Portela Patrick Fontam de Melo, Neto Victor Gonçalves Corrêa, Monteiro Estêvão Rios, Santos da Silva Rudson, da Silva Vernon Furtado, Nogueira Carlos José, Schutz Silvia, Scudese Estevão, Salvino Ane Kelly Severino, Valentim-Silva João Rafael
Gama e Souza (Unigama), Rio de Janeiro, Brazil.
University Center Gama e Souza (Unigama), Estácio de Sá University, and Laboratory of Integrative Research in exercise, biomedicine, and Colective Health, Rio de Janeiro, Brazil.
Prim Care Diabetes. 2023 Apr;17(2):129-136. doi: 10.1016/j.pcd.2023.01.009. Epub 2023 Feb 3.
Physical exercise can improve glucose metabolism; however, the best type, volume, intensity, and frequency aren't knowledge. High-Intensity Interval Training (HIIT), an emergent exercise type implicated as a short time-efficient exercise to improve metabolic health, needs more investigation regarding the traditional Moderate-Intensity Continuous Training (MICT).
To identify the effects of MICT and HIIT on glycemic control of older people with glucose metabolism impairments.
Our research question was based on the PICO model and the systematic review of the literature according to the guidelines of the preferred report items for systematic reviews and PRISMA meta-analyses. An extensive search was conducted in the Web of Science, PubMed, and Scielo databases. Only English language papers were included. The keywords used were "HIIT and metabolism of the elderly", "HIIT and glucose metabolism of the elderly", and "MICT and metabolism of the elderly", which were crossed with the Boolean operators "AND" and "OR" or both according to the guidelines of the PRISMA.
Seventy papers were retrieved in the initial search. After applying all inclusions and exclusion parameters, 63 articles were excluded. In the end, six papers were classified as eligible for this study. All data categorically demonstrates that both HIIT and MICT can improve glucose metabolism with a larger effect size towards the HIIT model after the meta-analysis, pointing to HIIT as the most effective strategy.
Both modalities can improve glucose metabolism in the elderly with a clear advantage for HIIT over MICT.
体育锻炼可以改善葡萄糖代谢；然而，最佳的运动类型、运动量、强度和频率尚无定论。高强度间歇训练（HIIT）作为一种新兴的运动类型，被认为是一种短期有效的改善代谢健康的运动，但与传统的中等强度持续训练（MICT）相比，还需要更多的研究。
确定MICT和HIIT对葡萄糖代谢受损的老年人血糖控制的影响。
我们的研究问题基于PICO模型，并根据系统评价和PRISMA荟萃分析的首选报告项目指南对文献进行系统评价。在科学网、PubMed和Scielo数据库中进行了广泛的搜索。仅纳入英文论文。使用的关键词为“HIIT与老年人代谢”、“HIIT与老年人葡萄糖代谢”和“MICT与老年人代谢”，根据PRISMA指南，这些关键词与布尔运算符“AND”和“OR”或两者交叉使用。
在初步搜索中检索到70篇论文。在应用所有纳入和排除参数后，排除了63篇文章。最终，6篇论文被归类为本研究的合格论文。所有数据明确表明，HIIT和MICT都可以改善葡萄糖代谢，荟萃分析后对HIIT模型的效应量更大，表明HIIT是最有效的策略。
两种运动方式都可以改善老年人的葡萄糖代谢，HIIT比MICT具有明显优势。
