社区环境下2型糖尿病三种运动相关干预模式健康效益的系统综述  

Health benefit of three exercise-related interventions for type 2 diabetes mellitus in community:a systematic review

作　　者：王梅[1] 廖婷[2] 陈建[1] WANG Mei;LIAO Ting;CHEN Jian(School of Sports Medicine,Wuhan Sports University,Wuhan,Hubei 430079,China;Wuhan Sports University Aquatic Therapy&Fitness Research Center,Wuhan,Hubei 430079,China)

机构地区：[1]武汉体育学院运动医学院,湖北武汉市430079 [2]武汉体育学院水中康复与健身研究中心,湖北武汉市430079

出　　处：《中国康复理论与实践》2022年第11期1288-1298,共11页Chinese Journal of Rehabilitation Theory and Practice

基　　金：武汉体育学院中青年科研团队项目(No.2021.05);湖北省高等学校优秀中青年科技创新团队计划项目(No.T2022036)。

摘　　要：目的基于世界卫生组织《国际功能、残疾和健康分类》(ICF)构建社区环境下2型糖尿病三种运动相关干预模式健康效益的范畴及研究架构,系统综述社区环境下2型糖尿病患者3种运动相关干预模式、干预方案及其健康效益。方法检索Web of Science、PubMed、中国知网和EBSCO,筛选2012年至2022年11月公开发表的2型糖尿病患者在社区环境下,接受社区慢病管理、社区运动康复、社区身体活动干预及其健康结局的随机对照试验,进行系统综述。结果纳入文献10篇,分别来自5个国家,24715例参与者(55~85岁),主要来源于糖尿病研究、初级保健与社区健康、老年人健康和康复等相关领域期刊,发表时间集中在2018年至2022年。在社区慢病管理模式下,干预场所主要集中于社区医疗中心、社区卫生服务中心;干预人员一般包括社区卫生人员、社区理疗师、注册护士、注册营养师、项目协调员、药剂师和运动教练等;干预时长6~18个月;干预措施涉及医疗咨询、健康教育、医疗就诊提醒、身体活动、家访、定期健康状况监测;干预属性主要是治疗和健康促进。在社区运动康复模式下,干预场所主要集中于社区老年中心和社区医疗中心,且均提供活动监测;干预人员一般包括社区康复师、运动治疗师、营养师、全科医生;干预时长3~12个月;干预措施集中于运动康复干预、饮食干预和健康素养干预;运动康复干预主要目标是治疗、康复和健康促进。在社区身体活动干预模式下,干预场所主要集中于社区老年中心和社区医疗中心,均提供活动监测;干预人员一般包括社区康复师、运动治疗师、营养师、全科医生;干预措施集中于运动干预,活动方式主要涉及有氧运动(跑步)、抗阻运动(卷腹、卧推、肩推、蹬腿、伸膝、勾腿、伸肘、仰卧下拉和坐姿划船)和联合运动,每次10~30 min,每周3~5次,中等强度,持Objective To construct the categories and framework of research on health effects of three exercise-related intervention models on patients with type 2 diabetes mellitus(T2DM)based on International Classification of Functioning,Disability and Health(ICF),and systematically review their health effects in community settings.Methods Randomized controlled trials(RCTs)about the the health outcomes of community-based chronic disease management,community-based exercise rehabilitation and community-based physical activity interventions for patients with T2DM in community setting were retrieved from databases of Web of Science,PubMed,CNKI and EBSCO,from 2012 to November,2022,and screened and reviewed.Results Ten RCTs from five countries were included finally,involving 24715 participants(aged 55 to 85 years).The main sources were journals in fields of diabetes,primary care and community health,elderly health and rehabilitation,with publication dates from 2018 to 2022.For the modality of community-based chronic disease management,interventions might be performed in community health centers and community health service centers;by medical professionals,community physical therapists,registered nurses,registered dietitians,program coordinators,pharmacists and exercise coaches;for six to 18 months;including medical consultation,health education,medical visit reminders,physical activity,home visits and regular health status monitoring;mainly for treatment and health promotion.For community-based exercise rehabilitation,interventions might be performed in community senior centers and community medical centers,with exercise coaching and monitoring;by community rehabilitation workers,exercise therapists,nutritionists,and general practitioners;for three to twelve months;including exercise rehabilitation interventions,dietary interventions and health literacy interventions;mainly for treatment,rehabilitation,and health promotion.For community physical activity,interventions might be performed in community senior centers and community

关 键 词：2型糖尿病 运动 社区康复 身体活动 系统综述 

分 类 号：R587.1[医药卫生—内分泌]