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延长神经肌肉电刺激对 2 型糖尿病代谢谱和认知相关血液参数的影响:一项随机对照交叉试验。

Impact of prolonged neuromuscular electrical stimulation on metabolic profile and cognition-related blood parameters in type 2 diabetes: A randomized controlled cross-over trial.

机构信息

School of Rehabilitation, Hyogo University of Health Sciences, Kobe, Japan.

Department of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan.

出版信息

Diabetes Res Clin Pract. 2018 Aug;142:37-45. doi: 10.1016/j.diabres.2018.05.032. Epub 2018 May 24.

Abstract

AIMS

This study aimed to examine the effect of prolonged neuromuscular electrical stimulation (NMES) on the metabolic profile and cognition-related blood parameters in patients with type 2 diabetes mellitus (T2DM).

METHODS

Fourteen patients with T2DM (63.2 ± 3.0 years, 76.1 ± 3.5 kg) participated in a randomized controlled cross-over study, in which 8-week-long NMES interventions were performed on both legs. The NMES training protocol consisted of 40-min sessions, 5 days per week, for 8 weeks. The relative changes in glucose and lipid profiles, and cognition-related blood parameters were evaluated.

RESULTS

NMES training induced significant changes in the fasting glucose concentration (p < 0.05) and percent body fat (p < 0.05), although there were no significant changes in HbA1c and blood lipid levels (p ≥ 0.05). The change in plasma brain-derived neurotrophic factor (BDNF) levels was significantly higher in the NMES period than in the control period (p < 0.05).

CONCLUSIONS

This study showed that an 8-week NMES training program could induce greater changes in the blood glucose concentration, percent body fat, and plasma BDNF levels than the control intervention in patients with T2DM. NMES training might prove to be an alternative exercise method for patients who might have difficulties in performing adequate voluntary exercise.

摘要

目的

本研究旨在探讨长时间神经肌肉电刺激(NMES)对 2 型糖尿病(T2DM)患者代谢特征和认知相关血液参数的影响。

方法

14 例 T2DM 患者(63.2±3.0 岁,76.1±3.5kg)参与了一项随机对照交叉研究,对其双侧下肢进行为期 8 周的 NMES 干预。NMES 训练方案由 40 分钟的训练课程组成,每周 5 天,持续 8 周。评估血糖和血脂谱以及认知相关血液参数的变化。

结果

NMES 训练可显著改变空腹血糖浓度(p<0.05)和体脂百分比(p<0.05),但 HbA1c 和血脂水平无显著变化(p≥0.05)。NMES 期血浆脑源性神经营养因子(BDNF)水平的变化明显高于对照组(p<0.05)。

结论

本研究表明,8 周 NMES 训练方案可引起 T2DM 患者血糖浓度、体脂百分比和血浆 BDNF 水平的变化大于对照组,NMES 训练可能成为那些难以进行足够的自愿运动的患者的替代运动方法。

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