团体式多模式运动联合营养教育对围绝经期及绝经后女性健康体适能及相关结局的影响：一项临床对照试验

周靖; 杨嘉玲; 罗芙瑶; 俞丽丽; 杨剑; 雷迅

doi:10.13406/j.cnki.cyxb.004086

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团体式多模式运动联合营养教育对围绝经期及绝经后女性健康体适能及相关结局的影响：一项临床对照试验

临床研究 | 更新时间：2026-05-13

- 团体式多模式运动联合营养教育对围绝经期及绝经后女性健康体适能及相关结局的影响：一项临床对照试验
- Effect of group-based multimodal exercise combined with nutrition education on health-related physical fitness and related outcomes in perimenopausal and postmenopausal women：a clinical controlled trial
- 重庆医科大学学报 2026年51卷第5期页码：679-688
- 作者机构：
  
  1.重庆医科大学公共卫生学院，重庆 400016
  2.重庆市第五人民医院公共卫生科，重庆 400062
  3.重庆医科大学附属第三医院妇产中心，重庆 401120
  4.重庆医科大学附属第三医院营养科，重庆 401120
- 作者简介：
  
  周　靖，Email：15730643113@163.com，研究方向：公共卫生、卫生统计。
  雷　迅，Email：leixun521@cqmu.edu.cn。
- 基金信息：
  
  重庆市自然科学基金面上资助项目(CSTB2025NSCQ-GPX0365)
- DOI：10.13406/j.cnki.cyxb.004086
  中图分类号： R711.75
- 收稿：2026-03-01，
  
  修回：2026-03-17，
  
  录用：2026-03-18，
  
  纸质出版：2026-05-28
- 稿件说明：
移动端阅览
周靖，杨嘉玲，罗芙瑶，等.团体式多模式运动联合营养教育对围绝经期及绝经后女性健康体适能及相关结局的影响：一项临床对照试验[J].重庆医科大学学报，2026，51（5）：679-688.

Zhou Jing,Yang Jialing,Luo Fuyao,et al.Effect of group-based multimodal exercise combined with nutrition education on health-related physical fitness and related outcomes in perimenopausal and postmenopausal women：a clinical controlled trial[J].Journal of Chongqing Medical University,2026,51(5):679-688.
周靖，杨嘉玲，罗芙瑶，等.团体式多模式运动联合营养教育对围绝经期及绝经后女性健康体适能及相关结局的影响：一项临床对照试验[J].重庆医科大学学报，2026，51（5）：679-688. DOI： 10.13406/j.cnki.cyxb.004086.

Zhou Jing,Yang Jialing,Luo Fuyao,et al.Effect of group-based multimodal exercise combined with nutrition education on health-related physical fitness and related outcomes in perimenopausal and postmenopausal women：a clinical controlled trial[J].Journal of Chongqing Medical University,2026,51(5):679-688. DOI： 10.13406/j.cnki.cyxb.004086.

摘要

目的

探讨团体式多模式运动联合营养教育对围绝经期及绝经后女性健康体适能及相关结局指标的影响。

方法

纳入围绝经期及绝经后女性122例，其中对照组54例和干预组68例。干预组接受为期8周中等强度团体式多模式运动联合营养教育干预，每周3次、每次60 min；营养教育采用“线上为主、线下为辅”的形式，包括每日推送膳食指导卡片及在线答疑。对照组维持日常活动。组间基线比较采用独立样本

检验、Mann-Whitney

检验、Pearson

χ²

检验及Fisher精确检验；以第8周结局指标为因变量，在校正教育水平及相应基线值后，对正态分布指标采用协变量调整线性回归分析，对非正态分布结局指标采用Gamma分布广义线性模型分析，并采用Bonferroni法进行多重比较校正。

结果

2组基线特征中仅受教育水平差异有统计学意义（

0.05），其余指标差异均无统计学意义（均

0.05）。在校正受教育水平及相应基线值后，干预组多项健康体适能指标改善优于对照组，其中台阶指数［

=7.60，95%置信区间（confidence interval，CI）=4.87~10.33］、握力（

=0.90，95%CI=0.31~1.48）、跪式俯卧撑次数（

=5.77，95%CI=4.35~7.20）、30 s坐起次数（

=2.33，95%CI=1.47~3.20）、坐位体前屈（

=4.27，95%CI=3.14~5.41）及单脚闭眼站立时间（

=6.89，95%CI=4.50~9.23）差异均有统计学意义（均

0.05）；同时，体脂肪量下降、去脂体重增加（均

0.05）。次要结局中，饮食得分、社会支持、焦虑评分及体力活动水平差异均有统计学意义（均

0.05）。经Bonferroni校正后，体质指数（body mass index，BMI）和焦虑评分差异无统计学意义（校正后

0.05）。

结论

团体式多模式运动联合营养教育可能改善围绝经期及绝经后女性健康体适能，并对部分生活方式及心理社会结局产生积极影响，但上述结论仍需在更大样本和长期随访研究中进一步验证。

Abstract

Objective

To investigate the effect of group-based multimodal exercise combined with nutrition education on health-related physical fitness and related outcomes in perimenopausal and postmenopausal women.

Methods

A total of 122 perimenopausal and postmenopausal women were enrolled and divided into control group with 54 women and intervention group with 68 women. The women in the intervention group received moderate-intensity group-based multimodal exercise combined with nutrition education，for 60 minutes each time，3 times a week for 8 weeks； nutrition education was delivered online and offline，including daily dietary guidance cards and question-and-answer support. The women in the control group maintained their usual daily activities. The independent samples

-test，the Mann-Whitney

test，the Pearson chi-square test Fisher’s exact test were used for comparison of baseline data between groups； with outcome measures at week 8 as dependent variables，the covariate-adjusted linear regression analysis was used for normally distributed outcome measures after adjustment for educational level and the corresponding baseline value，and the generalized linear model with a Gamma distribution was used for non-normally distributed outcome measures； the Bonferroni method was used for multiple comparisons.

Results

As for baseline characteristics，there was only a significant difference in educational level between the two groups（

0.05），and there were no significant differences in all the other variables between the two groups（all

0.05）. After adjustment for educational level and the corresponding baseline value，the intervention group had greater improvements than the control group in multiple indicators for health-related physical fitness，including step index（

=7.60，95%CI=4.87-10.33，

0.05），handgrip strength（

=0.90，95%CI=0.31-1.48，

0.05），knee push-up repetitions（

=5.77，95%CI=4.35-7.20，

0.05），30-second sit-up repetitions（

=2.33，95%CI=1.47-3.20，

0.05），sit-and-reach performance（

=4.27，95%CI=3.14-5.41，

0.05），and single-leg stance time with eyes closed（

=6.89，95%CI=4.50-9.23，

0.05），as well as a significant reduction in body fat mass and a significant increase in fat-free mass（

0.05）. Among secondary outcomes，there were significant differences between the two groups in dietary score，social support，anxiety score，and physical activity level（

0.05）. After Bonferroni correction，there were no significant differences in body mass index and anxiety score between the two groups （adjusted

0.05）.

Conclusion

Group-based multimodal exercise combined with nutrition education may improve health-related physical fitness in perimenopausal and postmenopausal women and may also exert a positive effect on certain lifestyle and psychosocial outcomes. However，studies with a larger sample size and a longer follow-up period are needed for further confirmation.

关键词

Keywords

references

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