ADA2013：修復瑜伽可減少全身肥胖
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強化生活方式干預可以預防或延緩2型糖尿病的發展。有氧運動在減少全身和局部脂肪方面是有效的，但對于肥胖和久坐的成年人可能是不可行的。為了評估溫和的體力活動，例如修復瑜伽和牽伸對脂肪分布的影響，來自美國加利福尼亞大學的Maria G Araneta教授及其團隊進行了一項研究，該研究發現修復瑜伽對全身肥胖和腰圍的降低和持續減少是有效的，但對于內臟脂肪面積無效。
該研究中，在伴有代謝綜合征（IDF標準）的超重成年人（年齡21–65歲）中進行48周的隨機試驗，比較修復瑜伽與主動牽伸。受試者缺乏運動（鍛煉＜150min/周），而且沒有使用降血糖藥物、煙酸、貝特類降血脂藥物和激素。受試者接受90分鐘團體課程，并鼓勵回家練習。測量體重和腰圍，通過CT測量內臟和皮下脂肪。
該研究結果表明，在171例隨機受試者中，平均年齡為55歲，平均體重指數（BMI）為34kg/m2。瑜伽組6月和12月后，全身肥胖體重和皮下脂肪顯著減少，然而，在牽伸組，僅在第6個月有體重減輕。在6月和12月后，瑜伽組對比牽伸組，皮下脂肪顯著減少，但兩組的內臟脂肪都沒有變化。
該研究發現，修復瑜伽對全身肥胖和腰圍的降低和持續減少是有效的，但對于內臟脂肪面積無效。
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Intensive lifestyle interventions have prevented or delayed type 2 diabetes. Aerobic exercise is effective in overall and regional fat weight loss but might not be feasible for obese sedentary adults. The effects of gentle physical activity such as restorative yoga and stretching on fat distribution has not been evaluated.
We conducted a 48-week randomized trial comparing restorative yoga vs. active stretching in overweight adults (ages 21-65 years) with the metabolic syndrome (IDF criteria). Participants were underactive (<150 minutes/wk of exercise) and not taking anti-diabetes medications niacin fibrates and hormones. Participants took 90 minute group classes and home practice was encouraged. Weight and waist were measured; visceral and subcutaneous fat were measured by computed tomography (CT).
Among the 171 randomized participants mean age was 55 and mean BMI was 34 kg/m2. Overall adiposity weight and subcutaneous fat decreased significantly after 6 and 12 months in the yoga group whereas weight decreased only at 6 months in the stretching group (Table). Subcutaneous fat decreased significantly in the yoga vs. stretching group after 6 and 12 months but visceral fat did not change in either group.
Restorative yoga was effective in reducing and sustaining reduction in overall adiposity and waist girth but not in visceral fat area.
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ADA是美國糖尿病學會 (Americn Diabetos Association)的縮寫，美國糖尿病協會縣美國重要的非贏利性衛生姐織，旨在提供有關糖尿病的研究進展和信息，促進糖尿病的科研、教育、診療等，關注一切與糖尿病有關的事務。