《中国康复理论与实践》

中国康复理论与实践 >

2019 , Vol. 25 >Issue 11: 1272 - 1278

DOI: https://doi.org/10.3969/j.issn.1006-9771.2019.11.005

专题 康复体育研究

运动干预糖尿病前期和糖尿病的研究进展

  • 王梅 ,
  • 李玉霞 ,
  • 张田丽 ,
  • 曾斯琴 ,
  • 杜亮 ,
  • 柴丽 ,
  • 董燕飞 ,
  • 邱卓英 ,
  • 李安巧
展开
  • 1.武汉体育学院运动康复教研室，湖北武汉市 430079
    2.南昌大学附属第一医院内分泌科，江西南昌市 330006
    3.世界卫生组织国际分类家族中国合作中心， 北京市 100068
    4.中国ICF研究院，山东潍坊市 261053
    5.中国智力和发展性残疾分级、评估与康复(运动)重点实验室，郑州大学，河南郑州市 450001
    6.中国康复研究中心/中国康复科学所康复信息研究所，北京市 100068
王梅(1975-)，女，汉族，湖北武汉市人，博士，副教授，主要研究方向：运动康复，康复体育和适应性体育。

收稿日期: 2019-10-21

  修回日期: 2019-10-31

  网络出版日期: 2019-11-21

基金资助

1.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目) (No. 2017CZ-7; No. 2018CZ-4);2.武汉体育学院青年教师科研基金项目(No. 2018Z06)；3.国家留学基金项目(No. 201908420349)

收起

Advances in Exercise for Pre-diabetes and Diabetes: A Systemic Review

  • WANG Mei ,
  • LI Yu-xia ,
  • ZHANG Tian-li ,
  • ZENG Si-qin ,
  • DU Liang ,
  • CHAI Li ,
  • DONG Yan-fei ,
  • QIU Zhuo-ying ,
  • LI An-qiao
Expand
  • 1.Sports Rehabilitation Department, Wuhan Sports University, Wuhan, Hubei 430079, China
    2.Department of Endocrinology, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, China
    3.WHO Family of International Classifications Collaborating Center in China, Beijing 100068, China
    4.China Academy of ICF, Weifang, Shandong 261053, China
    5.China Key Laboratory of Classification, Evaluation and Rehabilitation Sport of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China
    6.Research Institute of Rehabilitation Information, China Rehabilitation Research Center/China Rehabilitation Sciences Institute, Beijing 100068, China

Received date: 2019-10-21

  Revised date: 2019-10-31

  Online published: 2019-11-21

Supported by

Supported by National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research) (No. 2017CZ-7; No. 2018CZ-4), Wuhan Sports University Research Fund for Young Teachers (No. 2018Z06) and Chinese Scholarship Council Fund (No. 201908420349)

Fold

摘要

目的 探讨运动对糖尿病前期患者和糖尿病患者的疗效。方法 检索PubMed、中国知网(CNKI)、万方等数据库2014年至2019年9月运动干预糖尿病前期和糖尿病的相关文献。追溯检索纳入文献的参考文献。结果和 结论 运动以及运动结合饮食等，对糖尿病前期患者有明确疗效。运动种类包括有氧运动、抗阻运动和高强度间歇训练(HIIT)，它们对血糖、胰岛素抵抗、血脂、血管内皮功能、脑的葡萄糖代谢、脑乳酸代谢都有正面影响。对于糖尿病患者，HIIT省时、高效、依从性好，与持续中等强度训练一样，可降低空腹血糖，降低糖化血红蛋白，改善胰岛素抵抗等。

关键词： 糖尿病; 糖耐量受损; 运动; 高强度间歇训练

本文引用格式

王梅 , 李玉霞 , 张田丽 , 曾斯琴 , 杜亮 , 柴丽 , 董燕飞 , 邱卓英 , 李安巧 . 运动干预糖尿病前期和糖尿病的研究进展[J]. 中国康复理论与实践, 2019 , 25(11) : 1272 -1278 . DOI: 10.3969/j.issn.1006-9771.2019.11.005

Abstract

Results and Conclusion Exercise or exercise combined with diet is surely effective on pre-diabetes patients. The types of exercise include aerobic exercise, resistance exercise and high-intensity interval training (HIIT), which may work well for blood glucose, insulin resistance, blood lipids, vascular endothelial function, brain glucose metabolism and brain lactic acid metabolism, etc. HIIT is time-saving, high-efficiency and well-compliance for diabetic patients in fasting blood glucose, glycated hemoglobin and insulin resistance.Objective To investigate the efficacy of exercise on patients with pre-diabetes and diabetes. Methods Literatures about exercise intervention for pre-diabetes and diabetes from September, 2014 to September, 2019 were searched from PubMed, CNKI, and Wanfang databases, and the references included were traced back.

Key words： diabetes mellitus; impaired glucose tolerance; exercise; high-intensity interval training

参考文献

1 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志, 2018, 8(4): 34-86.
2 KahnG R. Joslin糖尿病学第14版[M]. 潘长玉,译. 北京:人民卫生出版社, 2007.
3 中华医学会糖尿病学分会. 国家基层糖尿病防治管理指南(2018)[J]. 中华内科杂志, 2018, 57(12): 885-893.
4 BabcockM C, RobinsonA T, WatsoJ C, et al. Salt loading blunts central and peripheral postexercise hypotension [J]. Med Sci Sports Exerc, 2019, 10(9): 1-36.
5 GongQ, ZhangP, WangJ, et al. Morbidity and mortality after lifestyle intervention for people with impaired glucose tolerance: 30-year results of the Da Qing Diabetes Prevention Outcome Study [J]. Lancet Diabetes Endocrinol, 2019, 7(6): 452-461.
6 WangJ, ShenX, HeS, et al. Hypertriglyceridaemia predicts subsequent long-term risk of cardiovascular events in Chinese adults: 23-year follow-up of the Daqing Diabetes Study [J]. Diabetes Metab Res Rev, 2019, 35(6): e3163-e3170.
7 王正珍. 糖尿病前期人群运动处方研究与应用[M]. 北京:北京体育大学出版社, 2010: 131.
8 LiX, WangJ, ShenX, et al. Higher blood pressure predicts diabetes and enhances long-term risk of cardiovascular disease events in individuals with impaired glucose tolerance: Twenty-three-year follow-up of the Daqing diabetes prevention study [J]. J Diabetes, 2019, 11(7): 593-598.
9 Yamamoto-KabasawaK, HosojimaM, YataY, et al. Benefits of a 12-week lifestyle modification program including diet and combined aerobic and resistance exercise on albuminuria in diabetic and non-diabetic Japanese populations [J]. Clin Exp Nephrol, 2015, 9(6): 1079-1089.
10 罗曦娟,王正珍,朱玲,等. 有氧和抗阻运动对糖尿病前期人群血糖干预效果的比较研究[J]. 中国运动医学杂志, 2015, 34(9): 831-837.
11 王正珍,王艳. 有氧运动对糖尿病前期人群胰岛素敏感性的影响[J]. 成都体育学院学报, 2013, 39(9): 1-13.
12 RowanC P, RiddellM C, GledhillN, et al. Aerobic exercise training modalities and prediabetes risk reduction [J]. Med Sci Sports Exerc, 2017, 49(3): 403-412.
13 KosakaK, NodaM, KuzuyaT. Prevention of type 2 diabetes by lifestyle intervention: a Japanese trial in IGT males [J]. Diabetes Res Clin Pract, 2005, 67(2): 152-162.
14 安雅莉. 生活方式干预对糖耐量低减人群预防糖尿病的影响及推迟糖尿病发病对心脑血管疾病的影响——大庆20年随访研究[D]. 北京:北京协和医学院, 2009.
15 HigginsT P, BakerM D, EvansS A, et al. Heterogeneous responses of personalised high intensity interval training on type 2 diabetes mellitus and cardiovascular disease risk in young healthy adults [J]. Clin Hemorheol Microcirc, 2015, 59(4): 365-377.
16 RobinsonM M, LoweV J, NairK S. Increased brain glucose uptake after 12 weeks of aerobic high-intensity interval training in young and older adults [J]. J Clin Endocrinol Metab, 2018, 103(1): 221-227.
17 BondB, CockcroftE J, WilliamsC A, et al. Two weeks of high-intensity interval training improves novel but not traditional cardiovascular disease risk factors in adolescents [J]. Am J Physiol Heart Circ Physiol, 2015, 309(6): H1039-H1047.
18 ZhaoweiK, ShengyanS, MinL, et al. Short-term high-intensity interval training on body composition and blood glucose in overweight and obese young women [J]. J Diabetes Res, 2016, 2016: 1-9.
19 LithgowH M, Florida-JamesG, LeggateM. The combined effect of high-intensity intermittent training and vitamin D supplementation on glycemic control in overweight and obese adults [J]. Physiol Rep, 2018, 6(9): e13684-e13696.
20 van BiljonA, McKuneA J, DuBoseK D, et al. Do short-term exercise interventions improve cardiometabolic risk factors in children? [J]. J Pediatr, 2018, 203(12): 325-329.
21 RiddellM C, PooniR, YavelbergL, et al. Reproducibility in the cardiometabolic responses to high-intensity interval exercise in adults with type 1 diabetes [J]. Diabetes Res Clin Pract, 2019, 148: 137-143.
22 AronsonR, BrownR E, LiA, et al. Optimal insulin correction factor in post-high-intensity exercise hyperglycemia in adults with type 1 diabetes: the FIT Study [J]. Diabetes Care, 2019, 42(1): 10-16.
23 FarinhaJ B, RamisT R, VieiraA F, et al. Glycemic, inflammatory and oxidative stress responses to different high-intensity training protocols in type 1 diabetes: a randomized clinical trial [J]. J Diabetes Complications, 2018, 32(12): 1124-1132.
24 WiegersE C, RooijackersH M, TackC J, et al. Effect of exercise-induced lactate elevation on brain lactate levels during hypoglycemia in patients with type 1 diabetes and impaired awareness of hypoglycemia [J]. Diabetes, 2017, 66(12): 3105-3110.
25 TurksoyK, HajizadehI, HobbsN, et al. Multivariable artificial pancreas for various exercise types and intensities [J]. Diabetes Technol Ther, 2018, 20(10): 662-671.
26 WormgoorS G, DalleckL C, ZinnC, et al. Effects of high-intensity interval training on people living with type 2 diabetes: a narrative review [J]. Can J Diabetes, 2017, 41(5): 536-547.
27 JelleymanC, YatesT, O'DonovanG, et al. The effects of high-intensity interval training on glucose regulation and insulin resistance: a meta-analysis [J]. Obes Rev, 2015, 16(11): 942-961.
28 Quílez LlopizP, Reig García-GalbisM. Glycemic control through physical exercise in type 2 diabetes: systematic review [J]. Nutr Hosp, 2015, 31(4): 1465-1472.
29 LittleJ P, FrancoisM E. High-intensity interval training for improving postprandial hyperglycemia [J]. Res Q Exerc Sport, 2014, 85(4): 451-456.
30 LiuJ X, ZhuL, LiP J, et al. Effectiveness of high-intensity interval training on glycemic control and cardiorespiratory fitness in patients with type 2 diabetes: a systematic review and meta-analysis [J]. Aging Clin Exp Res, 2019, 31(5): 575-593.
31 AlvarezC, Ramirez-CampilloR, Martinez-SalazarC, et al. High-intensity interval training as a tool for counteracting dyslipidemia in women [J]. Int J Sports Med, 2018, 39(5): 397-406.
32 WindingK M, MunchG W, IepsenU W, et al. The effect on glycaemic control of low-volume high-intensity interval training versus endurance training in individuals with type 2 diabetes [J]. Diabetes Obes Metab, 2018, 20(5): 1131-1139.
33 MadsenS M, ThorupA C, OvergaardK, et al. High intensity interval training improves glycaemic control and pancreatic β cell function of type 2 diabetes patients [J]. PLoS One, 2015, 10(8): e0133286- e0133310.
34 FrancoisM E, LittleJ P. The impact of acute high-intensity interval exercise on biomarkers of cardiovascular health in type 2 diabetes [J]. Eur J Appl Physiol, 2017, 117(8): 1607-1616.
35 MetcalfeR S, FitzpatrickB, FitzpatrickS, et al. Extremely short duration interval exercise improves 24-h glycaemia in men with type 2 diabetes [J]. Eur J Appl Physiol, 2018, 118(12): 2551-2562.
36 SavikjM, GabrielB M, AlmP S, et al. Afternoon exercise is more efficacious than morning exercise at improving blood glucose levels in individuals with type 2 diabetes: a randomised crossover trial [J]. Diabetologia, 2019, 62(2): 233-237.
37 Magalh?esJ P, MeloX, CorreiaI R, et al. Effects of combined training with different intensities on vascular health in patients with type 2 diabetes: a 1-year randomized controlled trial [J]. Cardiovasc Diabetol, 2019, 18(1): 34-47.
38 MortensenS P, WindingK M, IepsenU W, et al. The effect of two exercise modalities on skeletal muscle capillary ultrastructure in individuals with type 2 diabetes [J]. Scand J Med Sci Sports, 2019, 29(3): 360-368.
39 Ghardashi AfousiA, IzadiM R, RakhshanK, et al. Improved brachial artery shear patterns and increased flow-mediated dilatation after low-volume high-intensity interval training in type 2 diabetes [J]. Exp Physiol, 2018, 103(9): 1264-1276.
40 FrancoisM E, PistawkaK J, HalperinF A, et al. Cardiovascular benefits of combined interval training and post-exercise nutrition in type 2 diabetes [J]. J Diabetes Complications, 2018, 32(2): 226-233.
41 FrancoisM E, DurrerC, PistawkaK J, et al. Resistance-based interval exercise acutely improves endothelial function in type 2 diabetes [J]. Am J Physiol Heart Circ Physiol, 2016, 311(5): H1258-H1267.
42 MadsenS M, ThorupA C, OvergaardK, et al. Functional and structural vascular adaptations following 8 weeks of low volume high intensity interval training in lower leg of type 2 diabetes patients and individuals at high risk of metabolic syndrome [J]. Arch Physiol Biochem, 2015, 121(5): 178-186.
43 SuryanegaraJ, CassidyS, NinkovicV, et al. High intensity interval training protects the heart during increased metabolic demand in patients with type 2 diabetes: a randomised controlled trial [J]. Acta Diabetol, 2019, 56(3): 321-329.
Options
文章导航

/

〈 〉