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体育锻炼对2型糖尿病患者记忆力的影响:简要综述

Effects of physical exercise on memory in type 2 diabetes: a brief review.

作者信息

De Sousa Ricardo Augusto Leoni, Improta-Caria Alex Cleber, Cassilhas Ricardo Cardoso

机构信息

Multicenter Post Graduation Program in Physiological Sciences, Brazilian Society of Physiology, Federal University of the Valleys of Jequitinhonha and Mucuri, Diamantina, Minas Gerais, Brazil.

Neuroscience and Exercise Study Group (Grupo de Estudo em Neurociências e Exercício - GENE), Federal University of the Valleys of Jequitinhonha and Mucuri, Minas Gerais, Diamantina, Brazil.

出版信息

Metab Brain Dis. 2021 Oct;36(7):1559-1563. doi: 10.1007/s11011-021-00752-1. Epub 2021 Jun 11.

Abstract

Type 2 diabetes (T2D) is a metabolic disorder that can lead to memory impairment. T2D main features are insulin resistance and hyperglycemia. Physical exercise is a non-pharmacological intervention that can regulate glycemic levels and fight insulin resistance in T2D, but whether it influences memory has been discussed. There are 2 main types of physical exercise: aerobic exercise and resistance exercise. Here, we review about the consequences of different physical exercise protocols on memory in diabetic subjects and animal models of T2D. Physical exercise, aerobic or resistance training, most of the times, is a capable agent to prevent and treat memory loss on diabetic subjects and animal models of T2D. However, whether aerobic and resistance training combined improve memory in subjects with T2D remains controversial. Regarding animal models of T2D, aerobic and resistance training have been showed to be capable to prevent and treat memory loss. Acute and chronic protocols of exercise, generally, induce positive physiological responses and adaptations in T2D, such as a better glucose control. The ideal physical exercise protocol that will produce the best benefits to diabetic subjects and to animal models of T2D has not been described yet. A variety of combination between intensity, volume, frequency, and duration of the physical exercise protocol on future studies is necessary to both diabetic subjects and animal models of T2D to determine the best protocol that will induce more benefits on memory in T2D.

摘要

2型糖尿病(T2D)是一种可导致记忆障碍的代谢紊乱疾病。T2D的主要特征是胰岛素抵抗和高血糖。体育锻炼是一种非药物干预措施,可调节血糖水平并对抗T2D中的胰岛素抵抗,但它是否会影响记忆一直存在争议。体育锻炼主要有两种类型:有氧运动和抗阻运动。在此,我们综述了不同体育锻炼方案对糖尿病患者和T2D动物模型记忆的影响。大多数情况下,体育锻炼,无论是有氧运动还是抗阻训练,都是预防和治疗糖尿病患者及T2D动物模型记忆丧失的有效手段。然而,有氧运动和抗阻训练相结合是否能改善T2D患者的记忆仍存在争议。关于T2D动物模型,有氧运动和抗阻训练已被证明能够预防和治疗记忆丧失。一般来说,急性和慢性运动方案会在T2D中诱导积极的生理反应和适应性变化,比如更好地控制血糖。尚未描述出对糖尿病患者和T2D动物模型最有益的理想体育锻炼方案。对于糖尿病患者和T2D动物模型而言,未来的研究有必要对体育锻炼方案的强度、量、频率和持续时间进行多种组合,以确定能对T2D记忆产生更多益处的最佳方案。

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