摘要
目的 探究低碳水化合物饮食联合有氧运动在肥胖二型糖尿病(T2DM)患者中的应用.方法 选取98例肥胖T2DM患者,随机分为饮食+运动组和饮食组各49例,分别给予低碳水化合物饮食联合有氧运动方案、单纯低碳水化合物饮食方案.对治疗前后饮食+运动组和饮食组的血糖、血脂相关指标及体脂百分比(PBF)和全身骨骼肌含量(TotalSMM)进行对比;计算血糖缓解率、达标率及低血糖发生率.结果 治疗后,饮食+运动组和饮食组各项血糖、血脂相关指标及PBF、Total-SMM均获得显著改善,且饮食+运动组改善幅度大于饮食组(P＜0.05);而血糖缓解率、达标率在饮食+运动组和饮食组间未观察到显著差异(P＞0.05).结论 低碳水化合物饮食联合有氧运动可以显著改善肥胖T2DM患者的糖脂能量代谢,减重及调节体成分效果突出.
Abstract
Objective To explore the application of low carbohydrate diet combined with aerobic exercise in obese type 2 diabetes(T2DM)patients.Method 98 obese T2DM patients were randomly divided into a diet+exercise group and a diet group,with 49 cases in each group.They were given a low carbohydrate diet combined with aerobic exercise program and a simple low carbohydrate diet pro-gram,respectively.Compare the blood glucose,lipid related indicators,body fat percentage(PBF),and total skeletal muscle mass(To-talSMM)of the diet+exercise group and the diet group before and after treatment;Calculate the blood glucose remission rate,compli-ance rate,and incidence of hypoglycemia.Results After treatment,both the diet+exercise group and the diet group showed significant improvements in various blood glucose,lipid related indicators,PBF,and Total SMM,with the diet+exercise group showing greater im-provement than the diet group(P<0.05);However,no significant differences were observed in the blood glucose remission rate and com-pliance rate between the diet+exercise group and the diet group(P>0.05).Conclusion A low carbohydrate diet combined with aerobic exercise can significantly improve glucose and lipid energy metabolism,weight loss,and regulate body composition in obese T2DM pa-tients.
维普
万方数据