传统体育运动对糖尿病康复作用的系统评价及Meta分析

发布时间：2018-02-05 22:33

本文关键词： 传统体育运动太极拳健身气功糖尿病 Meta分析　出处：《山东师范大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的应用系统评价和Meta分析的方法研究传统体育运动对糖尿病患者的康复作用。方法查找电子资源数据库Pub Med、The Cochrane Library、EMbase、SCI、中国知网(CNKI)、万方(Wan Fang Data)和维普(VIP)等,检索传统体育运动(太极拳和健身气功)对糖尿病康复作用的随机对照实验论文,查找时间从建库开始到2016年6月。两位研究者依照排除与纳入的规定方法,分别独立完成论文纳入和数据提取,然后使用Rev Man 5.3进行Meta分析,用Jadad评分量表进行论文质量评估。结果太极拳对糖尿病作用的论文:共纳入15篇,5篇英文,10篇中文,830名研究对象;健身气功和糖尿病的随机对照实验,共纳入21篇论文,1篇英文论文,20篇中文论文,1326名研究对象。研究结果表明,太极拳和不运动比较,太极拳运动有降低空腹血糖的作用[MD=-1.11,95%CI(-1.65,-0.56),P0.0001;太极拳和其他有氧运动比较,两者没有显著性差异[MD=-0.50,95%CI(-1.02,0.02),P=0.06];健身气功和不运动比较,两者有显著性差异,健身气功有降低空腹血糖的作用[MD=-0.99,95%CI(-1.23,0.75),P0.00001];健身气功和其他有氧运动比较,两者没有显著性差异[MD=-0.67,95%CI(-1.42,0.07),P=0.07];健身气功和抗阻力练习比较,健身气功有降低空腹血糖的作用[MD=-1.99,95%CI(-3.09,-0.89),P=0.0004]。太极拳和不运动比较,太极拳运动有降低糖化血红蛋白的作用[MD=-0.98,95%CI(-1.65,-0.31),P=0.004];太极拳和其他有氧运动比较,在降低糖化血红蛋白方面两者没有显著性差异[MD=-0.25,95%CI(-0.52,0.01),P=0.06];健身气功运动和不运动比较,健身气功有降低糖化血红蛋白的作用[MD=-0.84,95%CI(-1.02,-0.65),P0.00001];健身气功和其他有氧运动比较,两者有显著性差异,健身气功有降低糖化血红蛋白的作用[MD=-0.57,95%CI(-0.93,-0.21),P=0.002];健身气功组和抗阻力练习组比较,在降低糖化血红蛋白方面两者没有显著性差异,没有统计学意义[MD=0.00,95%CI(-0.73,0.73),P=1.00]。太极拳和不运动比较,太极拳运动有降低餐后2h血糖的作用[MD=-2.05,95%CI(-3.12,-0.09),P=0.0002];太极拳和其他有氧运动比较,两者没有显著性差异[MD=-0.67,95%CI(-2.17,0.83),P=0.38];健身气功运动和不运动比较,健身气功有较好的降低餐后2h血糖的作用[MD=-1.55,95%CI(-2.19,-0.91),P0.00001]。结论传统体育运动项目能有效改善糖尿病患者的血糖指标,对糖尿病患者有康复作用,同时其他有氧运动项目对糖尿病患者的病情也有一定的积极作用。建议:糖尿病患者在进行康复锻炼的时候,可以选择传统体育运动或是适合自己的有氧运动等多种方式进行锻炼。
[Abstract]:Objective to study the effect of traditional sports on the rehabilitation of diabetic patients by systematic evaluation and Meta analysis. A randomized controlled experimental paper on the effects of traditional sports (Taijiquan and fitness Qigong) on the rehabilitation of diabetes mellitus was searched, and the search time was from the beginning of the establishment of the database to June 2016. The two researchers followed the prescribed method of exclusion and inclusion. The thesis inclusion and data extraction were completed independently, and then Meta analysis was carried out using Rev Man 5.3. Results the effect of Taijiquan on diabetes mellitus was evaluated with Jadad scale. Results A total of 15 articles, 5 articles in English, 10 articles in Chinese and 830 subjects in Chinese were included, and a randomized controlled trial of Qigong and diabetes mellitus was conducted. A total of 21 papers and 20 Chinese papers were included in this study. The results showed that Taijiquan had the effect of lowering fasting blood glucose compared with that of non-exercise [MD-1.11995 CII-1.65- 0.56] P0.0001; Taijiquan was compared with other aerobic exercises. There was no significant difference between the two [MD-0.50 ~ 95CI-1.02FO ~ (0.06)]; there was a significant difference between fitness Qigong and non-exercise. Fitness Qigong had a significant effect on lowering fasting blood glucose [MD-0.99 ~ 95CI-1.230.75P0.00001]; compared with other aerobic exercises, fitness Qigong was compared with other aerobic exercises. There was no significant difference between the two [MD-0.67 ~ 95CI-1.42N 0.07]; compared with the exercise of body-building qigong and anti-resistance exercise, fitness Qigong had the effect of lowering fasting blood glucose [MD-1.99 ~ 95CI-3.09 ~ -0.89] .Comparison between Taijiquan and non-exercise, Taijiquan has the effect of reducing glycosylated hemoglobin [MD-0.98C9595]; comparing Taijiquan with other aerobic exercises, there is no significant difference in reducing glycosylated hemoglobin between Taijiquan and other aerobic exercises [MD-0.25C95CIJ -0.520.01P0.06]; physical fitness Qigong exercise is compared with non-exercise, and there is no significant difference between Taijiquan and other aerobic exercises in reducing glycosylated hemoglobin (HbA1c). Fitness Qigong has the effect of reducing glycosylated hemoglobin [MD-0.84C9595]; compared with other aerobic exercises, there is a significant difference between fitness Qigong and other aerobic exercises. Fitness Qigong has the effect of reducing glycosylated hemoglobin [MD-0.57C95 CI-0.93-0.21P0.002]; the comparison between the fitness Qigong group and the resistance training group, There was no significant difference in the reduction of glycosylated hemoglobin between the two groups, and there was no statistical significance [MD0.0005CI-0.730.73 P0. 00]. Comparing Taijiquan with non-exercise, Taijiquan had the effect of lowering 2 h postprandial blood glucose [MD-2.05C95CI-3.12-0.09P0.0002]; Taijiquan was compared with other aerobic exercises, and there was no significant difference between Taijiquan and other aerobic exercises in reducing blood glucose in 2 h postprandial exercise [MD-2.05C95CI-3.12-0.09P0.0002]. There was no significant difference between the two groups [MD-0.67 ~ 95CI-2.17 ~ 0.83P0.38]; compared with no exercise, fitness Qigong had a better effect on reducing blood glucose 2 hours after meals. Conclusion traditional sports can effectively improve the blood glucose index of diabetic patients. It has a rehabilitation effect on diabetic patients, and other aerobic exercises also have positive effects on the condition of diabetic patients. You can exercise in a variety of ways, such as traditional sports or aerobic exercise that suits you.
【学位授予单位】：山东师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R587.1;G804.2

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