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1型糖尿病运动员的营养管理:叙述性审查
Massimiliano Cavallo1, Michelantonio De Fano2, Luisa Barana3
1Department of Medicine and Surgery, University of Perugia, Unit of Internal Medicine, Terni University Hospital, Piazzale Tristano Di Joannuccio, 1, 05100 Terni, Italy.
Nutrients
|March 28, 2024
概括
在体力活动 (PA) 期间管理1型糖尿病 (T1DM) 是复杂的. 本综述为参与PA的T1DM个体提供了营养和血糖控制的指导,帮助医疗保健专业人员.
科学领域:
- 内分泌学 在内分泌学.
- 运动医学 运动医学
- 营养科学 营养科学
背景情况:
- 1型糖尿病 (T1DM) 涉及胰腺β细胞的自身免疫破坏,导致胰岛素缺乏和急性和慢性并发症的风险.
- 身体活动 (PA) 对糖尿病管理有好处,但其对T1DM血糖控制的影响是不可预测的.
- 进行PA的T1DM个体的营养管理由于巨量营养素,胰岛素和运动之间的复杂相互作用而带来了重大挑战.
研究的目的:
- 提供科学文献的全面审查,以帮助医疗保健专业人员优化T1DM患者的血糖控制和营养状况.
- 综合当前关于碳水化合物和蛋白质摄入量,血糖管理策略以及微量营养素和补充剂在T1DMPA期间的作用的证据.
主要方法:
- 从开始到2024年1月,使用PubMed和Scopus数据库进行了系统的文献搜索.
- 审查的重点是确定营养摄入量 (碳水化合物,蛋白质) 和血糖管理策略在T1DM中PA前,期间和之后的建议.
- 考虑了PA强度,营养共同摄入以及个人因素对血糖反应的影响.
主要成果:
- 详细推碳水化合物和蛋白质摄入时间和相对于PA的数量.
- 讨论了在体力活动期间监测和管理血糖水平的策略.
- 强调了微量营养素状况的重要性以及营养补充剂的潜在影响.
结论:
- 有效的营养策略和谨慎的血糖管理对于参与PA的T1DM个体至关重要.
- 本综述提供了基于证据的指导,以支持糖尿病医生,体育医学医生和营养学家在体育活动期间管理T1DM.
- 优化营养摄入量和血糖控制可以改善结果,并减少T1DM个体从事运动的风险.
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