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2型糖尿病患者联合运动后腹部脂肪与睡眠质量的关系。

The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus.

作者信息

Han Yu, Han Yue-Xia, Huang Fang, Zou Hui-Ming, Gu Qing, Hu Xue, Fang Jing-Xian, Meng Jian, Wang Sui-Jun

机构信息

Yangpu District Shidong Hospital of Shanghai, Endocrinology and Metabolism, Shanghai, China.

出版信息

Front Endocrinol (Lausanne). 2025 Jun 27;16:1471608. doi: 10.3389/fendo.2025.1471608. eCollection 2025.

DOI:10.3389/fendo.2025.1471608
PMID:40655404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12245678/
Abstract

BACKGROUND

Exercise holds promise as a non-pharmacological intervention for improving sleep quality. Therefore, this study investigated the potential relationship between abdominal fat and sleep quality after combined exercise in patients with T2DM (Type 2 diabetes mellitus).

MATERIAL AND METHODS

A total of 100 adults with T2DM (52 women, 48 men), aged 55-75years, were enrolled in the study who were sufficiently active and physically fit were recruited and were randomized equally into four groups: a control group, an AEX group (aerobic exercise), a REX group (resistance exercise) and a COMB group (combination exercise). Patient sleep monitoring reports were collected using a smart bracelet. After 12 weeks of intervention, the Pittsburgh Sleep Quality Index (PSQI) total score, total sleep time, sleep efficiency, time to reawakening, BMI (body mass index), FBG (fasting blood glucose), HOMA-IR (insulin resistance index), HbA1c (glycosylated hemoglobin), VAT (visceral adipose tissue), SAT (subcutaneous adipose tissue), and LBM (lean body mass) were compared among the four groups.

RESULTS

All exercise training programs improved the PSQI score in patients with type 2 diabetes. COMB is the only training that improves objective sleep quality and quantity, including total sleep time, sleep efficiency, and wake time after sleep onset.

CONCLUSION

A comprehensive exercise program to reduce abdominal fat can benefit metabolic and sleep health in people with type 2 diabetes.

摘要

背景

运动有望成为改善睡眠质量的非药物干预手段。因此，本研究调查了2型糖尿病（T2DM）患者进行联合运动后腹部脂肪与睡眠质量之间的潜在关系。

材料与方法

本研究共纳入100名年龄在55 - 75岁之间、活动充分且身体健康的T2DM成年患者（52名女性，48名男性），并将其随机平均分为四组：对照组、有氧运动组（AEX组）、抗阻运动组（REX组）和联合运动组（COMB组）。使用智能手环收集患者的睡眠监测报告。干预12周后，比较四组患者的匹兹堡睡眠质量指数（PSQI）总分、总睡眠时间、睡眠效率、再次入睡时间、体重指数（BMI）、空腹血糖（FBG）、胰岛素抵抗指数（HOMA-IR）、糖化血红蛋白（HbA1c）、内脏脂肪组织（VAT）、皮下脂肪组织（SAT）和去脂体重（LBM）。

结果

所有运动训练方案均改善了2型糖尿病患者的PSQI评分。联合运动是唯一能改善客观睡眠质量和时长的训练方式，包括总睡眠时间、睡眠效率和睡眠开始后的清醒时间。

结论

一项旨在减少腹部脂肪的综合运动计划对2型糖尿病患者的代谢和睡眠健康有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/ba0aba330697/fendo-16-1471608-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/505cacd4cfc5/fendo-16-1471608-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/eaadeffa7848/fendo-16-1471608-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/ba0aba330697/fendo-16-1471608-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/505cacd4cfc5/fendo-16-1471608-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/eaadeffa7848/fendo-16-1471608-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0dc/12245678/ba0aba330697/fendo-16-1471608-g003.jpg

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