مقایسه‌ی ‌اثر تمرینات تناوبی با شدت بالا و تمرینات تداومی با شدت متوسط بر ترکیب بدن در بزرگسالان دارای اضافه وزن و چاق: مرور نظام‌مند و فراتحیل

نوع مقاله : مقاله مروری

نویسندگان

1 استادیار، گروه تربیت بدنی و علوم ورزشی، دانشکده‌ی علوم انسانی، دانشگاه کاشان، کاشان، ایران

2 دانشجوی کارشناسی ارشد، گروه تربیت بدنی و علوم ورزشی، دانشکده‌ی علوم انسانی، دانشگاه کاشان، کاشان، ایران

چکیده

مقاله مروری




مقدمه: هدف از مطالعه‌ی حاضر، مقایسه‌ی اثر تمرینات تناوبی با شدت بالا (High-intensity interval training) HIIT و تمرینات تداومی با شدت متوسط
(Moderate-intensity continuous training) MICT بر ترکیب بدن در بزرگسالان دارای اضافه وزن و چاق بود.
روش‌ها: جستجوی سیستماتیک مقالات انگلیسی و فارسی منتشر شده از پایگاه‌های اطلاعاتی PubMed، Web of Science، SID و Magiran تا نوامبر سال 2022 انجام شد. فراتحلیل برای مقایسه‌ی اثر HIIT و MICT بر ترکیب بدن در بزرگسالان دارای اضافه وزن و چاق انجام شد. تفاوت میانگین وزنی (Weighted mean difference) WMD و فاصله‌ی اطمینان 95 درصد (CI) با استفاده از مدل اثر ثابت محاسبه شد. همچنین، جهت تعیین ناهمگونی از آزمون I2 و برای سوگیری انتشار از آزمون فونل پلات و تست Egger استفاده شد.
یافته‌ها: نتایج 36 مطالعه با 1096 آزمودنی نشان داد که HIIT سبب تغییر معنی‌دار وزن بدن ]0/3 = P، (0/47- الی 1/23) 0/37 = WMD]، درصد چربی بدن
]0/2 = =، (0/19- الی 0/83) 0/31 = WMD] و توده‌ی چربی بدن ]0/2 = P، (1/12- الی 0/24) 0/43- = WMD] نسبت به MICT در بزرگسالان دارای اضافه وزن و چاق نمی‌شود. اما HIIT سبب افزایش معنی‌دار توده‌ی عضلانی بدن ]0/03 = P، (0/07 الی 1/58) 0/82 = WMD] نسبت به MICT در بزرگسالان دارای اضافه وزن و چاق می‌شود.
نتیجه‌گیری: نتایج مطالعه‌ی حاضر نشان داد که HIIT فواید مشابهی با MICT بر ترکیب بدن دارد، اگرچه HIIT یک روش تمرینی با زمان کارآمد است. با این حال، هیچ کدام از HIIT و MICT کوتاه‌مدت سبب کاهش معنی‌دار بالینی بر چربی بدن نمی‌شود. HIIT در مقایسه با MICT منجر به افزایش توده‌ی عضلانی بدن در بزرگسالان چاق می‌شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparing the Effects of High-Intensity Interval Training and Moderate-Intensity Continuous Training on Body Composition in Adults with Overweight and Obese: A Systematic Review and Meta-Analysis

نویسندگان [English]

  • Fatemeh Kazeminasab 1
  • Fatemeh Sharafifard 2
  • Motahareh Mohebinejad 2
1 Assistant Professor, Department of Physical Education and Sport Sciences, School of Humanities, University of Kashan, Kashan, Iran
2 MSc Student, Department of Physical Education and Sport Sciences, School of Humanities, University of Kashan, Kashan, Iran
چکیده [English]

Background: The aim of this study is to compare the effect of high intensity interval training (HIIT) and moderate intensity continuous training (MICT) on body composition in overweight and obese adults.
Methods: A systematic search of English and Persian articles published in PubMed, Web of Science, SID, and Magiran databases was conducted up to November 2022. A meta-analysis was performed to compare the effect of HIIT and MICT on body composition in overweight and obese adults. Weighted mean difference (WMD) and 95% confidence interval (CI) were calculated using fixed effect model.  Also, I2 test was used to determine heterogeneity, and Funnel plot test and Egger test were used for publication bias.
Findings: The results of 36 studies with 1096 subjects showed that HIIT did not significantly change in body weight [WMD = 0.37, (-1.12 to 0.24), P = 0.3], body fat percentage [WMD = 0.31 (-0.19 to 0.83), P = 0.2], and body fat mass [WMD = -0.43 (-1.12 to 0.24), P = 0.2], compared to MICT in overweight and obese adults .But HIIT causes a significant increase in body free fat mass [WMD = 0.82 (0.07 to 1.58), P = 0.03], compared to MICT in overweight and obese adults .
Conclusion: The results of the present study show that HIIT has similar benefits to MICT on body composition, and body fat reduction, although HIIT is a time-efficient training method.  However, neither short-term HIIT nor MICT leads to a clinically significant reduction in body fat. HIIT leads to an increase in body free fat mass in obese adults compared to MICT.

کلیدواژه‌ها [English]

  • High-intensity interval training
  • Adipocytes
  • Adult
  • Obesity

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 721
هفته 1 مرداد
مرداد و شهریور 1402
صفحه 406-426

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  • تاریخ دریافت: 18 فروردین 1402
  • تاریخ پذیرش: 25 تیر 1402

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