针对2型糖尿病成年人的体力活动指南 糖尿病:系统性审查
Eda Tonga1, Hannah Worboys2, Rachael A Evans3
1Diabetes Research Centre, College of Life Sciences, Department of Population Health Sciences, University of Leicester, Leicester, UK; NIHR Leicester Biomedical Research Centre, Leicester, UK.
对2型糖尿病 (T2D) 的体力活动指南始终建议有氧运动,但缺乏重视力量训练. 方法质量有所不同,突出了未来建议中标准化发展的需要.
科学领域:
- 内分泌学 在内分泌学.
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 2型糖尿病 (T2D) 的管理需要量身定制的体力活动策略.
- 现有的T2D体育活动指南在质量和范围上有所不同.
- 需要对当前建议进行系统审查,以确定差距并改进指导.
研究的目的:
- 系统地审查和综合现有的关于成人2型糖尿病 (T2D) 身体活动的建议.
- 评估T2D体育活动指南的质量.
- 确定当前建议中的疾病特异性适应和限制.
主要方法:
- 系统地搜索在线数据库中临床实践指南 (CPG),陈述和建议.
- 根据两位独立作者的资格标准对指导方针进行选.
- 提取FITT (频率,强度,时间,类型) 参数和特定疾病的预防措施.
- 使用AGREE II工具评估CPG的方法质量.
主要成果:
- 审查中包括了15条指导方针.
- 在9个评估的CPG中,有3个被评为高质量;其他的被评为中等到低质量.
- 主要建议:每周至少进行150分钟的适度有氧运动.
- T2D的适应主要集中在血糖控制,饮食,足部护理,天气,久坐行为,神经病变和视网膜病变上.
结论:
- 指南强调有氧运动,但不太强调T2D的力量和灵活性训练.
- 观察到方法质量和报告的重大局限性,特别是利益相关者的参与和适用性.
- 未来的T2D体育活动指南应该采用标准化的FITT框架和强大的开发方法,以提高可用性.
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