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有氧及抗阻运动对糖尿病前期心血管风险的干预效果

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目的:评价有氧及抗阻运动对糖尿病前期患者的糖脂代谢水平、疾病转归情况以及心血管风险的影响.方法:选取 2019 年 12 月~2020 年 12 月广西医科大学第一附属医院糖尿病前期患者 84 例,均接受糖尿病饮食宣教,用随机法分为有氧运动组及抗阻运动组各 42 例,两组 3 次/w中强度运动,50 min/次,进行为期 12 个月的运动干预.分析患者运动干预前、运动干预6 个月后及运动干预12 个月后的糖化血红蛋白(HbA1c)、血糖和血脂水平变化.结果:两组患者运动干预前基线资料、HbA1c、空腹血糖、餐后 2 h血糖(2 h PG)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)生化指标比较差异无统计学意义(P>0.05);两组患者运动干预 6、12 个月后各项指标较干预前均有改善,差异有统计学意义(P<0.05).两组运动干预 6 个月后,抗阻组降低 2 h PG水平优于有氧运动组,差异有统计学意义(P<0.05),HbA1c、空腹血糖、TC、TG、HDL-C和LDL-C指标比较差异无统计学意义(P>0.05).两组运动干预 12 个月后,抗阻组降低HbA1c、空腹血糖和 2 h PG水平优于有氧运动组,差异有统计学意义(P<0.05),TC、TG、HDL-C和LDL-C指标两组比较差异无统计学意义(P>0.05).结论:有氧及抗阻运动有效改善糖尿病前期患者血糖水平和脂质代谢,延缓病情发展,降低心血管风险,运动疗法对糖尿病前期人群转归正常具有积极作用.
Effects of aerobic and resistance exercise on cardiovascular risk in pre-diabetes
Objective To evaluate the effects of aerobic and resistance exercise on glucolipid metabolism levels,disease regression and cardiovascular risk in patients with pre-diabetes.Method Eighty-four patients with pre-diabetes were educated about diabetic diet and were divided into aerobic exercise group(n= 42)and resistance exercise group(n= 42)by randomization method,and both groups were exercised three times a week at moderate intensity for 50 min each time for 12 months of exercise intervention.Changes in glycated hemoglobin(HbA1c),blood glucose and lipid levels were analyzed before,after 6 months and after 12 months of exercise in-tervention.Results Baseline data,HbA1c,fasting glucose,2h PG,TC,TG,HDL-C and LDL-C biochemical indexes were compara-ble between the two groups of patients before exercise intervention(P>0.05).After 6 and 12 months of exercise intervention in both groups,all indexes improved compared with those before the intervention(P<0.05);After 6 months of exercise intervention in both groups,the resistance group reduced 2h PG level better than the aerobic group(P<0.05),and the comparison of HbA1c,fasting glu-cose,TC,TG,HDL-C and LDL-C indexes were not statistically significant(P>0.05).After 12 months of exercise intervention in both groups,the resistance group reduced HbA1c,fasting glucose and 2h PG levels better than the aerobic group(P<0.05),and TC,TG,HDL-C and LDL-C indexes were compared between the two groups without statistical significance(P>0.05).Conclusion Aero-bic and resistance exercise effectively improve blood glucose level and lipid metabolism,delay the development of disease and reduce cardiovascular risk in pre-diabetic patients,and exercise therapy has a positive effect on the conversion to normal in pre-diabetic people.

Aerobic exerciseResistance exercisePre-diabetesGlucolipid metabolismCardiovascular risk

阮芳、玉琴、马小敏、冯有琴、戴霞、刘玲芳、游越西、陈青云

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广西医科大学第一附属医院,广西 南宁 530021

有氧运动 抗阻运动 糖尿病前期 糖脂代谢 心血管风险

广西壮族自治区卫生和发展委员会

S2018037

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(3)
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