School of Physical Therapy, Old Dominion University, Norfolk, Virginia, USA.
Diabetes Care. 2010 Apr;33(4):748-50. doi: 10.2337/dc09-1699. Epub 2010 Jan 22.
This study assessed the effects of balance/strength training on falls risk and posture in older individuals with type 2 diabetes.
Sixteen individuals with type 2 diabetes and 21 age-matched control subjects (aged 50-75 years) participated. Postural stability and falls risk was assessed before and after a 6-week exercise program.
Diabetic individuals had significantly higher falls risk score compared with control subjects. The diabetic group also exhibited evidence of mild-to-moderate neuropathy, slower reaction times, and increased postural sway. Following exercise, the diabetic group showed significant improvements in leg strength, faster reaction times, decreased sway, and, consequently, reduced falls risk.
Older individuals with diabetes had impaired balance, slower reactions, and consequently a higher falls risk than age-matched control subjects. However, all these variables improved after resistance/balance training. Together these results demonstrate that structured exercise has wide-spread positive effects on physiological function for older individuals with type 2 diabetes.
本研究评估了平衡/力量训练对 2 型糖尿病老年个体跌倒风险和姿势的影响。
16 名 2 型糖尿病患者和 21 名年龄匹配的对照组（年龄 50-75 岁）参与了研究。在 6 周的运动计划前后评估了姿势稳定性和跌倒风险。
与对照组相比，糖尿病患者的跌倒风险评分显著更高。糖尿病组还表现出轻度至中度神经病变、反应时间较慢以及姿势摆动增加的证据。运动后，糖尿病组的腿部力量显著增强，反应时间加快，摆动减小，从而降低了跌倒风险。
与年龄匹配的对照组相比，患有糖尿病的老年人平衡能力较差，反应较慢，因此跌倒风险更高。然而，经过抗阻/平衡训练后，所有这些变量都得到了改善。这些结果表明，对于 2 型糖尿病的老年患者，有规律的运动对其生理功能有广泛的积极影响。
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