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2型糖尿病老年人为期16周的居家渐进性抗阻弹力带训练:对血糖控制的影响

A 16-Week Home-Based Progressive Resistance Tube Training Among Older Adults With Type-2 Diabetes Mellitus: Effect on Glycemic Control.

作者信息

Ooi Theng Choon, Mat Ludin Arimi Fitri, Loke Seng Cheong, Fiatarone Singh Maria Antoinette, Wong Teck Wee, Vytialingam Nathan, Anthony Abdullah Muhammad Mikhail Joseph, Ng Ooi Chuan, Bahar Norhaniza, Zainudin Norliza, Lew Leong Chen

机构信息

Center for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Program of Biomedical Science, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

出版信息

Gerontol Geriatr Med. 2021 Aug 12;7:23337214211038789. doi: 10.1177/23337214211038789. eCollection 2021 Jan-Dec.

Abstract

Research has proven that aerobic exercise improves glucose homeostasis among patients with type 2 diabetes mellitus (T2DM). Elastic resistance (tube or band) is suggested as a good alternative for home-based strength training among older adults including those with T2DM due to its low cost, simplicity, portability, and versatility. This study aimed to measure the effects of 16-week home-based progressive resistance training (PRT), using a resistance tube on glucose homeostasis and cardiovascular risk factors among older adults with T2DM. A total of 70 participants aged 61.68 (5.50) years with T2DM were assigned to the intervention ( = 35) and control ( = 35) groups in this quasi-experimental trial. The intervention group underwent 16 weeks of home-based PRT using a resistance tube. Significant improvements in HbA1c (-1.34% point, < 0.001), fasting blood glucose (-1.30 mmol/L, < 0.001), and systolic blood pressure (-1.42 mmHg, < 0.05) were observed after 16 weeks of intervention. However, no significant changes were observed in lipid profile, diastolic blood pressure, resting heart rate, and ankle-brachial index. The finding suggests that 16 weeks of home-based PRT using a resistance tube has the potential to improve glycemic control and reduce systolic blood pressure among older adults with T2DM and caused no adverse events.

摘要

研究已证实,有氧运动可改善2型糖尿病(T2DM)患者的葡萄糖稳态。由于其成本低、操作简单、便于携带且用途广泛,弹性阻力(管子或带子)被认为是包括T2DM患者在内的老年人进行居家力量训练的良好替代方式。本研究旨在测量使用阻力管进行16周居家渐进性阻力训练(PRT)对T2DM老年患者葡萄糖稳态和心血管危险因素的影响。在这项准实验性试验中,共有70名年龄为61.68(5.50)岁的T2DM患者被分配到干预组(n = 35)和对照组(n = 35)。干预组使用阻力管进行了16周的居家PRT。干预16周后,观察到糖化血红蛋白(HbA1c)显著改善(-1.34个百分点,P < 0.001)、空腹血糖(-1.30 mmol/L,P < 0.001)和收缩压(-1.42 mmHg,P < 0.05)。然而,血脂谱、舒张压、静息心率和踝臂指数未见显著变化。该研究结果表明,使用阻力管进行16周的居家PRT有可能改善T2DM老年患者的血糖控制并降低收缩压,且未引起不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7f/8366135/38b39ee79ecf/10.1177_23337214211038789-fig1.jpg

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