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在 2 型糖尿病患者中,开具运动处方不足以改变其久坐行为,也无法改善血糖控制。

Prescription of physical activity is not sufficient to change sedentary behavior and improve glycemic control in type 2 diabetes patients.

机构信息

Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands.

出版信息

Diabetes Res Clin Pract. 2010 May;88(2):e10-3. doi: 10.1016/j.diabres.2010.01.015.

DOI:10.1016/j.diabres.2010.01.015
PMID:20138384
Abstract

OBJECTIVE

To assess the impact of personalized exercise prescription on habitual physical activity and glycemic control in sedentary, insulin treated type 2 diabetes patients during a 2-y intervention period.

RESEARCH DESIGN AND METHODS

74 patients were randomized to the intervention (n=38) or control (n=36) group. The intervention group was stimulated to increase daily physical activity through regular, structured, and personalized exercise prescription by a physical therapist over the 2-y intervention period.

RESULTS

Physical activity levels at work or in leisure time were not modulated by the exercise prescription intervention. In accordance, no changes in body composition, glycemic control, medication use or risk factors for cardiovascular disease were observed.

CONCLUSIONS

Long-term behavioral intervention programs, providing individualized exercise prescription, are not sufficient to change sedentary behavior and/or improve glycemic control in insulin treated, type 2 diabetes patients.

摘要

目的

评估个性化运动处方对久坐、接受胰岛素治疗的 2 型糖尿病患者在 2 年干预期间习惯性体力活动和血糖控制的影响。

研究设计和方法

74 名患者被随机分为干预组(n=38)和对照组(n=36)。在 2 年的干预期间,通过物理治疗师定期、有组织和个性化的运动处方,刺激干预组增加日常体力活动。

结果

运动处方干预并没有调节工作或休闲时间的体力活动水平。因此,身体成分、血糖控制、药物使用或心血管疾病风险因素没有变化。

结论

长期行为干预计划,提供个性化运动处方,不足以改变久坐行为和/或改善接受胰岛素治疗的 2 型糖尿病患者的血糖控制。

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