Centre Européen D'étude du Diabète, Unité Mixte de Recherche de L'Université de Strasbourg « Diabète et Thérapeutique », Strasbourg, France.
J Endocrinol Invest. 2021 Sep;44(9):1815-1825. doi: 10.1007/s40618-021-01551-2. Epub 2021 Apr 12.
Fatty acids (FA) play a crucial role in glycaemia regulation in healthy and metabolic disorders conditions through various mechanisms. FA oxidation is one of the processes involved in lipid metabolism and can be modulated by exercise. Nowadays, physical activity is known to be an effective strategy for the prevention and treatment of Type 2 Diabetes. Moreover, its intensity, its duration, the sex-gender, the prandial state, exerkines… are as many parameters that can influence glycaemic control. However, the widely debated question is to determine the best type of exercise for patients with metabolic disorders. In this review, we will discuss the impact of exercise intensity, especially moderate activity, on glycaemic control by focussing on FA oxidation in pancreatic β-cells and skeletal muscle. Finally, thanks to all the recent data, we will determine whether moderate physical activity is a good therapeutic strategy and if FA oxidation represents a target of interest to treat diabetic, obese and insulin-resistant patients.
脂肪酸(FA)在健康和代谢紊乱条件下通过多种机制在血糖调节中发挥关键作用。FA 氧化是脂质代谢中涉及的过程之一,可以通过运动来调节。如今,人们已经知道,体育活动是预防和治疗 2 型糖尿病的有效策略。此外,运动的强度、持续时间、性别、进食状态、运动因子等都是许多可能影响血糖控制的参数。然而,一个备受争议的问题是确定代谢紊乱患者的最佳运动类型。在这篇综述中,我们将讨论运动强度(特别是适度活动)对血糖控制的影响,特别关注胰腺β细胞和骨骼肌中的 FA 氧化。最后,通过所有最新数据,我们将确定适度的体育活动是否是一种良好的治疗策略,以及 FA 氧化是否是治疗糖尿病、肥胖和胰岛素抵抗患者的一个有意义的靶点。