了10名受试者[34,36],仅中间休息了7 d和5 d使得测试时间不同。因此,总受试者小于2组例数之和。纳入文献中对于不同序列的耐力和力量同步训练分组命名有:MOHAMMAD等[28]的ES(耐力合并力量)和SE(力量合并耐力)、SHEIKHOLESLAMI等[30]的CER(同步训练中耐力合并力量)和CRE(同步训练中力量合并耐力)、SHIOTSU等[31]的AR(有氧合并力量)和RA(力量合并有氧)和ROSA等[37]的CT1(同步训练方案1)和CT2(同步训练方案2)等。 "
2.3 Meta分析结果 2.3.1 各组体质量的合并效应结果差异 纳入的10篇文献中[3,9,24,26-31,33],SHIOTSU等[9]描述了2种不同训练强度,最终纳入11组ES和SE对体质量百分比变化比较的效应量数据,见图5。异质性检验的结果显示,各研究间存在异质性(P=0.005,I2=60%),采用敏感性分析剔除1篇文献后异质性消失但显著性差异结果没有发生改变[26],可能是由于该研究的耐力训练方案设计为有氧舞蹈训练造成,但最终结果仍然稳定可靠。如图5所示,ES与SE干预前后的体质量百分比变化(%change)差异无显著性意义(WMD=-0.35,95%CI:-2.28%-1.58,P > 0.05)。"
2.3.2 两组瘦体质量的合并效应结果差异 共有8篇不同序列同步训练对瘦体质量的干预研究[8-9,25-27,30-31,33],SHIOTSU等[9]纳入了2种不同训练强度,EKLUND等[25]纳入了不同性别。因此,瘦体质量变化的Meta分析最终纳入了10组百分比变化比较的效应量数据,见图6。异质性检验的结果显示,各研究间不存在异质性(P=0.81,I2=0%),故采用固定效应模型进行分析。合并效应量的结果显示:ES与SE的瘦体质量干预前后百分比变化(%change)无显著性差异(WMD=-0.01,95%CI:-0.59-0.57,P > 0.05)。因此,在同步训练当中ES和SE之间可能不具有序列上的差异。"
2.3.4 体脂率的亚组分析结果 ES与SE的不同可能会受到其他复杂干扰因素的影响。因此,研究继续从训练背景、训练周期、性别、年龄等因素角度进一步对12篇含体脂率指标的文献进行亚组分析[3,8-10,24,26-31,33],见表3。 在亚组分析的训练背景当中3篇纳入研究的受试者具有一定年限的训练背 景[3,8,33],其中2篇研究的受试者是体育专业学生[3,33],1篇研究的受试者是半职业和职业足球运动员[8]。纳入的研究中有1篇训练周期为5周[8];6篇为8周[10,27-30,33];2篇为10周[9,31];4篇为12周[3,24,26,32]。在对纳入的12篇文献进行性别因素的亚组分析时,剔除了1项受试者分组为男女混合的研究[29]。 亚组分析结果表明:无训练背景的受试者同步训练中降低体脂率采用SE更佳(P < 0.01)。无论是5-8周还是10-24周的同步训练均具有不同序列的显著性差异(P < 0.05),表明短期的同步训练中SE已经具有优势。性别和年龄的分析显示,SE的优势可能更多地存在于男性中(P < 0.01),女性受试者无显著性差异(P > 0.05),老年群体可能更具有优势(P < 0.01)。"
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