Stratton R, Wilson D P, Endres R K, Goldstein D E
Department of Family Practice, Children's Medical Center, Tulsa, OK 74135.
Diabetes Care. 1987 Sep-Oct;10(5):589-93. doi: 10.2337/diacare.10.5.589.
Eight insulin-dependent adolescents (4 boys, 4 girls) participated in an 8-wk program of supervised exercise, and 8 matched controls were encouraged to exercise on their own without supervision. All 16 subjects were asked to follow a standard ADA diet plan, kept a self-reported log of caloric intake, and met with a dietitian weekly to review their diets. Exercise for the supervised subjects was scheduled between the routine afternoon snack and the evening meal, and subjects were asked not to consume additional food on exercise days. After the 8-wk program, glycemic control, as measured by glycosylated serum albumin and blood glucose values (but not by glycosylated hemoglobin), improved in the supervised-exercise group despite reduced daily insulin dosage. Cardiorespiratory fitness, as measured by voluntary maximum treadmill time (Bruce protocol) and submaximal exercise heart rates, also improved. No changes were observed in the unsupervised control group.
八名依赖胰岛素的青少年（4名男孩，4名女孩）参加了一项为期8周的有监督的锻炼计划，另外8名匹配的对照组被鼓励自行进行无监督锻炼。所有16名受试者都被要求遵循标准的美国糖尿病协会饮食计划，记录自我报告的热量摄入，并每周与营养师会面以审查他们的饮食。有监督的受试者的锻炼安排在日常下午点心和晚餐之间，并且要求受试者在锻炼日不额外进食。在8周的计划之后，尽管每日胰岛素剂量减少，但通过糖化血清白蛋白和血糖值（而非糖化血红蛋白）测量的血糖控制在有监督锻炼组中得到改善。通过自愿最大跑步机时间（布鲁斯方案）和次最大运动心率测量的心肺适能也得到改善。在无监督对照组中未观察到变化。
