身体活动与新诊断为1型糖尿病的青少年血糖指数的改善有关:4T运动计划
Dessi P Zaharieva1, Victor Ritter2, Franziska K Bishop1
1Division of Pediatric Endocrinology, Department of Pediatrics, Stanford University, Stanford, CA.
Diabetes care
|July 1, 2025
概括
身体活动显著改善了新发型1型糖尿病的年轻人的葡萄糖控制. 定期炼,特别是剧烈的活动,导致24小时内在范围内的时间更好,在范围以上的时间更低.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 在年轻人中诊断1型糖尿病 (T1D) 需要仔细管理身体活动和葡萄糖水平.
- 了解运动对血糖控制的影响对于长期治疗T1D至关重要.
- 4T运动计划研究了新诊断T1D的青少年体育活动模式及其与葡萄糖结果的关联.
研究的目的:
- 在T1D诊断后的第一年评估身体活动模式.
- 为了确定体育活动和运动后24小时葡萄糖结果之间的关联.
- 评估结构化的运动教育课程对血糖控制的影响.
主要方法:
- 4T运动计划招募了98名患有T1D的青少年 (平均年龄为13岁).
- 参与者使用了持续血糖监测 (CGM) 和身体活动追踪器.
- 一个子组参加了季度运动教育课程.
主要成果:
- 剧烈的体力活动 (≥10分钟) 在24小时内增加了范围内的时间 (TIR) 2.3%和范围以上时间 (TAR) 减少了3.1%.
- 身体活动水平,包括步数和中度至强度活动,从诊断后的1-3个月显著增加到10-12个月.
- 时间低于范围 (TBR) 保持在临床目标范围内.
结论:
- 身体活动对患有新发型T1D的青少年的葡萄糖控制有积极的影响.
- 与静坐日相比,在体育活动后的24小时内观察到改善的TIR和减少的TAR.
- 每个运动教育课程都与TIR额外增加0.79%有关.
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