Obaya Hany Ezzat, Abdeen Heba Ahmed, Salem Alae Ahmed, Shehata Mai Ali, Aldhahi Monira I, Muka Taulant, Marques-Sule Elena, Taha Mona Mohamed, Gaber Marwa, Atef Hady
Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Outpatients' Clinic of Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Front Physiol. 2023 Jul 13;14:1186546. doi: 10.3389/fphys.2023.1186546. eCollection 2023.
Aerobic exercise combined with breathing exercise can be an integral part of diabetes mellitus treatment. This single-center, randomized, parallel-group study investigated the effect of the combination of aerobic exercise with slow deep breathing and mindfulness meditation on the glucose and cortisol levels of women with type 2 diabetes mellitus (T2DM). Fifty-eight middle-aged women with T2DM (mean age: 45.67 ± 2.92 years) were randomly assigned to either the aerobic training group (AT: = 29; mean age [46.1 ± 2.7 years]) or the aerobic exercise combined with slow deep breathing and mindfulness meditation (AT + DMM: = 29; mean age [45.24 ± 3.14 years]). Aerobic exercise was performed at 60%-75% of the maximum heart rate. The women in each group were asked to perform the training three times weekly over a 6-week period. The duration of each session was 40 min for the AT group and 60 min for the AT + DMM group. The two groups were asked to perform aerobic exercise at 60%-75% of the maximum heart rate. Their fasting blood glucose (FBG) and serum cortisol levels were measured at the baseline and after the 6 weeks. Compared with the AT group, the group undertaking 6 weeks of aerobic training combined with slow, deep breathing exercises and mindfulness meditation showed significantly lower levels of FBG ( = 0.001) and cortisol levels ( = 0.01) than the AT group. The addition of slow deep breathing and mindfulness meditation to aerobic exercise can better control the glucose and cortisol levels of women with T2DM and thereby improve their outcomes and decrease their cardiometabolic risk.
有氧运动结合呼吸练习可以成为糖尿病治疗中不可或缺的一部分。这项单中心、随机、平行组研究调查了有氧运动与缓慢深呼吸及正念冥想相结合对2型糖尿病（T2DM）女性患者血糖和皮质醇水平的影响。58名中年T2DM女性（平均年龄：45.67±2.92岁）被随机分配到有氧运动训练组（AT组：n = 29；平均年龄[46.1±2.7岁]）或有氧运动结合缓慢深呼吸及正念冥想组（AT + DMM组：n = 29；平均年龄[45.24±3.14岁]）。有氧运动以最大心率的60%-75%进行。每组女性被要求在6周内每周进行3次训练。AT组每次训练时长为40分钟，AT + DMM组为60分钟。两组都被要求以最大心率的60%-75%进行有氧运动。在基线和6周后测量她们的空腹血糖（FBG）和血清皮质醇水平。与AT组相比，进行6周有氧运动结合缓慢深呼吸练习和正念冥想的组FBG水平（P = 0.001）和皮质醇水平（P = 0.01）显著低于AT组。在有氧运动中加入缓慢深呼吸和正念冥想可以更好地控制T2DM女性的血糖和皮质醇水平，从而改善她们的病情并降低其心血管代谢风险。
