高强度间歇训练对中老年2型糖尿病患者干预效果的meta分析  

Meta-analysis of the intervention effect of high intensity interval training on type 2 diabetes in middle-aged and elderly patients

作　　者：刘云龙 李金锁[1] LIU Yun-long;LI Jin-suo(Department of Physical Education,Jinzhong College,Jinzhong,Shanxi 030600,China)

机构地区：[1]晋中学院体育系,山西030600

出　　处：《现代预防医学》2021年第1期118-122,共5页Modern Preventive Medicine

基　　金：山西省教育科学“十三五”规划2017年度课题(GH-17070);山西省高等学校哲学社会科学研究项目(2020W198)。

摘　　要：目的系统评价高强度间歇训练对中老年2型糖尿病患者心脏代谢危险因素与BMI的影响。方法计算机检索EBSCOhost等数据库,收集相关文献,使用Stata 12.0软件进行统计学处理。结果共纳入文献11篇,其中5篇为A级,6篇为B级,研究间无发表偏倚。Meta分析显示:高强度间歇干预后明显改善患者糖化血红蛋白(WMD=-0.62,95%CI:-0.81~-0.43)、空腹血糖(SMD=-0.87,95%CI:-1.25~-0.49)、2-h后空腹血糖(WMD=-2.17,95%CI:-2.69~-1.65)、胰岛素(SMD=-0.93,95%CI:-1.42~-0.44)、胰岛素抵抗(SMD=-0.82,95%CI:-1.24~-0.40)、高密度脂蛋白(SMD=0.75,95%CI:0.33~1.18)含量;同时降低患者血压水平(收缩压WMD=-5.20,95%CI:-9.45~-0.94;舒张压WMD=-3.45,95%CI:-6.17~-0.73)和BMI(WMD=-1.34,95%CI:-2.21~-0.48)。对胆固醇、低密度脂蛋白和甘油三酯均无明显影响。结论高强度间歇训练能改善中老年2型糖尿病患者血糖、血脂的代谢能力和BMI。建议广大中老年2型糖尿病患者采用高强度间歇训练。Objective To systematically evaluate the effects of high-intensity interval training on cardiometabolic risk factors and BMI in middle-aged and elderly patients with type 2 diabetes.Methods EBSCOhost,Web of Science and other databases were searched by computer,relevant literatures were collected,and Stata 12.0 software was used for statistical processing.Results A total of 11 references were included,of which 5 were grade A and 6 were grade B.There was no inter-study publication bias.Meta-analysis showed that compared with the control group,patients with high-intensity intermittent intervention were significantly improved in hemoglobin a1c(WMD=-0.62,95%CI:-0.81--0.43),fasting blood glucose(SMD=-0.87,95%CI:-1.25--0.49),2-h fasting blood glucose(WMD=-2.17,95%CI:-2.69--1.65),insulin(SMD=-0.93,95%CI:-1.42--0.44),insulin resistance(SMD=-0.82,95%CI:-1.24--0.40)and high density lipoprotein(SMD=0.75,95%CI:0.33-1.18).At the same time,the patient’s blood pressure was reduced(systolic blood pressure WMD=-5.20,95%CI:-9.45--0.94;diastolic blood pressure WMD=-3.45,95%CI:-6.17--0.73)and BMI(WMD=-1.34,95%CI:-2.21--0.48).There was no significant effect on cholesterol,low density lipoprotein and triglyceride.Conclusion HIIT can improve blood glucose,lipid metabolism and BMI in middle-aged and elderly patients with type 2 diabetes.It is suggested that the middle-aged and elderly patients with type 2 diabetes should adopt HIIT.

关 键 词：高强度间歇训练 2型糖尿病 中老年人 META分析 

分 类 号：R587.1[医药卫生—内分泌] R165[医药卫生—内科学]