Department of Public Health, China Medical University, Taichung, Taiwan; Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan No. 666, Buzih Road, Beitun District, Taichung City 40601, Taiwan.
Department of Public Health, China Medical University, Taichung, Taiwan.
Diabetes Res Clin Pract. 2016 Mar;113:77-85. doi: 10.1016/j.diabres.2016.01.011. Epub 2016 Jan 14.
The objective of this study was to systematically review the effectiveness of different types of regular leisure-time physical activities and pooled the effect sizes of those activities on long-term glycemic control in people with type 2 diabetes compared with routine care. This review included randomized controlled trials from 1960 to May 2014. A total of 10 Chinese and English databases were searched, following selection and critical appraisal, 18 randomized controlled trials with 915 participants were included. The standardized mean difference was reported as the summary statistic for the overall effect size in a random effects model. The results indicated yoga was the most effective in lowering glycated haemoglobin A1c (HbA1c) levels. Meta-analysis also revealed that the decrease in HbA1c levels of the subjects who took part in regular leisure-time physical activities was 0.60% more than that of control group participants. A higher frequency of regular leisure-time physical activities was found to be more effective in reducing HbA1c levels. The results of this review provide evidence of the benefits associated with regular leisure-time physical activities compared with routine care for lowering HbA1c levels in people with type 2 diabetes.
本研究旨在系统回顾不同类型的常规闲暇时间体育活动对 2 型糖尿病患者长期血糖控制的有效性，并汇总这些活动与常规护理相比的效果大小。本综述包括 1960 年至 2014 年 5 月的随机对照试验。共检索了 10 个中文和英文数据库，经过选择和批判性评价，纳入了 18 项随机对照试验，共 915 名参与者。标准化均数差被报告为随机效应模型中总体效果大小的汇总统计量。结果表明，瑜伽在降低糖化血红蛋白（HbA1c）水平方面最有效。荟萃分析还显示，参加常规闲暇时间体育活动的受试者的 HbA1c 水平下降比对照组参与者多 0.60%。发现更频繁的常规闲暇时间体育活动更能有效降低 HbA1c 水平。本综述的结果为 2 型糖尿病患者常规闲暇时间体育活动与常规护理相比降低 HbA1c 水平的益处提供了证据。
