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联合运动训练改善成年囊性纤维化患者的血糖控制。

Combined Exercise Training Improves Glycemic Control in Adult with Cystic Fibrosis.

作者信息

Beaudoin Nadia, Bouvet Guillaume F, Coriati Adèle, Rabasa-Lhoret Rémi, Berthiaume Yves

机构信息

1Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, CANADA; 2Cystic Fibrosis Clinic, Centre Hospitalier de l'Universite de Montreal (CHUM), Montreal, Quebec, CANADA; 3Department of Nutrition, Montreal University, Montreal, Quebec, CANADA; and 4Department of Medecine, Montreal University, Montreal, Quebec, CANADA.

出版信息

Med Sci Sports Exerc. 2017 Feb;49(2):231-237. doi: 10.1249/MSS.0000000000001104.

Abstract

PURPOSE

Glucose abnormality and diabetes are the most common comorbidities in cystic fibrosis (CF). Combined (aerobic and resistance) exercise program in type 2 patients with diabetes demonstrated an improvement of glycemic control. The aim of the study was to determine whether a combined exercise program is beneficial to improve plasma glucose at 2 h of the oral glucose tolerance test in CF.

METHOD

Eighteen adults with CF with glucose abnormality were recruited (Clinicaltrial.gov: NTC02127957), and 17 were randomly assigned to a control or exercise group for 12 wk. V˙O2max, oral glucose tolerance test, muscular endurance and strength, and quality of life were measured pre- and postintervention.

RESULTS

Fourteen participants completed the protocol. Patients in the exercise group improved significantly their 2-h plasma glucose values (-2.34 ± 1.26 mmol·L, P < 0.007, confidence interval = 99.22%) and presented a reduction of 17.2% (P < 0.05) in total glucose excursion. No significant change for other parameters was observed.

CONCLUSION

A combined exercise program improves glycemic control in CF.

摘要

目的

葡萄糖异常和糖尿病是囊性纤维化(CF)最常见的合并症。针对2型糖尿病患者的联合(有氧和抗阻)运动计划已证明可改善血糖控制。本研究的目的是确定联合运动计划是否有助于改善CF患者口服葡萄糖耐量试验2小时时的血糖水平。

方法

招募了18名患有葡萄糖异常的成年CF患者(Clinicaltrial.gov:NTC02127957),其中17名被随机分配至对照组或运动组,为期12周。在干预前后测量了最大摄氧量、口服葡萄糖耐量试验、肌肉耐力和力量以及生活质量。

结果

14名参与者完成了方案。运动组患者的2小时血糖值显著改善(-2.34±1.26 mmol·L,P<0.007,置信区间=99.22%),总血糖波动降低了17.2%(P<0.05)。未观察到其他参数有显著变化。

结论

联合运动计划可改善CF患者的血糖控制。

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