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有氧运动训练对 2 型糖尿病患者血压的影响:系统评价与荟萃分析和荟萃回归。

Effects of aerobic training with and without progression on blood pressure in patients with type 2 diabetes: A systematic review with meta-analyses and meta-regressions.

机构信息

Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, Santa Catarina, Brazil.

Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, Santa Catarina, Brazil.

出版信息

Diabetes Res Clin Pract. 2021 Jan;171:108581. doi: 10.1016/j.diabres.2020.108581. Epub 2020 Dec 8.

DOI:10.1016/j.diabres.2020.108581
PMID:33307131
Abstract

AIMS

To analyze the effects of aerobic training with and without progression on blood pressure in patients with type 2 diabetes.

METHODS

The databases used for the systematic search were PubMed, Cochrane Central, SPORTDiscus and LILACS. Studies which analyzed blood pressure before and after an intervention period of eight or more weeks of aerobic training compared to a control group without training in patients with type 2 diabetes were included.

RESULTS

Of the 4186 studies found, 17 clinical trials were included (912 participants). Systolic blood pressure (SBP) decreased after aerobic training with progression (-6.78 mmHg; 95% CI -8.36, -5.19; p < 0.001) and without progression (-8.07 mmHg; 95% CI -9.37, -6.77; p < 0.001). The same happened regarding diastolic blood pressure (DBP), which decreased with aerobic training with progression (-3.10 mmHg; 95% CI -4.90, -1.31; p < 0.001) and without progression (-5.71 mmHg; 95% CI -7.15, -4.28; p < 0.001).

CONCLUSION

Aerobic training is effective in reducing blood pressure in patients with type 2 diabetes, regardless of progression in training variables.

摘要

目的

分析有进展和无进展的有氧运动对 2 型糖尿病患者血压的影响。

方法

系统检索使用了 PubMed、Cochrane Central、SPORTDiscus 和 LILACS 数据库。纳入了比较 2 型糖尿病患者 8 周以上有氧运动干预前后与无训练对照组之间血压变化的研究。

结果

在 4186 项研究中,有 17 项临床试验被纳入(912 名参与者)。有进展的有氧运动后收缩压(SBP)下降(-6.78mmHg;95%置信区间-8.36,-5.19;p<0.001),无进展的有氧运动后 SBP 也下降(-8.07mmHg;95%置信区间-9.37,-6.77;p<0.001)。有进展和无进展的有氧运动后舒张压(DBP)也有同样的下降趋势(-3.10mmHg;95%置信区间-4.90,-1.31;p<0.001)和(-5.71mmHg;95%置信区间-7.15,-4.28;p<0.001)。

结论

有氧运动可有效降低 2 型糖尿病患者的血压,无论训练变量是否有进展。

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