一个为期三个月的体育训练计划可以改善糖尿病或没有糖尿病的代谢综合征患者的心血管自主功能 - - 这是一项试点研究
Anna Vágvölgyi1, Judit Erzsébet Ábrahám2, Éva Máthéné Köteles3
1Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Frontiers in endocrinology
|September 4, 2023
概括
体育训练改善了代谢综合征患者的心血管自主功能,特别是非糖尿病患者. 糖尿病患者的适应能力受损,凸显了为减轻血管风险需要量身定制的运动计划.
科学领域:
- 心血管生理学心血管生理学
- 代谢障碍 代谢障碍 代谢障碍
- 运动科学 运动科学
背景情况:
- 代谢综合征 (MetS) 与血管并发症和神经病变有关.
- 心血管自主功能障碍是MetS中常见的并发症,可能会增加心血管风险.
研究的目的:
- 评估一个为期3个月的体育训练计划对患有MetS的患者心血管自主功能的影响.
- 为了比较培训的效果,在患有MetS的患者,有和没有2型糖尿病.
主要方法:
- 56名MetS患者 (40名非糖尿病患者,16名糖尿病患者) 接受了为期3个月的体育训练计划.
- 用五种标准的心血管反射测试来评估心血管自主功能,包括瓦萨尔瓦比率 (VR).
- 在训练之前和之后,还测量了心电图再极化和压力-心电图参数.
主要成果:
- 身体训练在整体MetS人群中显著改善VR和自主评分 (AS),同时降低了血压.
- 在非糖尿病的MetS患者中,VR有所改善,但在糖尿病的MetS患者中没有观察到自主测试的显著变化.
- 两组都显示压力-心电图测试持续时间和负载 (METs) 的改善,尽管糖尿病患者的MET分数较低.
结论:
- 一个为期3个月的炼计划可以提高METS患者的自主功能和心血管参数,从而潜在地提供对事件的保护.
- 与非糖尿病患者相比,糖尿病的MetS患者表现出与训练自主适应能力受损.
- 炼干预措施可能需要个性化,以优化对患有MetS的糖尿病患者的益处.
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