不同类型的运动对异常血糖控制的个体血管内皮功能的影响:系统性审查和网络元分析
Zongxiang Li1, Shengyao Luo1, Xuebing Bai1
1Faculty of Physical Education and Art, Jiangxi University of Science and Technology, Ganzhou, China.
有氧间歇运动 (AIE) 最有效地改善了手臂动脉流介导扩张 (FMD),这是内皮功能的标志物. 心身炼 (MBE) 也是有益的,为某些个人提供了替代方案.
科学领域:
- 心血管生理学心血管生理学
- 代谢健康 代谢健康
- 运动科学 运动科学
背景情况:
- 支臂动脉流媒扩张 (FMD) 评估内皮功能,对心血管健康至关重要.
- 缺陷的口病常见于血糖控制异常的个体,包括糖尿病前期和2型糖尿病 (T2DM).
- 众所周知,运动可以改善口炎,但不同类型运动的比较有效性需要澄清.
研究的目的:
- 进行网络元分析 (NMA),比较各种运动方式对手臂动脉口病的影响.
- 确定最有效的运动类型,以改善内皮功能,在个体有血糖异常.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,Web of Science,EBSCO) 进行了系统的文献搜索,查找到2025年1月的相关随机对照试验.
- 17项涉及797名参与者的研究 (76名糖尿病前期患者,721名2型糖尿病患者) 经由两位独立审查员进行查后被纳入.
- 使用Stata 16.0进行了网络元分析,并使用Cochrane风险偏差工具 (版本2) 评估了偏差风险.
主要成果:
- 有氧间歇运动 (AIE) 显示了口炎 (MD = 2.23%) 中最显著的改善.
- 心身运动 (MBE) 也显示出显著的改善 (MD = 1.97%),其次是联合运动 (CE) (MD = 1.17%) 和有氧持续运动 (ACE) (MD = 1.20%).
- 累计排名 (SUCRA) 值下的表面值突出显示,AIE (89.0) 和MBE (80.1) 是增强口病的最有效方式.
结论:
- 有氧间歇运动 (AIE) 是改善手臂动脉口病的最有效的运动方式.
- 心身炼 (MBE) 是一种可行的替代方案,特别是对于身体健康水平较低或心血管因素较低的人来说.
- 进一步的研究应该调查长期影响和个性化的运动处方,以优化内皮功能.
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