Brankston Gabrielle N, Mitchell B F, Ryan Edmond A, Okun Nanette B
Perinatal Research Centre, University of Alberta, Edmonton, Alberta, Canada.
Am J Obstet Gynecol. 2004 Jan;190(1):188-93. doi: 10.1016/s0002-9378(03)00951-7.
This study examines the effects of circuit-type resistance training on the need for insulin in women with gestational diabetes mellitus.
Thirty-two patients with gestational diabetes mellitus were randomly assigned either to a group that was treated with diet alone or to a group that was treated with diet plus resistance exercise.
The number of women whose condition required insulin therapy was the same, regardless of treatment. However, a subgroup analysis that examined only overweight women (prepregnant body mass index, >25 kg/m(2)) showed a lower incidence of insulin use in the diet-plus-exercise group (P<.05). Women in the diet-plus-exercise group were prescribed less insulin (P<.05) and showed a longer delay from diagnosis to the initiation of insulin therapy (P<.05), compared with the diet-alone group.
Resistance exercise training may help to avoid insulin therapy for overweight women with gestational diabetes mellitus.
本研究探讨循环式抗阻训练对妊娠期糖尿病女性胰岛素需求的影响。
32例妊娠期糖尿病患者被随机分为两组，一组仅接受饮食治疗，另一组接受饮食加抗阻运动治疗。
无论接受何种治疗，需要胰岛素治疗的女性数量相同。然而，仅对超重女性（孕前体重指数>25kg/m²）进行的亚组分析显示，饮食加运动组的胰岛素使用发生率较低（P<0.05）。与单纯饮食组相比，饮食加运动组的女性胰岛素处方量较少（P<0.05），且从诊断到开始胰岛素治疗的延迟时间更长（P<0.05）。
抗阻运动训练可能有助于避免超重的妊娠期糖尿病女性接受胰岛素治疗。
