School of Health Sciences, Oakland University, 433 Meadow Brook Rd, Rochester, MI 48309, USA.
Preventative Cardiology/Cardiac Rehabilitation, Division of Cardiovascular Diseases, Beaumont Health and Wellness Center, Royal Oak, MI, USA.
J Diabetes Complications. 2020 Aug;34(8):107610. doi: 10.1016/j.jdiacomp.2020.107610. Epub 2020 May 3.
Previous studies have reported beneficial effects of chronic resistance exercise in the prevention and treatment of type 2 diabetes. To clarify potential modulators of acute responses to resistance exercise, we reviewed the literature to determine the effects of a single bout of resistance exercise on cardiometabolic risk factors in type 2 diabetes.
Pubmed and Embase were searched for studies investigating the effects of single bouts of resistance exercise on glucose and insulin levels, and cardiovascular disease risk in people with diabetes. Fourteen reports were identified and reviewed to formulate evidence-based resistance exercise prescription recommendations.
Glucose and insulin levels appear to decrease with resistance exercise with effects lasting up to 24 and 18 h, respectively. Bouts of resistance exercise may outperform aerobic exercise in reducing ambulatory blood pressure, with effects lasting up to 24 h. Moreover, resistance exercise after rather than before a meal may be more effective in reducing glucose, insulin, and triacylglycerol levels. However, reducing injectable insulin dosage prior to resistance exercise may blunt its favorable effects on glucose levels.
This review suggests that a single bout of resistance exercise may be effective for acutely improving cardiometabolic markers in people with diabetes.
先前的研究报告称，慢性抗阻运动对 2 型糖尿病的预防和治疗有有益作用。为了阐明抗阻运动急性反应的潜在调节因素，我们对文献进行了综述，以确定单次抗阻运动对 2 型糖尿病患者的心血管代谢风险因素的影响。
我们在 Pubmed 和 Embase 上检索了研究单次抗阻运动对糖尿病患者血糖和胰岛素水平以及心血管疾病风险影响的研究。确定了 14 份报告进行了综述，以制定基于证据的抗阻运动处方推荐。
抗阻运动似乎可降低血糖和胰岛素水平，其效果分别可持续长达 24 小时和 18 小时。抗阻运动在降低动态血压方面的效果优于有氧运动，其效果可持续长达 24 小时。此外，餐后而非餐前进行抗阻运动可能更有效地降低血糖、胰岛素和三酰甘油水平。然而，在进行抗阻运动之前减少注射胰岛素剂量可能会削弱其对血糖水平的有利影响。
本综述表明，单次抗阻运动可能对改善糖尿病患者的心血管代谢标志物具有急性效果。
