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中文老年 2 型糖尿病患者采用 bioDensity 渐进式抗阻训练对血糖控制的影响:PReTTy2(2 型糖尿病渐进式抗阻训练)试验。

The impact on glycemic control through progressive resistance training with bioDensity in Chinese elderly patients with type 2 diabetes: The PReTTy2 (Progressive Resistance Training in Type 2 Diabetes) Trial.

机构信息

Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.

Performance Health Systems, Northbrook, IL, USA.

出版信息

Diabetes Res Clin Pract. 2019 Apr;150:64-71. doi: 10.1016/j.diabres.2019.02.011. Epub 2019 Feb 16.

Abstract

AIMS

To evaluate the effects of a novel, low-volume, high-intensity Progressive Resistance Training (PRT) technique on blood glucose control in elderly Chinese patients with Type 2 Diabetes.

MATERIALS AND METHODS

The PReTTy2 trial enrolled 300 male and female patients with Type 2 Diabetes in a randomized resistance training program with the bioDensity™ technique. 100 were control patients with no training intervention and 200 had resistance training. Anthropometry, biochemical parameters, HbA1c and fasting plasma glucose (FPG) were measured at baseline, 3-month and 6-month intervals.

RESULTS

265 patients completed the study with no adverse events. There were no statistically significant differences in HbA1c for all patients, control and PRT groups, at baseline (p = 0.60), 3 months (p = 0.42) and 6-months (p = 0.45). Subgroup analysis with baseline HbA1c > 7.5% (58 mmol/mol), showed statistically significant differences in HbA1c and FPG between groups at 6 months (p < 0.05). All PRT group patients had statistically significant differences from baseline at 6 months for HDL (1.25 + 0.32 vs. 1.17 + 0.26 mmol/L, p < 0.001), LDL (3.23 ± 0.89 vs. 2.93 ± 0.80 mmol/L, p < 0.001) and total cholesterol (4.97 ± 1.22 vs. 4.58 ± 1.03 mmol/L, p < 0.001).

CONCLUSIONS

PRT improves glycemic indices in elderly patients with Type 2 Diabetes with poor glucose control as an adjunct to diet and medication. Progressive Resistance Training with bioDensity™ is feasible, safe and effective in elderly patients with Type 2 Diabetes.

摘要

目的

评估一种新型、低容量、高强度的渐进式抗阻训练(PRT)技术对中国老年 2 型糖尿病患者血糖控制的影响。

材料和方法

PReTTy2 试验招募了 300 名男性和女性 2 型糖尿病患者,他们随机接受生物密度™技术的抗阻训练计划。100 名患者为对照组,没有进行训练干预,200 名患者接受了抗阻训练。在基线、3 个月和 6 个月的间隔内测量人体测量学、生化参数、HbA1c 和空腹血糖(FPG)。

结果

265 名患者完成了研究,没有不良事件发生。所有患者、对照组和 PRT 组的基线时(p = 0.60)、3 个月时(p = 0.42)和 6 个月时(p = 0.45)的 HbA1c 无统计学差异。基线时 HbA1c > 7.5%(58 mmol/mol)的亚组分析显示,6 个月时组间 HbA1c 和 FPG 有统计学差异(p < 0.05)。所有 PRT 组患者在 6 个月时与基线相比,HDL(1.25 + 0.32 对 1.17 + 0.26 mmol/L,p < 0.001)、LDL(3.23 ± 0.89 对 2.93 ± 0.80 mmol/L,p < 0.001)和总胆固醇(4.97 ± 1.22 对 4.58 ± 1.03 mmol/L,p < 0.001)均有统计学差异。

结论

PRT 可改善血糖控制不佳的老年 2 型糖尿病患者的血糖指标,作为饮食和药物治疗的辅助手段。生物密度™渐进式抗阻训练在老年 2 型糖尿病患者中是可行、安全且有效的。

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