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有氧运动和抗阻运动相结合可改善2型糖尿病患者的血糖控制和身体适应性。

Combined aerobic and resistance exercise improves glycemic control and fitness in type 2 diabetes.

作者信息

Maiorana Andrew, O'Driscoll Gerard, Goodman Carmel, Taylor Roger, Green Daniel

机构信息

Department of Human Movement and Exercise Science, The University of Western Australia, Nedlands, WA 6907, Australia.

出版信息

Diabetes Res Clin Pract. 2002 May;56(2):115-23. doi: 10.1016/s0168-8227(01)00368-0.

DOI:10.1016/s0168-8227(01)00368-0
PMID:11891019
Abstract

We investigated the effect of an 8 week circuit training (CT) program, combining aerobic and resistance exercise, on indices of glycemic control, cardiorespiratory fitness, muscular strength and body composition in 16 subjects (age 52 +/- 2 years) with type 2 diabetes using a prospective randomised crossover protocol. Submaximal exercise heart rate and rate pressure product were significantly lower after training (P<0.05), whilst ventilatory threshold increased (11.8 +/- 0.7 vs 13.8 +/- 0.6 ml kg(-1)min(-1), P<0.001). Muscular strength also increased with training (403 +/- 30 to 456 +/- 31 kg, P<0.001), whilst skinfolds (148.7 +/- 11.5 vs 141.1 +/- 10.7 mm, P<0.05), % body fat (29.5 +/- 1.0 vs 28.7 +/- 1.1%, P<0.05) and waist:hip ratio (99.2 +/- 1.5 vs 97.9 +/- 1.4%, P<0.05) significantly decreased. Concurrently, peak oxygen uptake (P<0.05) and exercise test duration (P<0.001) increased following training, whilst glycated hemoglobin (P<0.05) and fasting blood glucose (P<0.05) decreased. CT is an effective method of training that improved functional capacity, lean body mass, strength and glycemic control in subjects with type 2 diabetes.

摘要

我们采用前瞻性随机交叉试验方案,研究了一项为期8周、结合有氧运动和抗阻运动的循环训练(CT)计划对16名2型糖尿病患者(年龄52±2岁)血糖控制指标、心肺适能、肌肉力量和身体成分的影响。训练后,次极量运动心率和心率血压乘积显著降低(P<0.05),同时通气阈值升高(11.8±0.7对13.8±0.6毫升·千克⁻¹·分钟⁻¹,P<0.001)。肌肉力量也随训练增加(403±30至456±31千克,P<0.001),而皮褶厚度(148.7±11.5对141.1±10.7毫米,P<0.05)、体脂百分比(29.5±1.0对28.7±1.1%,P<0.05)和腰臀比(99.2±1.5对97.9±1.4%,P<0.05)显著降低。同时,训练后峰值摄氧量(P<0.05)和运动测试持续时间(P<0.001)增加,而糖化血红蛋白(P<0.05)和空腹血糖(P<0.05)降低。循环训练是一种有效的训练方法,可改善2型糖尿病患者的功能能力、瘦体重、力量和血糖控制。

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