远程监督运动时间对1型糖尿病患者在斋月期间血糖控制的影响:一项随机交叉研究
Ebaa Al Ozairi1, Abeer ElSamad2, Jumana Al Kandari2
1Clinical Research Unit, Dasman Diabetes Institute, Kuwait; Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait.
Diabetes & metabolic syndrome
|August 17, 2023
概括
在斋月期间远程监督的运动安全降低了1型糖尿病患者的葡萄糖水平. 晚上炼与下午炼相比,对血糖控制有更大的益处.
科学领域:
- 内分泌学和新陈代谢学
- 运动生理学 运动生理学
- 糖尿病管理 糖尿病管理
背景情况:
- 斋月禁食对患有1型糖尿病 (T1D) 的人来说,在血糖控制方面存在独特的挑战.
- 在斋月期间保持体力活动至关重要,但需要仔细考虑时间和强度.
- 远程监督的运动为T1D管理提供了一种灵活的身体活动方法.
研究的目的:
- 为了比较远程监督运动对T1D患者的葡萄糖水平的影响,当在斋月期间断食之前或之后进行时.
- 评估与禁食期间相关的运动时间的安全性和有效性.
主要方法:
- 一项随机交叉研究,涉及32名参与者在斋月期间 (2021-2022) 在科威特T1D.
- 持续血糖监测 (CGM) 在基线一周和远程监督运动 (3x/周) 的几周内跟踪了间歇性血糖水平.
- 运动包括阻力和有氧部件,通过视频通话监督,在下午 (断食前) 或晚上 (断食后) 进行.
主要成果:
- 与基线日相比,运动日间歇性葡萄糖水平在下午 (8.6 vs 9.1 mmol/L) 和晚上 (8.7 vs 9.6 mmol/L) 运动时显著降低.
- 与基线和运动日相比,运动后的第二天葡萄糖水平显著降低,特别是在晚上运动组.
- 没有报告与运动时间或强度相关的不良事件,这表明安全性.
结论:
- 在斋月期间远程监督运动是降低T1D患者间歇性葡萄糖水平的安全策略.
- 在断食后,在晚上进行炼,与下午的炼相比,对血糖管理可能有更大的益处.
- 需要进行更大规模的试验来证实这些发现,并优化在斋月期间针对T1D的运动建议.
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