Yuing Tuillang, Lizana Pablo A, Berral Francisco José
Facultad de Salud, Escuela de Kinesiología, Universidad Santo Tomás, Viña del Mar, Chile.
Laboratory of Morphological Sciences, Instituto de Biología, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile.
Rev Med Chil. 2019 Apr;147(4):480-489. doi: 10.4067/S0034-98872019000400480.
Physical training is recommended in several studies and guidelines for the control of type 2 diabetes mellitus (DM2) and its complications. We performed a systematic review about the effects of aerobic training (AT), resistance (RT) or the combination of both (AT/ RT), on glycated hemoglobin (HbA1c) in patients with DM2. Therefore, we included 15 clinical trials with at least 12 weeks duration about training program or recommendations of physical exercise, that evaluated the reduction in HbA1c levels in patients with DM2. Information was obtained on training modality (AT, RT or AT / RT), training parameters, duration and weekly training frequency. The results showed increases in peak or maximal oxygen uptake, exercise tolerance time and muscle strength, depending on the type of training, and a reduction in HbA1c levels. We conclude that exercise training is associated with reductions of HbA1c in patients with DM2. Thus, it can be a complementary tool in the management of these patients.
多项研究和指南推荐进行体育锻炼以控制2型糖尿病（DM2）及其并发症。我们对有氧运动训练（AT）、抗阻训练（RT）或两者结合（AT/RT）对DM2患者糖化血红蛋白（HbA1c）的影响进行了系统评价。为此，我们纳入了15项持续时间至少12周的关于训练计划或体育锻炼建议的临床试验，这些试验评估了DM2患者HbA1c水平的降低情况。获取了有关训练方式（AT、RT或AT/RT）、训练参数、持续时间和每周训练频率的信息。结果显示，根据训练类型的不同，峰值或最大摄氧量、运动耐受时间和肌肉力量有所增加，HbA1c水平降低。我们得出结论，运动训练与DM2患者HbA1c水平降低相关。因此，它可以成为这些患者管理中的一种辅助工具。
