不同形式运动对2型糖尿病患者糖化血红蛋白百分比和部分体成分影响的Meta分析  

Meta-Analysis of Different Forms of Exercise Effects on HbA1c Percentage and Part of Body Composition in Patients with Type 2 Diabetes

作　　者：王光旭[1] 王兴[1] 陈新丽[1] 

机构地区：[1]上海体育学院体育教育训练学院,上海200438

出　　处：《体育科学》2016年第10期56-66,共11页China Sport Science

基　　金：上海市人类运动能力开发与保障重点实验室资助项目(11DZ2261100)

摘　　要：目的:评估不同运动对2型糖尿病患者HbA1c%与BMI、体脂量和体脂百分比等体成分指标影响效果。方法:电子检索PubMed、EBSCO Host、Elsevier、WOS、中国知网等数据库,期限为1990—2016年全部文献。将运动干预2型糖尿病患者的随机对照实验全面的收集,运用Cochranc偏倚风险评估工具对纳入文献进方法学质量评价,ReMan 5.3.5软件对得到数据进行统计学处理。结果:Meta分析共纳入文献8篇,总样本量1 192人均为成年2型糖尿病患者;纳入文献中等质量2篇,高质量6篇。Meta分析结果:HbA1c%meta分析,有氧训练组与抗阻训练组比较MD=-0.29(95%CI,I2=60%,P<0.0001);综合训练组与有氧训练组比较MD=-0.19(95%CI,I2=33%,P=0.009);综合训练组与抗阻训练组比较MD=-0.49(95%CI,I2=72%,P<0.000 01。BMI Meta分析:抗阻训练组与对照组比较MD=-0.05(95%CI,I2=59%,P=0.40);综合训练组与有氧训练组比较MD=-0.06(95%CI,I2=37%,P=0.52。体脂量Meta分析:有氧训练组与抗阻训练组比较MD=-0.35(95%CI,I2=6%,P=0.29);综合训练组与有氧训练组比较MD=-0.46(95%CI,I2=0%,P=0.16);综合训练组与抗阻训练组比较MD=-0.80(95%CI,I2=0%,P=0.01)。体脂百分比Meta分析:有氧训练组与对照组比较MD=-0.47(95%CI,I2=87%,P=0.25);综合训练组与抗阻训练组比较MD=-0.55(95%CI,I2=86%,P=0.07)。结论:综合训练为2型糖尿病患者血糖控制最佳运动方式;抗阻训练对2型糖尿病患者BMI无显著影响;有氧训练对2型糖尿病患者体脂百分比无显著影响;综合训练对2型糖尿病患者BMI、体脂量和体脂百分比改善均无显著优势。Objective：To evaluate the effect of different exercise on HbA1c% and BMI,body fat percentage and body fat mass index in patients with type 2diabetes.Methods：Electronic search of PubMed,EBSCO host,Elsevier,WOS and CNKI database,for a period of 1990 to 2016all literature.Collect all randomized controlled comprehensive trials of exercise intervention in patients with type 2diabetes mellitus.Cochranc bias risk assessment tools of the included literature into the methodological quality assessment;the use of software ReMan5.3.5to get data adults patients with type2 diabetes mellitus,2included articles were of ordinary quality,6articles were of high quality.Meta-analysis results：HbA1c% subgroup analysis with aerobic training group compare with resistance training group MD=-0.29（95%CI,I2= 60%,P〈0.0001）;comprehensive training compare with aerobic training MD=-0.19（95%CI,I2=33%,P =0.009）;comprehensive training compare with resistance training MD=-0.49（95% CI,I2=72%,P 0.00001）.BMI subgroup analysis of resistance training of type 2diabetic patients with BMI improvement MD=-0.05（95% CI,I2=59%,P=0.40）;comprehensive training compare with aerobic training MD=-0.06（95% CI,I2=37%,0.52）.Body fat mass subgroup analysis with aerobic training group compare with resistance training group MD=-0.35（95%CI,I2=6%,P= 0.29）;comprehensive training compare with aerobic training is MD=-0.46（95%CI,I2=0%,P=0.16）,comprehensive training group compare with resistance training group MD=-0.80（95%CI,I2=0%,P=0.01）.Body fat percentage subgroup analysis of aerobic training on type 2diabetes patients with body fat per-centage change compare with control group MD=-0.47（95%CI,I2=87%,P=0.25）;comprehensive training compare with resistance training is MD=-0.55（95% CI,I2=86%,P=0.07）.Conclusion：comprehensive training is the best way to control blood glucose in type2 diabetic patients.Resistance aerobic training had no significant effect on type 2diabetes＇ body fat percentage;comprehensive training had no signific

关 键 词：元分析 糖化血红蛋白百分比 身体质量指数 体脂量 体脂百分比 

分 类 号：G804.7[文化科学—运动人体科学]