Ферменты печени при неалкогольной жировой болезни печени: ответ на пирамидальную аэробную тренировку в сравнении с непрерывной аэробной тренировкой

Цель. Исследовалось влияние выбора типа тренировки (консервативная нефармакологическая терапия первой линии при неалкогольной жировой болезни печени ( НАЖБП)) на улучшение показателей ферментов печени. Проведено сравнительное исследование, направленное на оценку ответа ферментов печени на пирамидальные упражнения с повышающейся интенсив ностью (интервальные) в сравнении с непрерывными аэробными упражнениями у пациенток женского пола с НАЖБП. Материалы и методы. 38 участниц с НАЖБП рандомизировал и в группу пирамидальных тренировок (n=19) и группу непрерывных тренировок средней интенсивности (n=19). Участницы обеих групп соблюдали рассчитанную на 12 недель диету с ни зким потреблением калорий и выполняли упражнения три раза в неделю. В дополнение к измерению индекса мас сы тела (ИМТ) и окружности талии (ОТ) у пациенток с НАЖБП определяли уровни сывороточной аланинтрансаминазы (АЛТ), щелочной фосфатазы (ЩФ), липопротеинов высокой плотности (ЛПВП), аспартатаминотрансферазы (АСТ), триглицеридов (ТГ) и гаммаглутаминтрансферазы (ГГТ) н а исходном уровне и через 12 недель. Результаты. По завершении обеих программ тренировок наблюдались заметные улучшения. Пирамидальные аэробные упражнения привели к более существенным и заметным улучшениям показателей по сравнению со вторым типом тренировок (аэробные тренировки умеренной интенсивности). Заключение. Оба типа тренировок (аэробные тренировки умеренной интенсивности или пирамидальные упражнения) существенно улучшили показатели АЛТ, ИМТ, АСТ, ЛПВП, ГГТ, ЩФ, ОТ и ТГ у пациенток с НАЖБП, при этом пирамидальные тренировки оказались более эффективными по сравнению с непрерывными упражнениями умеренной интенсивности.

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