Federal University of Pernambuco, Graduate Program in Physical Education Recife, Brazil.
Federal University of Pernambuco, Graduate Program in Physical Education Recife, Brazil; University of Pernambuco, High School Physical Education, Recife, Brazil.
Diabetes Res Clin Pract. 2023 Jun;200:110676. doi: 10.1016/j.diabres.2023.110676. Epub 2023 Apr 23.
The objective of this systematic review was to analyze the effects of different resistance training (RT) intensities compared with group control (GC) or control conditions (CON) on endothelial function (EF) in people with type 2 diabetes mellitus (T2DM).
Seven electronic databases were searched Pubmed, Embase, Cochrane, Web of Science, Scopus, PEDro and CINAHL) until February 2021.
This systematic review retrieved a total of 2,991 studies of which 29 articles fulfilled the eligibility criteria. Four studies were included in the systematic review compared RT intervention with GC or CON. One study demonstrated an increase in blood flow-mediated dilation (FMD) of the brachial artery immediately after (95% CI: 3.0% to 5.9%; p < 0.05), 60 min after (95% CI: 0.8 % to 4.2%; p < 0.05) and 120 min after (95%CI: 0.7% to 3.1%; p < 0.05) a single high-intensity resistance training session (RPE ∼ 5 "hard"), compared to the control condition. Nevertheless, this increase was not significantly demonstrated in three longitudinal studies (more than 8 weeks).
This systematic review suggest that a single session of high-intensity resistance training improves the EF of people with T2DM. More studies are needed to establish the ideal intensity and effectiveness for this training method.
本系统评价的目的是分析与组对照（GC）或对照条件（CON）相比，不同抗阻训练（RT）强度对 2 型糖尿病（T2DM）患者内皮功能（EF）的影响。
检索了 7 个电子数据库（PubMed、Embase、Cochrane、Web of Science、Scopus、PEDro 和 CINAHL），检索时间截至 2021 年 2 月。
本系统评价共检索到 2991 项研究，其中 29 项符合纳入标准。有 4 项研究纳入了与 GC 或 CON 进行 RT 干预的比较。有 1 项研究显示，单次高强度抗阻训练（RPE~5“难”）后，肱动脉血流介导的扩张（FMD）即刻（95%CI：3.0%至 5.9%；p<0.05）、60 分钟（95%CI：0.8%至 4.2%；p<0.05）和 120 分钟（95%CI：0.7%至 3.1%；p<0.05）时均增加，与对照条件相比。然而，3 项纵向研究（超过 8 周）并未显著显示这种增加。
本系统评价表明，单次高强度抗阻训练可改善 T2DM 患者的 EF。需要更多的研究来确定这种训练方法的理想强度和效果。
