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不同有氧运动训练对 2 型糖尿病患者血糖的影响:系统评价和荟萃分析方案。

Effects of different aerobic exercise training on glycemia in patients with type 2 diabetes: A protocol for systematic review and meta analysis.

机构信息

Intensive Care Unit, The Second Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, Nanchang.

College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan.

出版信息

Medicine (Baltimore). 2021 May 7;100(18):e25615. doi: 10.1097/MD.0000000000025615.

DOI:10.1097/MD.0000000000025615
PMID:33950940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8104194/
Abstract

BACKGROUND

Type 2 diabetes is an emergent worldwide health crisis, and rates are growing globally. Aerobic exercise is an essential measure for patients with diabetes, which has the advantages of flexible time and low cost. Aerobic exercise is a popular method to reduce blood glucose. Due to the lack of randomized trials to compare the effects of various aerobic exercises, it is difficult to judge the relative efficacy. Therefore, we intend to conduct a network meta-analysis to evaluate these aerobic exercises.

METHODS

According to the retrieval strategies, randomized controlled trials on different aerobic exercise training will be obtained from China National Knowledge Infrastructure, WanFang, SinoMed, PubMed, Web of Science, EMBASE, and Cochrane Library, regardless of publication date or language. Studies were screened based on inclusion and exclusion criteria, and the Cochrane risk bias assessment tool will be used to evaluate the quality of the literature. The network meta-analysis will be performed in Markov Chain Monte Carlo method and carried out with Stata14 and OpenBUGS software. Ultimately, the evidentiary grade for the results will be evaluated.

RESULTS

Eighteen literatures with a total of 1134 patients were included for the meta-analysis. In glycemia assessment, Tennis (standard mean difference = 3.59, credible interval 1.52, 5.65), had significantly better effects than the named control group. Tennis (standard mean difference = 3.50, credible interval 1.05, 5.59), had significantly better effects than the named Taiji group.

CONCLUSION

All together, these results suggest that tennis may be the best way to improve blood glucose in patients with type 2 diabetes. This study may provide an excellent resource for future control glycemia and may also serve as a springboard for creative undertakings as yet unknown.

摘要

背景

2 型糖尿病是全球范围内的紧急健康危机,全球发病率正在上升。有氧运动是糖尿病患者的基本治疗措施,具有时间灵活、成本低的优点。有氧运动是降低血糖的常用方法。由于缺乏比较各种有氧运动效果的随机试验,因此难以判断相对疗效。因此,我们拟进行网状 Meta 分析来评估这些有氧运动。

方法

根据检索策略,从中国知网、万方、中国生物医学文献服务系统、PubMed、Web of Science、EMBASE 和 Cochrane 图书馆获取不同有氧运动训练的随机对照试验,无论发表日期或语言如何。根据纳入和排除标准筛选研究,并使用 Cochrane 偏倚风险评估工具评估文献质量。将采用 Markov 链蒙特卡罗法进行网状 Meta 分析,并使用 Stata14 和 OpenBUGS 软件进行分析。最终,将评估结果的证据等级。

结果

纳入 18 项研究,共 1134 例患者进行 Meta 分析。在血糖评估中,网球(标准均数差=3.59,可信区间 1.52,5.65)比命名对照组有更好的效果。网球(标准均数差=3.50,可信区间 1.05,5.59)比命名太极组有更好的效果。

结论

综上所述,这些结果表明,网球可能是改善 2 型糖尿病患者血糖的最佳方法。本研究可为未来控制血糖提供良好的资源,也可为尚未可知的创造性事业提供跳板。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/c3241028f54a/medi-100-e25615-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/7d970fcc24ad/medi-100-e25615-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/edc04104673f/medi-100-e25615-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/d902b637e420/medi-100-e25615-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/c3241028f54a/medi-100-e25615-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/7d970fcc24ad/medi-100-e25615-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/edc04104673f/medi-100-e25615-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/d902b637e420/medi-100-e25615-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c9/8104194/c3241028f54a/medi-100-e25615-g006.jpg

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