Arora Ekta, Shenoy Shweta, Sandhu J S
Department of Sports Medicine & Physiotherapy, Guru Nanak Dev University, Amritsar, India.
Indian J Med Res. 2009 May;129(5):515-9.
BACKGROUND & OBJECTIVE: The number of diabetes in India is increasing at an alarming rate. The effects of physical activity in the form of resistance training or aerobic exercises on type 2 diabetes have not been studied in Indian population. The objective of this study was to analyse the effects of eight weeks of progressive resistance training (PRT) compared with aerobic exercise (AE) on glycaemic control, metabolic profile, cardiovascular fitness parameters and general well being in adults with type 2 diabetes.
Thirty adults (14 females and 16 males mean; age 53.8 +/- 8.8 yr) with type 2 diabetes were randomly assigned to 8 wk supervised PRT (n=10) or AE (n=10) or control group (n=10). Glycosylated haemoglobin (HbA1c), lipid profile, blood pressure, heart rate, body mass index (BMI) and general well being were measured before training (i.e. 0 wk) and after 8 wk of training period.
Plasma glycosylated haemoglobin levels decreased significantly (P<0.05) both in the PRT group (7.57 +/- 2.4% to 6.23 +/- 0.8%) and in AE group (8.11+/-0.9% to 6.66 +/- 0.9%).Total cholesterol levels decreased significantly (P<0.05) by 13.3 per cent in PRT group and by 6.1 per cent in AE group. Both exercise groups showed significantly reduction in systolic blood pressure (P<0.05). General well being improvement was much more in PRT (8.6%) as compared to AE group (2.7%).
INTERPRETATION & CONCLUSION: Our findings showed that both PRT and AE were effective in improving metabolic profile of adults with type 2 diabetes but the percentage improvement in triglycerides, total cholesterol levels and general well being with PRT was more compared to AE. Further studies on a larger sample need to be done to confirm these findings.
印度糖尿病患者数量正以惊人的速度增长。在印度人群中,尚未对以抗阻训练或有氧运动形式进行的体育活动对2型糖尿病的影响展开研究。本研究的目的是分析与有氧运动(AE)相比,为期八周的渐进性抗阻训练(PRT)对2型糖尿病成年患者血糖控制、代谢状况、心血管健康参数及总体健康状况的影响。
30名2型糖尿病成年患者(14名女性,16名男性;平均年龄53.8±8.8岁)被随机分为八周有监督的PRT组(n=10)、AE组(n=10)或对照组(n=10)。在训练前(即0周)和为期8周的训练期结束后,测量糖化血红蛋白(HbA1c)、血脂谱、血压、心率、体重指数(BMI)及总体健康状况。
PRT组(从7.57±2.4%降至6.23±0.8%)和AE组(从8.11±0.9%降至6.66±0.9%)的血浆糖化血红蛋白水平均显著下降(P<0.05)。PRT组总胆固醇水平显著下降(P<0.05)13.3%,AE组下降6.1%。两个运动组的收缩压均显著降低(P<0.05)。与AE组(2.7%)相比,PRT组总体健康状况改善幅度更大(8.6%)。
我们的研究结果表明,PRT和AE均能有效改善2型糖尿病成年患者的代谢状况,但与AE相比,PRT在甘油三酯、总胆固醇水平及总体健康状况方面的改善百分比更高。需要对更大样本进行进一步研究以证实这些发现。