运动训练对糖尿病外围神经病的血糖控制的影响:A GRADE评估的随机对照试验的系统综述和元分析
Farhad Gholami1, Aynollah Naderi1, Asal Saeidpour1
1Department of Physical Education and Sport Sciences, Faculty of Physical Education, Shahrood University of Technology, Shahrood, Iran.
在患有糖尿病外围神经病变 (DPN) 的患者中,运动训练显著降低了HbA1c,禁食和食后血葡萄糖. 有氧训练是改善DPN患者血糖控制的最有效的运动方式.
科学领域:
- 内分泌学 在内分泌学.
- 运动医学 运动医学
- 神经学 神经学
背景情况:
- 糖尿病外围神经病变 (DPN) 是糖尿病的一个常见并发症.
- 有效的DPN管理策略,特别是关于血糖控制的有效管理策略至关重要.
- 运动训练是管理DPN的潜在非药物干预措施.
研究的目的:
- 系统地审查和元分析运动训练对DPN患者血糖标记物的影响.
- 为了确定不同运动方式对HbA1c,禁食血葡萄糖和食后血葡萄糖的有效性.
主要方法:
- 在PubMed,Web of Science和Scopus数据库中进行系统搜索.
- 包括随机对照试验,调查DPN患者的运动训练.
- 对13项符合条件的随机试验数据的元分析.
主要成果:
- 运动训练显著降低了HbA1c-0.54%,空腹血葡萄糖-32.6 mg/dl,食后血葡萄糖-67.5 mg/dl.
- 有氧训练显示HbA1c (-0.75%) 和禁食血葡萄糖 (-34.0 mg/dl) 的最显著降低.
- 观察到的HbA1c的减少对于管理DPN具有临床意义.
结论:
- 有氧运动是改善DPN患者血糖控制的最有效方式.
- 这一元分析强调了运动干预措施在管理DPN方面的临床重要性.
- 需要进一步的研究来探索各种运动方式对DPN的血糖控制的影响.
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