糖尿病前期患者有氧运动的影响:系统性审查和元分析
Yifei Wang1, Honglei Li2, Dongxue Yang1
1College of Physical Education and Health, Guangxi Normal University, Guilin, China.
Frontiers in endocrinology
|July 31, 2023
概括
有氧运动显著改善了血糖控制,并降低了糖尿病前期患者的BMI. 不同的运动持续时间对禁食血糖,2小时血糖和HbA1c水平产生积极影响.
科学领域:
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
- 运动生理学 运动生理学
背景情况:
- 糖尿病前期是一个日益严重的公共卫生问题,其特点是血糖水平升高.
- 有效的生活方式干预对于防止发展为2型糖尿病至关重要.
- 有氧运动是代谢障碍管理的基石.
研究的目的:
- 系统地评估持续有氧运动不同持续时间对糖尿病前患者关键代谢标志物的影响.
- 综合随机对照试验 (RCT) 关于有氧训练在治疗糖尿病前期的有效性的证据.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane图书馆进行了全面的文献搜索.
- 包括10个RCT,涉及815名糖尿病前期参与者 (平均年龄56.1岁,男性39.2%).
- 使用柯克兰偏差风险工具 (版本2) 评估偏差风险.
主要成果:
- 有氧运动显著降低了身体质量指数 (BMI) -1.44 kg/m2.
- 观察到,禁食血糖 (FBG) 的显著降低为-0.51 mmol/L.
- 两小时后血葡萄糖 (2hPG) 的改善为-0.76 mmol/L,HbA1c的改善为-0.34%.
结论:
- 持续的有氧运动对糖尿病前期的血糖控制有显著的益处.
- 有氧训练有效降低BMI,FBG,2hPG和HbA1c水平.
- 有氧运动的持续时间可能会影响这些积极健康结果的程度.
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