抗阻运动对糖尿病前期患者糖脂代谢的影响  

Effect of resistance training on glucoUpid metabolism in a pre-diabetic population

作　　者：汪亚群[1] 楼青青[2] 嵇加佳[3] 张小波[1] 李唯佳[1] 

机构地区：[1]浙江省立同德医院康复医学中心,杭州310012 [2]江苏省中西医结合医院健康教育科 [3]南京中医药大学

出　　处：《中华物理医学与康复杂志》2015年第4期294-297,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然科学基金（81370923）;江苏省中医药局基金（LZ11059）

摘　　要：目的探讨抗阻运动对糖尿病前期（PDM）患者糖脂代谢的影响。方法选取PDM患者60例，按照随机数字表法将其分为抗阻组、有氧组、对照组，每组20例。抗阻组采用抗阻运动进行训练，每周3次，共12周；有氧组采用有氧运动处方进行训练，每周3次，共12周；对照组设置为空白对照组，不予以其它特殊干预。训练前、训练3个月后，抽血测定3组患者的空腹血糖、餐后2h血糖、糖化血红蛋白（HbAlc）、血脂水平，并测定患者的体重指数（BMI）、腰围、血压。结果训练中，3组患者各有1例退出研究。训练前，3组患者各指标之间比较，差异均无统计学意义（P〉0．05）。与组内训练前比较，抗阻组训练3个月后空腹血糖[（5．52±0．52）mmol／L]、HbAlc[（5．92±0．36）％]及甘油三酯[（1．65±0．92）mmol／L]水平降低（P〈0．05）。有氧组训练3个月后腰围[（79．11±9．75）cm]、舒张压[（75．68±7．70）mmHg]、空腹血糖[（5．67±0．62）mm01]及HbAlc[（5．98±0．49）％]水平降低（P〈0．05）。与训练前比较，对照组训练3个月后餐后2h血糖[（9．96±4．87）mmol／L]、低密度脂蛋白水平[（2．98±0．79）mmol／L]显著增高，差异有统计学意义（P〈0．05）。与抗阻组比较，有氧组、对照组训练3个月后餐后2h血糖明显较高（P〈0．05）。与有氧组比较，对照组训练3个月后餐后2h血糖[（9．96±4．87）mmol／L]明显较高（P〈0．05）。结论抗阻运动和有氧运动均能有效降低PDM患者的空腹血糖水平及HbAlc含量，对患者BMI及低密度脂蛋白水平的影响均不明显，抗阻运动对降低餐后2h血糖水平有显著优势。Objective To evaluate the effect of resistance training on glucolipid metabolism in a population with pre-diabetie metabolism （PDM）. Methods Sixty persons with PDM were randomly divided into a resistance training group, an aerobic training group and a control group, each of 20 members. The exercise intervention groups exercised 3 times a week for 12 weeks in accordance with the exercise prescription, while the control group was without any regular aerobic exercise or resistance training. Before and after the 3 months of exercise training, fasting blood glucose （FBG） , 2 hours postpradial blood glucose （PBG） , HbAlc, and lipid profile were tested. Body mass index （BMI） , waistline, and blood pressure were also measured. Results Before the intervention, there were no significant differences in any of the average values among the 3 groups. In the resistance group, the average FBS （5.52 ±0.52 mmol/L） , HhAlc （5.92 ±0.36%） and TG （1.65 ±0.92 mmol/L） had all decreased significantly after the training. In the aerobic group the average waistline, dilated blood pressure, FBG and HbA1 c had decreased significantly. In the control group the average 2hrs PBG and LDL-C had both increased significantly compared to 3 months earlier. Compared with the resistance group, the average 2hrs PBGs were significantly higher in both the aerobic and control groups after the training. Moreover, compared with the aerobic group, the value in the control group was also significantly higher. Conclusion Both resistance training and aerobic exercise can lower fasting blood glucose and HbAlc in PDM patients without obvious effect on BMI or low density lipoprotein level. Compared with aerobic exercises, resistance training had significant advantages in decreasing 2-hour postprandial blood glucose.

关 键 词：抗阻运动 糖尿病前期 代谢 

分 类 号：R587.1[医药卫生—内分泌]