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2型糖尿病患者中训练与停训对身体功能、糖尿病控制及人体测量学指标的影响:一项随机对照试验

Effects on training and detraining on physical function, control of diabetes and anthropometrics in type 2 diabetes; a randomized controlled trial.

作者信息

Park Sang-Young, Lee In-Hee

机构信息

Department of Physical Therapy, Uiduk University , Donghaedaero 261 Gangdong Gyeongju, Gyeongbuk , Korea and.

出版信息

Physiother Theory Pract. 2015 Feb;31(2):83-8. doi: 10.3109/09593985.2014.958265. Epub 2014 Sep 18.

Abstract

The purpose of this study was to investigate the effect of circuit exercise training and detraining, which is defined by termination of training without additional physical activities, in type 2 diabetic patients. Elderly with type 2 diabetes were divided into a group that exercised for 1 h three times a week for 12 weeks, followed by detraining for 8 weeks, or into a control group. Muscular strength, endurance, flexibility, agility, balance, body mass index (BMI), glycosylated hemoglobin (HbA1c), and blood lipid profile were measured. Of the 98 diabetic participants who joined this study, 37 patients completed the program (exercise group = 24, control group = 13). After training, muscular strength, flexibility, balance, agility, and endurance in the training group were significantly higher than at baseline and compared to the control group. HbA1c levels decreased in the training group. There was no significant improvement in BMI and blood lipid profile in either group. Flexibility and agility in the training group declined significantly after detraining. In spite of this decline, flexibility and agility were significantly higher compared to the baseline and to the control group. In type 2 diabetic patients, circuit training had a beneficial effect on the indices of physical function and glucose metabolism. Training resulted in good improvement; and during detraining, the effect of exercise training was maintained except in some parameters.

摘要

本研究的目的是调查循环训练和停训(定义为在无额外体育活动的情况下终止训练)对2型糖尿病患者的影响。老年2型糖尿病患者被分为一组,每周进行3次1小时的锻炼,持续12周,随后停训8周,或分为对照组。测量肌肉力量、耐力、柔韧性、敏捷性、平衡能力、体重指数(BMI)、糖化血红蛋白(HbA1c)和血脂谱。在参与本研究的98名糖尿病参与者中,37名患者完成了该项目(运动组=24名,对照组=13名)。训练后,训练组的肌肉力量、柔韧性、平衡能力、敏捷性和耐力显著高于基线水平,且与对照组相比也更高。训练组的HbA1c水平下降。两组的BMI和血脂谱均无显著改善。停训后,训练组的柔韧性和敏捷性显著下降。尽管出现了这种下降,但与基线水平和对照组相比,柔韧性和敏捷性仍显著更高。对于2型糖尿病患者,循环训练对身体功能和糖代谢指标有有益影响。训练带来了良好的改善;在停训期间,除了一些参数外,运动训练的效果得以维持。

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