糖尿病前期的运动训练模式:系统审查和网络元分析
Hang Zhang1, Yuting Guo1, Guangshun Hua1
1School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in endocrinology
|March 5, 2024
概括
运动干预是糖尿病前期管理的关键. 将适度的有氧运动与抵抗训练相结合,可显著改善糖尿病前期患者的血糖控制,体重和心血管健康.
科学领域:
- 内分泌学和新陈代谢学
- 运动生理学 运动生理学
- 预防性心脏病学 预防性心脏病学
背景情况:
- 改变生活方式,特别是运动,对于推迟或逆转糖尿病前期至关重要.
- 为糖尿病前期患者制定精确的运动处方存在挑战.
- 这项研究旨在根据其改善葡萄糖/脂质代谢和促进减肥的有效性来对运动干预措施进行排名.
研究的目的:
- 为了比较不同运动干预措施对糖尿病前期的疗效.
- 确定最佳的运动策略,以改善糖尿病前期的血糖控制,脂质代谢和体重.
- 在糖尿病前期管理中为运动处方提供基于证据的指导.
主要方法:
- 对糖尿病前期运动干预研究的系统审查和元分析.
- 在五个电子数据库中搜索相关研究.
- 包括24项与1946名糖尿病前期患者的研究,并分析了7个运动干预模型.
主要成果:
- 与不运动相比,任何运动都会改善血糖控制,尽管效果适度.
- 综合中等强度有氧运动和低至中等强度阻力训练在HbA1c,BMI,体重,总胆固醇和LDL中显著改善.
- 低至中等阻力训练对禁食血糖最有效;强烈的有氧运动对饭后2小时的葡萄糖和静缩血压;适度的有氧运动对心动血压.
结论:
- 适度强度的有氧运动,阻力训练或它们的组合,对糖尿病前期患者的血糖控制,体重控制和心血管健康产生积极影响.
- 这些发现为临床医生和患者提供了开发糖尿病前期有效运动策略的实际指导.
- 优化运动处方可以改善患者的治疗结果,并支持糖尿病预防工作.
更多相关视频
相关概念视频
Diabetes: Management and Pharmacotherapy
282
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
282
Diabetes Mellitus: Type 2 and Gestational
2.4K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.4K
Diabetes Mellitus: Overview and Type I Subtype
2.6K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.6K
Pathophysiology of Diabetes
928
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,...
928
Exercise and Cardiovascular Response
808
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...
808
Diabetes: Symptoms, Diagnosis, and Complications
534
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
534


