一项以水上运动为基础的锻炼计划对改善2型糖尿病男性患者心脏代谢状况、生活质量和身体活动水平的影响。

Effects of an aquatic-based exercise program to improve cardiometabolic profile, quality of life, and physical activity levels in men with type 2 diabetes mellitus.

作者信息

Cugusi Lucia, Cadeddu Christian, Nocco Silvio, Orrù Fabio, Bandino Stefano, Deidda Martino, Caria Alessandra, Bassareo Pier Paolo, Piras Alessandra, Cabras Sergio, Mercuro Giuseppe

机构信息

Department of Medical Sciences "M. Aresu," University of Cagliari, Italy; Adapted Physical Activity Master Degree Course, University of Cagliari, Italy(∗).

Department of Medical Sciences "M. Aresu," University of Cagliari, Italy(†).

出版信息

PM R. 2015 Feb;7(2):141-8; quiz 148. doi: 10.1016/j.pmrj.2014.09.004. Epub 2014 Sep 10.

DOI:10.1016/j.pmrj.2014.09.004

PMID:25217820

Abstract

BACKGROUND

The role of structured exercise in improving cardiometabolic profile and quality of life in patients with type 2 diabetes mellitus (2DM) has been widely demonstrated. Little is known about the effects of an aquatic-based exercise program in patients with 2DM.

OBJECTIVE

To evaluate the effects of a supervised aquatic-based exercise program on cardiometabolic profile, quality of life, and physical activity levels in patients with 2DM.

DESIGN AND SETTING

Observational study, community pre-post aquatic-based exercise program, primary care intervention.

PATIENTS

Eighteen men diagnosed with 2DM (52.2 ± 9.3 years).

METHODS

and

MAIN OUTCOME MEASUREMENTS

Cardiometabolic profile, quality of life, and physical activity levels were assessed before and after 12 weeks of an aquatic-based exercise program.

RESULTS

The results show a significant improvement of cardiometabolic assessments (maximum oxygen consumption: 24.1 versus 21.1 mL/kg/min, P < .05; blood pressure: 125.4/77 versus 130.7/82.5 mm Hg, P < .05; fasting blood glucose: 119.6 versus 132.5 mg/dL, P < .05; body mass index: 29.9 versus 31.1 kg/m², P < .005; low-density lipoprotein cholesterol: 95.2 versus 104.9 mg/dL, P < .05; and diastolic function: E/E' 9.1 versus 10.1, P < .005) and an increase in quality of life and physical activity levels (Medical Outcome Study 36-item Short Form Health Survey mental component summary: 72.3 versus 67, P < .05; Problems Area About Diabetes: 20.1 versus 33.2, P < .005) and energy expenditure in general physical activity (physical activity: 3888.7 versus 1239.5 kcal/wk, P < .05).

CONCLUSIONS

These findings demonstrate that an aquatic-based exercise program produces benefits for the cardiovascular system and metabolic profile and appears to be safe and effective in improving quality of life and increasing physical activity levels in patients with 2DM.

摘要

背景

结构化运动对改善2型糖尿病（2DM）患者的心脏代谢状况和生活质量的作用已得到广泛证实。关于水上运动项目对2DM患者的影响，人们了解甚少。

目的

评估有监督的水上运动项目对2DM患者心脏代谢状况、生活质量和身体活动水平的影响。

设计与地点

观察性研究，社区水上运动项目前后对照，初级保健干预。

患者

18名被诊断为2DM的男性（52.2±9.3岁）。

方法

主要观察指标

在进行为期12周的水上运动项目前后，评估心脏代谢状况、生活质量和身体活动水平。

结果

结果显示心脏代谢评估有显著改善（最大耗氧量：24.1对21.1毫升/千克/分钟，P<.05；血压：125.4/77对130.7/82.5毫米汞柱，P<.05；空腹血糖：119.6对132.5毫克/分升，P<.05；体重指数：29.9对31.1千克/平方米，P<.005；低密度脂蛋白胆固醇：95.2对104.9毫克/分升，P<.05；舒张功能：E/E'9.1对10.1，P<.005），生活质量和身体活动水平提高（医学结局研究36项简短健康调查心理成分总结：72.3对67，P<.05；糖尿病问题领域：20.1对33.2，P<.005），一般身体活动中的能量消耗增加（身体活动：3888.7对1239.5千卡/周，P<.05）。