高强度隔间训练和中等强度持续训练对I型糖尿病成年人的代谢效应
Paul A Baker1, Sam R Moore1,2, Gabrielle M DelBiondo1
1Applied Physiology Laboratory, Department of Exercise and Sport Science, University of North Carolina, Chapel Hill, NC.
Medicine and science in sports and exercise
|January 23, 2026
概括
在1型糖尿病 (T1D) 中,高强度间歇训练 (HIIT) 和中等强度持续训练 (MICT) 会增加平均葡萄糖水平. 与HIIT相比,MICT显示脂肪酸氧化率更高.
科学领域:
- 运动生理学 运动生理学
- 代谢学 代谢学 代谢学
- 内分泌学 在内分泌学.
背景情况:
- 1型糖尿病 (T1D) 的管理需要仔细考虑运动对血糖控制的影响.
- 了解T1D不同强度运动期间的代谢变化对于优化训练策略至关重要.
研究的目的:
- 评估能量匹配的高强度间歇训练 (HIIT) 和中等强度持续训练 (MICT) 对T1D成年人血糖变化和代谢概况的影响.
- 为了在T1D中比较HIIT,MICT和无运动对照 (CON) 之间的巨量营养素代谢的代谢签名.
主要方法:
- 14名患有T1D的成年人参加了一项随机交叉研究,涉及HIIT,MICT和CON.
- 持续血糖监测 (CGM) 评估了24小时的血糖反应,而有针对性的和非有针对性的质谱分析了运动前,运动后立即和运动后1小时的血液代谢量.
主要成果:
- 与CON相比,HIIT和MICT都导致平均全天葡萄糖水平更高,HIIT和MICT之间没有显著差异.
- 在这三个条件之间,在曲线下的整体葡萄糖面积中没有发现显著差异.
- 在MICT后,与HIIT和CON后相比,长链甲酸 (C14:2,C16:1,C16:2) 的水平升高,表明脂肪酸氧化增加.
结论:
- 在患有T1D的成年人中,HIIT和MICT都导致运动日平均葡萄糖升高.
- 与HIIT相比,MICT似乎在T1D患者中促进了更大的脂肪酸氧化.
- 这些发现支持HIIT和MICT的代谢安全性,并突出了与T1D中每个运动模式相关的不同燃料利用模式.
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