高强度间歇运动对糖尿病前期患者糖脂代谢的影响

发布时间：2018-07-26 07:22

【摘要】：目的:探讨高强度间歇运动(high intensity-interval training,HIIT)对糖尿病前期(prediabetes mellitus,PDM)患者糖脂代谢的影响。方法:选取PDM患者60例,按照随机数表法将其分为高强度间歇运动组(HIIT组)、中等强度持续运动组(MICT组)、空白对照组(对照组),每组20例。HIIT组采用60s高强度运动(70%—90%最大心率)搭配60s间歇的训练方式,每次20min,每周3次,共12周。MICT组采用中等强度(50%—70%最大心率)的持续运动,每次50min,每周3次,共12周。对照组设置为空白对照组,不予以其他运动干预。12周干预前、后,分别测量各组空腹血糖、餐后2h血糖、糖化血红蛋白(Hb Alc)、血脂、体重指数(BMI)、腰围数据。结果:研究结束前,MICT组有两例患者因无法坚持退出研究。训练前,3组患者各组数据之间比较,差异均无显著性意义(P≥0.05)。12周干预后,HIIT组与运动前及同期对照组相比,腰围、空腹血糖、餐后2h血糖、Hb Alc水平、总胆固醇及甘油三酯水平降低(P0.05),高密度脂蛋白水平升高(P0.05)。MICT组与训练前及同期对照组比较,腰围、空腹血糖、餐后2h血糖、总胆固醇和甘油三酯水平降低(P0.05)。与训练前相比,对照组3个月后腰围、空腹血糖、餐后2h血糖、Hb Alc、总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白等数据均无明显变化(P≥0.05)。与MICT组相比,HIIT组腰围减少更显著(P0.05)。结论:高强度间歇运动可以有效改善糖尿病前期患者空腹血糖和餐后2h血糖情况且减脂效果较传统中等强度持续运动更佳。
[Abstract]:Objective: to investigate the effect of high intensity intermittent exercise (high intensity-interval) on glucose and lipid metabolism in prediabetes patients. Methods: 60 patients with PDM were selected. According to the random number table, it was divided into high intensity intermittent exercise group (HIIT group), moderate intensity continuous exercise group (MICT group) and blank control group (control group). MICT group was treated with moderate intensity (50-70% maximal heart rate) for 50 min, 3 times a week for 12 weeks. The control group was set as a blank control group. Before and after 12 weeks of intervention, fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin (Hb Alc),) blood lipid and body mass index (BMI),) waist circumference data were measured. Results: two patients in the MICT group were unable to stay out of the study. There was no significant difference between the three groups before training (P > 0. 05). After 12 weeks of intervention, the waist circumference, fasting blood glucose, 2 h postprandial blood glucose and HB Alc level in the hip group were higher than those in the control group. Total cholesterol and triglyceride levels decreased (P0.05), high density lipoprotein level (P0.05). MICT group compared with the training and control group, waist circumference, fasting blood glucose, postprandial 2 h blood glucose, total cholesterol and triglyceride levels decreased (P0.05). There were no significant changes in waist circumference, fasting blood glucose, HbAlc, total cholesterol, triglyceride, high density lipoprotein and low density lipoprotein in the control group after 3 months of training (P > 0.05). Compared with the MICT group, the waist circumference decreased more significantly (P0.05). Conclusion: high intensity intermittent exercise can effectively improve fasting blood glucose and 2 h postprandial blood glucose in prediabetic patients, and the effect of reducing fat is better than traditional moderate intensity continuous exercise.
【作者单位】：浙江省省立同德医院康复医学中心;江苏省中西医结合医院健康教育科;四川大学-香港理工大学灾后重建与管理学院;
【分类号】：R587.2

【相似文献】