School of Human Movement Studies, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Astralia.
Obes Rev. 2010 Oct;11(10):740-9. doi: 10.1111/j.1467-789X.2009.00692.x.
In both developed and developing countries, increased prevalence of obesity has been strongly associated with increased incidence of type 2 diabetes mellitus (T2DM) in the adult population. Previous research has emphasized the importance of physical activity in the prevention and management of obesity and T2DM, and generic exercise guidelines originally developed for the wider population have been adapted for these specific populations. However, the guidelines traditionally focus on aerobic training without due consideration to other exercise modalities. Recent reviews on resistance training in the T2DM population have not compared this modality with others including aerobic training, or considered the implications of resistance training for individuals suffering from both obesity and T2DM. In short, the optimal mix of exercise modalities in the prescription of exercise has not been identified for it benefits to the metabolic, body composition and muscular health markers common in obesity and T2DM. Similarly, the underlying physical, social and psychological barriers to adopting and maintaining exercise, with the potential to undermine the efficacy of exercise interventions, have not been addressed in earlier reviews. Because it is well established that aerobic exercise has profound effects on obesity and T2DM risk, the purpose of this review was to address the importance of resistance training to obese adults with T2DM.
在发达国家和发展中国家，肥胖症的流行率不断上升，与成年人 2 型糖尿病（T2DM）的发病率上升密切相关。先前的研究强调了体力活动在预防和管理肥胖症和 T2DM 中的重要性，最初为更广泛的人群制定的通用运动指南已针对这些特定人群进行了调整。然而，这些指南传统上侧重于有氧运动，而没有充分考虑其他运动方式。最近关于 T2DM 人群中抗阻训练的综述没有将这种运动方式与包括有氧运动在内的其他运动方式进行比较，也没有考虑抗阻训练对肥胖和 T2DM 患者的影响。简而言之，对于肥胖和 T2DM 患者常见的代谢、身体成分和肌肉健康标志物，哪种运动方式的组合最能带来益处，目前还没有确定。同样，先前的综述没有涉及到采用和保持运动的潜在身体、社会和心理障碍，这些障碍可能会影响运动干预的效果。由于有氧运动对肥胖和 T2DM 风险有深远的影响，因此，本综述的目的是强调抗阻训练对肥胖合并 T2DM 成年人的重要性。
