有氧联合抗阻运动对2型糖尿病患者的效果

doi:10.3969/j.issn.1006-9771.2018.12.021

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1465-1470.doi: 10.3969/j.issn.1006-9771.2018.12.021

有氧联合抗阻运动对2型糖尿病患者的效果

孟晴^1,2, 陈伟^1,2,3, 张明^1,2,3, 高民³

1.徐州医科大学附属徐州康复医院,江苏徐州市 221000;
2.徐州医科大学徐州临床学院,江苏徐州市 221009;
3.徐州市中心医院康复医学科,江苏徐州市 221009

收稿日期:2018-08-04 修回日期:2018-09-10 出版日期:2018-12-25 发布日期:2019-01-04
通讯作者: 陈伟(1962-),女,汉族,江苏徐州市人,硕士,主任医师、教授,主要研究方向：慢性病康复。陈伟。E-mail: chenwei2339@163.com
作者简介:孟晴(1991-),女,汉族,江苏徐州市人,硕士研究生,主要研究方向：慢性病康复。
基金资助:
1.江苏省青年医学人才基金项目(No. QNRC2016376); 2.徐州市医学青年后备人才工程项目(No. 2016015)

Effect of Aerobic and Resistance Exercise for Patients with Type 2 Diabetes Mellitus

MENG Qing^{1, 2}, CHEN Wei^{1, 2, 3}, ZHANG Ming^{1, 2, 3}, GAO Min³

1. Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University, Xuzhou, Jiangsu 221000, China;
2. Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu 221009, China;
3. Department of Rehabilitation Medicine, Center Hospital of Xuzhou, Xuzhou, Jiangsu 221009, China

Received:2018-08-04 Revised:2018-09-10 Published:2018-12-25 Online:2019-01-04
Contact: CHEN Wei. E-mail: chenwei2339@163.com
Supported by:
Jiangsu Medical Youth Talent Fund (No. QNRC2016376) and Xuzhou Medical Young Talents Project (No. 2016015)

摘要/Abstract

摘要： 目的评价个体化有氧运动联合抗阻运动对2型糖尿病(T2DM)患者血糖水平、心肺耐力、身体成分、生活质量的影响。方法 2016年9月至2017年12月,T2DM患者120例随机分为对照组(n = 40)、有氧组(n = 40)和联合组(n = 40)。3组均行常规药物治疗、健康宣教和饮食指导,有氧组根据心肺运动试验结果进行个体化有氧训练,联合组在有氧组的基础上增加抗阻训练。治疗前和治疗3个月后,测定患者血糖水平、心肺耐力、身体成分和生活质量。结果两运动组治疗后空腹血糖、糖化血红蛋白、胰岛素抵抗指数、峰值运动负荷、无氧阈、峰值摄氧量、代谢当量、氧脉搏、二氧化碳通气当量斜率、脂肪质量、瘦体质量、生活质量评分均较治疗前改善(t > 2.422, P < 0.05),联合组空腹血糖、糖化血红蛋白、胰岛素抵抗指数、峰值运动负荷、瘦体质量、生活质量总分优于有氧组(P < 0.05)。结论联合抗阻训练较单纯有氧训练能更有效降低T2DM患者血糖水平,增加瘦体重,提高生活质量,但对提高心肺耐力无明显优势。

关键词: 2型糖尿病, 有氧运动, 抗阻训练

Abstract: Objective To explore the effects of individual aerobic and resistance training on the blood glucose, cardiopulmonary fitness, body composition and quality of life for patients with type 2 diabetes mellitus (T2DM). Methods From September, 2016 to December, 2017, 120 patients with T2DM were randomly assigned to control group (n = 40), aerobic training group (n = 40) and combined training group (n = 40). All the patients accepted routine medication, health education and diet guide, while the aerobic training group accepted target heart rate aerobic exercises according to the cardiopulmonary exercise test and the combined training group accepted resistance training based on the aerobic training group. They were measured the blood glucose, cardiopulmonary fitness, body composition and quality of life before and after three months of treatment. Results The fasting blood glucose (FBG), hemoglobin A1c (HbA1C), insulin resistance index (HOMA-IR), peak exercise load, anaerobic threshold, peak oxygen consumption, metabolic equivalent, oxygen pulse, carbon dioxide ventilation equivalent slope, fat mass (FM), lean body mass (LBM) and the scores of quality of life improved after treatment in both training groups (t > 2.422, P < 0.05), and FBG, HbA1C, HOMA-IR, peak exercise load, LBM and the scores of quality of life improved more in the combined training group than in the aerobic training group (P < 0.05). Conclusion Combining with resistance training based on aerobic training can further improve blood glucose, body composition and quality of life in patients with T2DM, but no more effect on the cardiopulmonary fitness.

Key words: type 2 diabetes mellitus, aerobic exercise, resistance training

中图分类号:

R587.1

孟晴, 陈伟, 张明, 高民. 有氧联合抗阻运动对2型糖尿病患者的效果[J]. 《中国康复理论与实践》, 2018, 24(12): 1465-1470.

MENG Qing, CHEN Wei, ZHANG Ming, GAO Min. Effect of Aerobic and Resistance Exercise for Patients with Type 2 Diabetes Mellitus[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(12): 1465-1470.

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有氧联合抗阻运动对2型糖尿病患者的效果

Effect of Aerobic and Resistance Exercise for Patients with Type 2 Diabetes Mellitus

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