Faculty of Physical Activity and Sports, University of Valencia, 46010 Valencia, Spain.
Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.
Int J Environ Res Public Health. 2021 Jan 31;18(3):1262. doi: 10.3390/ijerph18031262.
Cardiovascular complications are important causes of morbidity and mortality of Type 1 Diabetes Mellitus (T1DM) people. Regular exercise is strongly recommended to these patients due to its preventive action against this type of disease. However, a large percentage of patients with T1DM people present a sedentary behavior, mainly, because of the fear of a post-exercise hypoglycemia event and lack of time. High-intensity interval training (HIIT) is an efficient and safe methodology since it prevents hypoglycemia and does not require much time, which are the main barriers for this population to doing exercise and increasing physical conditioning. Nineteen sedentary adults (37 ± 6.5 years) with T1DM were randomly assigned to 6 weeks of either HIIT, 12 bouts first 2 weeks, 16 bouts in weeks 3 and 4, and 20 bouts in the last two weeks x 30-s intervals interspersed with 1-min rest periods, performed thrice weekly or to control group, which did not train. VO, body composition, heart rate variability (HRV), and fasting glucose were measured as cardiovascular risk factors. We suggest that the 6-week HIIT program used in the present study is safe since no severe hypoglycemia was reported and is an effective strategy in improving VOmax, body composition, HRV, and fasting glucose, which are important cardiovascular risk factors in T1DM people.
心血管并发症是 1 型糖尿病(T1DM)患者发病率和死亡率的重要原因。由于运动对这类疾病具有预防作用,因此强烈建议这些患者定期运动。然而,很大一部分 T1DM 患者表现出久坐不动的行为,主要是因为担心运动后会发生低血糖事件和缺乏时间。高强度间歇训练(HIIT)是一种高效且安全的方法,因为它可以预防低血糖,而且不需要太多时间,这是该人群进行运动和增强身体适应性的主要障碍。19 名久坐的成年 T1DM 患者(37 ± 6.5 岁)被随机分配到 6 周的 HIIT 组或对照组。HIIT 组在前 2 周进行 12 次 30 秒间隔的训练,在第 3 和第 4 周进行 16 次,在最后两周进行 20 次,每次训练之间穿插 1 分钟的休息时间,每周进行 3 次;对照组则不进行训练。VO2、身体成分、心率变异性(HRV)和空腹血糖被测量为心血管风险因素。我们认为,本研究中使用的 6 周 HIIT 方案是安全的,因为没有报告严重的低血糖事件,并且是改善 VO2max、身体成分、HRV 和空腹血糖的有效策略,这些都是 T1DM 患者的重要心血管风险因素。