Honda Hiroto, Fukutomi Hiromi, Igaki Makoto, Tanaka Shinichiro, Takaishi Tetsuo, Hayashi Tatsuya
Faculty of Rehabilitation, Shijonawate Gakuen University, Daito 574-0011, Japan.
Department of Rehabilitation, Toyooka Hospital Hidaka Medical Center, Toyooka 669-5392, Japan.
Muscles. 2023 Jun 15;2(2):238-249. doi: 10.3390/muscles2020018.
This study aimed to examine the chronic effect of a stair climbing-descending exercise (ST-EX) program on glycemic control in individuals with type 2 diabetes (T2D). Sixteen T2D participants were randomly divided into two groups and followed up over 12 weeks: they either performed regular ST-EX after meals at home ( = 8) or maintained their daily routine (CON; no training) ( = 8). The participants in the ST-EX group were instructed to perform a minimum of 12 sessions/week of ST-EX for more than three days/week. One session of ST-EX consisted of two repetitions of 3 min bouts of climbing to the second floor, followed by walking down to the first floor. Fourteen participants completed the study (seven for each group). The decrease in glycoalbumin levels was significantly greater in the ST-EX group (mean value: -1.0%) than in the CON group (+0.4%). Moreover, the knee extension force increased greatly in the ST-EX group (+0.2 Nm/kg) compared with that in the CON group (-0.1 Nm/kg), with no significant change in the skeletal muscle mass. Performing regular ST-EX after meals may be an effective strategy to improve glycemic control and lower-extremity muscle strength in individuals with T2D.
本研究旨在探讨爬楼梯-下楼梯运动（ST-EX）方案对2型糖尿病（T2D）患者血糖控制的长期影响。16名T2D参与者被随机分为两组，并随访12周：一组在家中饭后进行常规ST-EX（n = 8），另一组维持日常活动（CON；无训练）（n = 8）。ST-EX组的参与者被要求每周至少进行12次ST-EX，每周超过三天。一次ST-EX包括两次重复的3分钟爬升至二楼，然后步行下楼至一楼。14名参与者完成了研究（每组7名）。ST-EX组糖化白蛋白水平的下降幅度（平均值：-1.0%）显著大于CON组（+0.4%）。此外，与CON组（-0.1 Nm/kg）相比，ST-EX组的伸膝力量大幅增加（+0.2 Nm/kg），骨骼肌质量无显著变化。饭后进行常规ST-EX可能是改善T2D患者血糖控制和下肢肌肉力量的有效策略。
