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糖化血红蛋白控制中的“觉醒之力”:2型糖尿病患者高强度和耐力运动疗效的系统评价与荟萃分析

The Force Awakening in HbA1c Control: A Systematic Review and Meta-Analysis on the Efficacy of High-Intensity and Endurance Exercise in Patients With Type 2 Diabetes Mellitus.

作者信息

Muñoz Rossi Felipe A, Cabarcas Rua Jose A, Quinapanta Castro Néstor Israel, Cedillo Orellana Sara I, Báez Melissa, Coronel Jonathan, Zambrano Delgado Diana Marcela, Mejia Nates Vanessa, Leon Priscila A, Reche Martinez Antonio J

机构信息

Internal Medicine, National University of Colombia, Bogota, COL.

Internal Medicine, University of Buenos Aires, Buenos Aires, ARG.

出版信息

Cureus. 2024 Nov 10;16(11):e73401. doi: 10.7759/cureus.73401. eCollection 2024 Nov.

DOI:10.7759/cureus.73401
PMID:39669830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11634567/
Abstract

The increase in the global prevalence of type 2 diabetes mellitus (DM2), driven mainly by obesity and physical inactivity, has increased interest in various nonpharmacological therapies. This systematic review aims to establish the effectiveness of high-intensity interval training (HIIT) and resistance exercise (RE) compared with continuous aerobic exercise in improving control in patients with DM2. We conducted a comprehensive search for clinical trials using databases such as MEDLINE (PubMed) and Web of Science. The search was performed using a controlled vocabulary (MeSH) together with Boolean operators, and the results were limited to English and Spanish. Secondary outcomes were improvements in VOmax and decreases in low-density lipoprotein (LDL). This study aims to explain evidence-based recommendations for primary care physicians on exercise therapies to improve glycemic management as well as cardiovascular health in people with DM2.

摘要

全球2型糖尿病(DM2)患病率的上升主要由肥胖和缺乏运动所致,这引发了人们对各种非药物疗法的更多关注。本系统评价旨在确定与持续有氧运动相比,高强度间歇训练(HIIT)和抗阻运动(RE)在改善DM2患者病情控制方面的有效性。我们使用MEDLINE(PubMed)和Web of Science等数据库对临床试验进行了全面检索。检索使用了控制词汇(医学主题词)并结合布尔运算符,结果仅限于英文和西班牙文。次要结局包括最大摄氧量(VOmax)的改善和低密度脂蛋白(LDL)的降低。本研究旨在为初级保健医生提供基于证据的运动疗法建议,以改善DM2患者的血糖管理以及心血管健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/6841a720f42f/cureus-0016-00000073401-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/932b85e0443d/cureus-0016-00000073401-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/4ed1b1c910e5/cureus-0016-00000073401-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/45b187d3958d/cureus-0016-00000073401-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/df69e9a2003c/cureus-0016-00000073401-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/f5f357e608b0/cureus-0016-00000073401-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/5a17baf6b5db/cureus-0016-00000073401-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/70f21d9764b4/cureus-0016-00000073401-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/6841a720f42f/cureus-0016-00000073401-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/932b85e0443d/cureus-0016-00000073401-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/4ed1b1c910e5/cureus-0016-00000073401-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/45b187d3958d/cureus-0016-00000073401-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/df69e9a2003c/cureus-0016-00000073401-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/f5f357e608b0/cureus-0016-00000073401-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/5a17baf6b5db/cureus-0016-00000073401-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/70f21d9764b4/cureus-0016-00000073401-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe1/11634567/6841a720f42f/cureus-0016-00000073401-i08.jpg

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本文引用的文献

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Sci Rep. 2024 Feb 2;14(1):2761. doi: 10.1038/s41598-024-53333-4.
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The effect of chronic high-intensity interval training programs on glycaemic control, aerobic resistance, and body composition in type 2 diabetic patients: a meta-analysis.慢性高强度间歇训练方案对 2 型糖尿病患者血糖控制、有氧耐力和身体成分的影响:荟萃分析。
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High-intensity interval training combining rowing and cycling efficiently improves insulin sensitivity, body composition and VOmax in men with obesity and type 2 diabetes.高强度间歇训练结合划船和骑行能有效改善肥胖 2 型糖尿病男性的胰岛素敏感性、身体成分和最大摄氧量。
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