在并发训练中的运动序列对胰岛素抵抗,血糖控制和2型糖尿病患者的血压的影响
Friew Amare1, Alemmebrat Kiflu1, Aschenaki Taddese1
1Department of Sport Science and Physical Education, College of Education and Language Studies, Addis Ababa University, Addis Ababa, Ethiopia.
PloS one
|January 7, 2026
概括
同时训练,结合有氧和抵抗运动,显著改善了2型糖尿病患者的胰岛素敏感性,血糖和血压. 两种训练序列都显示出好处,抵抗之后是有氧运动,在减少胰岛素抵抗方面略有优势.
科学领域:
- 运动生理学 运动生理学
- 代谢健康 代谢健康
- 临床研究 临床研究
背景情况:
- 2型糖尿病 (T2DM) 是一种全球性健康问题,其特点是胰岛素抵抗和血糖控制受损.
- 同时训练,整合有氧和抵抗运动,是T2DM管理的一个有前途的干预措施.
- 在T2DM的同时训练中,有氧运动和抵抗运动的最佳顺序仍在研究中.
研究的目的:
- 为了比较有氧运动跟随抵抗训练 (CART) 与耐力跟随有氧训练 (CRAT) 对T2DM患者胰岛素敏感性,血糖控制和血压的影响.
- 为了评估这些并发训练序列的有效性,与没有炼的对照组 (COT) 相比.
主要方法:
- 一个为期12周的监督并发培训计划,涉及39名T2DM患者,随机分配到CART (n=13),CRAT (n=13) 或COT (n=13).
- 关键的结果措施包括对胰岛素抵抗的恒温模型评估 (HOMA-IR),禁食血糖 (FBS),静缩血压 (SBP) 和腹缩血压 (DBP).
- 统计分析采用ANOVA来比较群体差异,并进行特定比较的后期测试.
主要成果:
- 与COT相比,CART和CRAT都显著改善了HOMA-IR,FBS和SBP (p<0.001).与COT相比,CART和CRAT都显著改善了HOMA-IR,FBS和SBP (p<0.001).
- 与CART (p=0.022) 相比,CRAT显示了与HOMA-IR相比的适度更大的减少.
- 在CART和CRAT之间没有发现FBS和SBP的显著差异,也没有观察到DBP的显著变化.
结论:
- 无论运动顺序如何,同时进行训练是改善胰岛素抵抗,血糖控制和降低T2DM患者的SBP的有效策略.
- 在增强胰岛素敏感性方面,CRAT序列可能具有轻微的优势.
- 这些发现支持将并发培训纳入T2DM管理协议.
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