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神经肌肉电刺激对血糖控制的影响:系统性审查和元分析
Michael J Sanchez1, Ali Mossayebi1, Solmaz Sigaroodi1
1Metabolic, Nutrition, and Exercise Research (MiNER) Laboratory, Department of Kinesiology, The University of Texas at El Paso, El Paso, TX, United States.
Frontiers in endocrinology
|August 16, 2023
概括
神经肌肉电刺激 (NMES) 可以有效地改善代谢疾病和身体障碍患者的血糖控制. 这种疗法可以降低禁食血糖水平,为管理这些疾病提供了潜在的治疗策略.
科学领域:
- 运动生理学 运动生理学
- 代谢健康 代谢健康
- 康复科学 康复科学 康复科学
背景情况:
- 身体不活动是代谢疾病 (如肥胖和2型糖尿病) 的重要危险因素.
- 神经肌肉电刺激 (NMES) 诱导肌肉收缩,对有身体障碍或代谢条件的个体有益.
- 在改善血糖控制方面,NMES的有效性尚不清楚.
研究的目的:
- 系统地审查和元分析NMES对血糖控制的有效性.
- 确定NMES是否可以成为治疗代谢障碍的可行治疗选择.
主要方法:
- 在多个数据库 (PubMed,EMBASE,Cochrane Library,Google Scholar,Web of Science) 中进行了系统的搜索.
- 包括的研究是随机对照试验,调查NMES对血糖控制的影响.
- 分析使用了随机效应模型的标准化平均差异 (SMD).
主要成果:
- 35项研究符合纳入标准;其中9项被纳入了元分析 (180名参与者).
- NMES显著降低了禁食血糖 (SMD:0.48,p=0.002) 并改善了整体血糖控制措施 (SMD:0.41,p=0.01).
- 在患有2型糖尿病,肥胖或脊髓损伤的中年/老年人中,益处最为突出;NMES协议需要标准化.
结论:
- NMES在改善血糖控制方面表现出有效性,特别是在特定人群中.
- 对于身体障碍和代谢障碍的人来说,NMES可以被认为是治疗策略.
- 需要进一步的研究来规范NMES协议以获得最佳的临床应用.
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