优化运动2型糖尿病管理:从有氧,阻力,间隔和联合训练协议的比较见解
Yongsheng Lan1, Yujue Wang2, Ruisi Wu1
1College of Physical Education, Changchun Normal University, 677 North Changji Road, Changchun 130032, China.
Metabolites
|November 26, 2025
概括
不同的运动类型通过提高胰岛素敏感性和血糖控制来改善2型糖尿病的管理. 根据个体需求量身定制运动可以优化2型糖尿病患者的代谢健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 运动生理学 运动生理学
- 代谢健康 代谢健康
背景情况:
- 2型糖尿病 (T2DM) 涉及胰岛素抵抗,β细胞功能障碍和高血糖症.
- 运动对于非药物治疗的T2DM治疗至关重要,但最优的方法需要澄清.
- 本综述综合了关于运动对T2DM的代谢影响的证据.
研究的目的:
- 在T2DM中审查有氧,阻力,HIIT和联合炼的代谢影响.
- 综合证据,说明不同的运动处方如何影响代谢结果.
- 确定有效的运动计划,以改善T2DM患者的代谢健康.
主要方法:
- 搜索了PubMed,科学网和Scopus数据库,截至2025年3月30日.
- 包括26项关于T2DM和结构化运动干预措施的人类研究.
- 报告胰岛素功能或血糖控制结果的精选研究.
主要成果:
- 中度至强度的有氧训练改善了β细胞功能,胰岛素敏感性和HbA1c.
- 耐力训练对胰岛素抵抗有不同的影响,但改善了血糖指标.
- 综合有氧和抵抗训练,以及HIIT,增强胰岛素敏感性和血糖控制.
结论:
- 运动模式通过葡萄糖运输,线粒体功能和减少炎症来改善代谢健康.
- 机制包括增强葡萄糖吸收,改善线粒体功能和抗炎作用.
- 个性化的运动处方是优化T2DM管理的关键.
相关概念视频
Diabetes: Management and Pharmacotherapy
851
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...
851
Diabetes Mellitus: Type 2 and Gestational
4.3K
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...
4.3K
Carbohydrate Metabolism
13.7K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
13.7K
Diabetes Mellitus: Overview and Type I Subtype
4.8K
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...
4.8K
Insulin: Dosing Regimen and Adverse Effects
663
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
663
Exercise and Muscle Performance
2.3K
Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
2.3K


