首页|低碳水化合物饮食联合有氧运动对肥胖T2DM患者血糖、体成分和能量代谢的影响

低碳水化合物饮食联合有氧运动对肥胖T2DM患者血糖、体成分和能量代谢的影响

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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.
The effect of low carbohydrate diet combined with aerobic exercise on blood glucose,body composition,and energy metabolism in obese T2DM patients
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.

obesityType 2 diabetesLow carbohydrate dietAerobic exercise

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漯河市第六人民医院,河南 漯河 462300

肥胖 二型糖尿病 低碳水化合物饮食 有氧运动

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(8)