Marrero D G, Fremion A S, Golden M P
James Whitcomb Riley Hospital for Children, Department of Pediatrics, Indiana University School of Medicine, Indianapolis.
Pediatrics. 1988 Apr;81(4):519-25.
In this project we investigated the impact of a 12-week at-home aerobic fitness program on aerobic capacity and metabolic control of ten adolescents (four girls and six boys 12 to 14 years of age) with insulin-dependent diabetes mellitus. The adolescents had no prior experience with exercise training. The 45-minute program, designed by a physical therapist, consisted of a stretching, calisthenics, and "cool-down" routine set to popular music. It was taught to the youngsters in group sessions. Each adolescent was given audio- and videocassettes of the routine for home use that emphasized self-motivation in maintaining training. The youngsters were asked to exercise three times per week and were also taught how to adjust their insulin and diet for exercise. Aerobic fitness was determined by maximal oxygen uptake following a vigorous, continuous progressive cycling test; metabolic control was measured by glycosylated hemoglobin values. All of the adolescents reported greater than 85% completion of the program. The youngsters displayed a correspondingly significant increase in aerobic fitness as measured by maximal oxygen uptake: 40.39 +/- 8.87 v 44.86 +/- 12.89 mL/kg/min. Glycosylated hemoglobin levels (mean +/- SD) for the entire group were significantly reduced after the program (11.41 +/- 4.47% v 10.01 +/- 3.21%). Results of this study indicate that nonathletic adolescents with insulin-dependent diabetes mellitus can engage in self-motivated exercise training at home. If properly designed, such programs can improve aerobic fitness and may contribute to improvement in diabetes control.
在本项目中，我们调查了一项为期12周的居家有氧健身计划对10名患有胰岛素依赖型糖尿病的青少年（4名女孩和6名12至14岁男孩）的有氧能力和代谢控制的影响。这些青少年此前没有运动训练经验。该45分钟的计划由一名物理治疗师设计，包括一套配合流行音乐的伸展、健身操和“放松”动作。该计划在小组课程中教授给这些年轻人。每个青少年都得到了该训练动作的录音带和录像带，供其在家使用，其中强调了自我激励以维持训练。这些年轻人被要求每周锻炼三次，还被教导如何针对运动调整胰岛素和饮食。有氧适能通过剧烈、持续递增的自行车测试后的最大摄氧量来确定；代谢控制通过糖化血红蛋白值来衡量。所有青少年都报告该计划的完成率超过85%。通过最大摄氧量测量，这些年轻人的有氧适能相应地显著提高：从40.39±8.87毫升/千克/分钟提高到44.86±12.89毫升/千克/分钟。该计划实施后，整个小组的糖化血红蛋白水平（平均值±标准差）显著降低（从11.41±4.47%降至10.01±3.21%）。本研究结果表明，患有胰岛素依赖型糖尿病的非运动型青少年可以在家中进行自我激励的运动训练。如果设计得当，此类计划可以提高有氧适能，并可能有助于改善糖尿病控制。
