运动对糖尿病患者心血管自主神经功能的影响:系统性审查
1Hamasaki Clinic, 2-21-4 Nishida, Kagoshima 890-0046, Japan.
Healthcare (Basel, Switzerland)
|October 13, 2023
概括
在患有心血管自主神经病变 (CAN) 的2型糖尿病患者中,运动可以改善心脏自主功能. 然而,需要更多高质量的研究来证实这些益处,特别是对于特定的患者群体.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 神经学 神经学
背景情况:
- 糖尿病神经病变,特别是心血管自主神经病变 (CAN),是失控糖尿病的严重并发症,影响心血管疾病和死亡率.
- 运动是糖尿病管理的关键策略,但其对CAN的具体影响尚未完全理解.
研究的目的:
- 系统地审查有关运动对糖尿病和CAN患者心脏自主功能 (CAF) 的治疗作用的现有文献.
主要方法:
- 在PubMed/MEDLINE,Embase和Cochrane图书馆进行了系统的文献搜索.
- 确定了8项符合条件的随机对照试验,并纳入了审查.
主要成果:
- 运动干预措施,包括有氧,阻力和高强度间歇训练,在2型糖尿病患者中显示出对CAF指标的积极影响,例如心率变化和巴罗反射灵敏度.
- 包含的研究的整体质量很低.
- 关于运动对老年人CAF的影响,糖尿病控制不良的患者和1型糖尿病患者的研究缺陷存在.
结论:
- 运动显示了通过调节自主神经系统平衡来管理CAN的潜力.
- 需要进一步进行高质量的研究,以确定在不同糖尿病人群中对CAN管理的最终运动建议.
更多相关视频
相关概念视频
Exercise and Cardiovascular Response
835
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
835
Disorders of the Autonomic Nervous System
671
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
671
Pathophysiology of Diabetes
956
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
956
Exercise and Cardiac Output
1.1K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.1K
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Pathophysiology of Cardiac Performance
680
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
680


