University of the Far South Catarinense - UNESC, Criciúma, Santa Catarina, Brazil.
State University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Curr Atheroscler Rep. 2019 Feb 2;21(2):8. doi: 10.1007/s11883-019-0767-9.
High-intensity exercise may beneficially impact on insulin sensitivity. However, there is still uncertainty on the actual impact of high-intensity interval training (HIIT) on chronic physiologic adaptations among patients with type 2 diabetes mellitus (T2DM). We aimed to systematically search and appraise the evidence base on the effects of HIIT in comparison to mild- or moderate-intensity interval training (MMIIT) on glycemic control inT2DM.
A total of 5 RCT met the inclusion criteria. Most studies presented significant differences for weight and BMI with HIIT, and with both interventions for total body fat. For the other health-related variables (systolic and diastolic BP, fasting cholesterol, LDL and HDL, triglycerides, fasting glucose, and HbAc1), only 1 study provided detailed results for HIIT, showing significant differences for systolic BP and HDL cholesterol in 2 studies, total cholesterol, LDL, and triglycerides, whereas for MIIT, only 1 study brought significant differences for LDL cholesterol. For glucose levels, significant differences were reported in 4 studies for both HIIT and MMIT, but only two studies used the percentage delta assessment tool, whereas 1 study only showed significant improvements for HIIT. The number of studies for the analysis is not precise as to the statements regarding the results of the intervention proposed for this public, since they do not allow identifying a consistency of the findings, not presenting diversity between the training methods and the different methods of volume control and intensity of training.
高强度运动可能对胰岛素敏感性有益。然而，高强度间歇训练（HIIT）对 2 型糖尿病患者慢性生理适应性的实际影响仍存在不确定性。我们旨在系统地搜索和评估 HIIT 与轻或中度间歇训练（MMIIT）在 2 型糖尿病患者血糖控制方面的效果的证据基础。
共有 5 项 RCT 符合纳入标准。大多数研究表明 HIIT 对体重和 BMI 有显著差异，对总体脂也有显著差异。对于其他与健康相关的变量（收缩压和舒张压、空腹胆固醇、LDL 和 HDL、甘油三酯、空腹血糖和 HbAc1），只有 1 项研究提供了 HIIT 的详细结果，显示 2 项研究中收缩压和 HDL 胆固醇有显著差异，2 项研究中总胆固醇、LDL 和甘油三酯有显著差异，而对于 MIIT，只有 1 项研究中 LDL 胆固醇有显著差异。对于血糖水平，4 项研究对 HIIT 和 MMIT 都有显著差异，但只有两项研究使用了百分比差值评估工具，而只有一项研究仅显示 HIIT 有显著改善。由于这些研究没有确定干预结果的一致性，也没有展示训练方法和不同的容量控制和训练强度之间的多样性，因此，关于该人群提出的干预措施的结果的研究数量并不准确。
