《2022 ISPAD临床实践共识指南:儿童和青少年糖尿病患儿运动》解读  

Interpretation of ISPAD Clinical Practice Consensus Guidelines 2022:Exercise in Children and Adolescents with Diabetes

作　　者：程经纬 乔军军 尹振 胡俊鹏 王庆贺 柳杨青 汪艳芳 CHENG Jingwei;QIAO Junjun;YIN Zhen;HU Junpeng;WANG Qinghe;LIU Yangqing;WANG Yanfang(School of Physical Education,Henan University,Kaifeng 475000,China;School of Sports Science,Kyonggi University,Suwon 16227,South Korea;Graduate School,KyungHee University,Suwon 16227,South Korea;Department of Endocrinology,Henan Province Hospital of TCM/the Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450003,China;Department of Endocrinology,Henan Provincial People's Hospital/Zhengzhou University People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南大学体育学院,河南省开封市475000 [2]韩国京畿大学体育科学学院,京畿道水原市16227 [3]韩国庆熙大学研究生院,京畿道水原市16227 [4]河南省中医院、河南中医药大学第二附属医院内分泌科,河南省郑州市450003 [5]河南省人民医院、郑州大学人民医院内分泌科,河南省郑州市450003

出　　处：《中国全科医学》2023年第30期3719-3724,3752,共7页Chinese General Practice

基　　金：河南省医学科技攻关计划省部共建项目(SBGJ2018069)。

摘　　要：身体活动是糖尿病管理的基石,儿童和青少年糖尿病患儿因其血糖变化的复杂性需要更精准的运动处方指导,但此类人群的运动指南相对较少。随着专家学者对该领域的不断研究探索,2022年国际儿童青少年糖尿病协会(ISPAD)更新了关于儿童和青少年糖尿病患儿运动的指南。本指南将服务人群更精准地面向1型糖尿病儿童和青少年患儿,从运动类型、运动时机、运动时血糖波动、胰岛素调整及营养补充等角度全面提出了指导意见。本文对《2022 ISPAD临床实践共识指南:儿童和青少年糖尿病患儿运动》指南的主要内容及重点更新内容进行解读,旨在为国内儿童和青少年糖尿病患儿提供更科学的运动指导。Regular physical activity is a cornerstone of diabetes management,and more precise guidance on exercise prescriptions is needed in children and adolescents with diabetes due to the complexity of glycemic changes,however,there are relatively few guidelines for this population.As the continuous exploration of experts and scholars in this field,after five years,the International Society for Pediatric and Adolescent Diabetes(ISPAD)updated its guidelines on exercise for children and adolescents with diabetes in 2022.The guidelines target the service population more precisely to the children and adolescents with type 1 diabetes and provide comprehensive guidance from the perspectives of exercise types,exercise timing,blood glucose fluctuations during exercise,insulin adjustment and nutritional supplementation.This article interprets the main contents and key updates of the 2022 ISPAD guidelines,aiming to provide more scientific exercise prescriptions for children and adolescents with diabetes in China.

关 键 词：糖尿病 1型 儿童 青少年 身体活动 运动 国际儿童青少年糖尿病协会 指南解读 

分 类 号：R587.1[医药卫生—内分泌]