Zheng Wenda, Su Hao, Han Bing, Chen Zhuying, Liu Xiaojie, Lv Yuanyuan, Yu Laikang
Beijing Key Laboratory of Sports Performance and Skill Assessment, Beijing Sport University, Beijing 100084, China.
Department of Strength and Conditioning Assessment and Monitoring, Beijing Sport University, Beijing 100084, China.
Life (Basel). 2025 Jun 4;15(6):913. doi: 10.3390/life15060913.
This study aimed to investigate the impact of exercise on the dynamic balance in type 2 diabetes mellitus (T2DM) patients and identify the optimal exercise prescription for clinical practice. A comprehensive search was conducted across the Web of Science, Scopus, Embase, Cochrane, and PubMed databases up to 10 November 2024, to identify randomized controlled trials assessing exercise interventions in T2DM patients, with dynamic balance as the primary outcome. Thirteen studies involving 413 participants were included. A pooled data analysis demonstrated that exercise significantly enhanced the dynamic balance (standardized mean difference, SMD, -0.50; < 0.0001, I = 59%). The subgroup analyses revealed that multicomponent training (SMD, -0.84; = 0.006, I = 76%), a frequency ≥ 3 times per week (SMD, -0.68; < 0.0001, I = 57%), a session duration < 60 min (SMD, -0.52; = 0.001, I = 67%), a weekly time ≥ 180 min (SMD, -0.64; = 0.003, I = 65%), and supervised exercise (SMD, -0.59; < 0.00001, I = 49%) were most effective. These findings suggest that supervised, multicomponent training performed at least three times weekly, with each session lasting <60 min, to attain a cumulative weekly time of 180 min, represents an evidence-based strategy to improve the dynamic balance in T2DM patients.
本研究旨在探讨运动对2型糖尿病（T2DM）患者动态平衡的影响，并确定临床实践中的最佳运动处方。截至2024年11月10日，在Web of Science、Scopus、Embase、Cochrane和PubMed数据库中进行了全面检索，以识别评估T2DM患者运动干预且以动态平衡为主要结局的随机对照试验。纳入了13项涉及413名参与者的研究。汇总数据分析表明，运动显著增强了动态平衡（标准化均值差，SMD，-0.50；P<0.0001，I² = 59%）。亚组分析显示，多组分训练（SMD，-0.84；P = 0.006，I² = 76%）、每周频率≥3次（SMD，-0.68；P<0.0001，I² = 57%）、每次训练时长<60分钟（SMD，-0.52；P = 0.001，I² = 67%）、每周时间≥180分钟（SMD，-0.64；P = 0.003，I² = 65%）以及有监督的运动（SMD，-0.59；P<0.00001，I² = 49%）最为有效。这些发现表明，每周至少进行三次有监督的多组分训练，每次训练时长<60分钟，累计每周时间达到180分钟，是改善T2DM患者动态平衡的循证策略。
