抗阻运动对老年2型糖尿病合并肌少症病人血糖控制及活动能力的影响  

Effects of resistance exercise on blood glucose control and activity in elderly patients with type 2 diabetes mellitus with sarcopenia

作　　者：杨丽萍[1] 康玉凤 彭珍珍 YANG Liping;KANG Yufeng;PENG Zhenzhen(Department of Endocrine Metabolism,the Second Affiliated Hospital of Nanchang University,Nanchang 338000,China)

机构地区：[1]南昌大学第二附属医院内分泌代谢科,江西省南昌市338000

出　　处：《实用老年医学》2024年第11期1097-1100,共4页Practical Geriatrics

基　　金：江西省卫生健康委科技计划项目(202310038)。

摘　　要：目的探讨抗阻运动对老年2型糖尿病合并肌少症病人血糖控制及活动能力的影响。方法选择我院2022年1月至2023年2月收治的100例老年2型糖尿病合并肌少症病人为研究对象。采用随机数表法将100例病人分为对照组和观察组,每组各50例。对照组病人接受常规运动指导,观察组在对照组的基础上实施弹力带抗阻运动干预。比较2组干预前及干预3、6个月后的FPG、餐后2 h血糖(PBG)、HbA1c、Berg平衡量表(BBS)及计时起立行走测试(TUG)结果。结果干预前,2组病人FPG、PBG、HbA1c水平及BBS评分、TUG时间比较,差异无统计学意义(P>0.05);干预3、6个月后,2组病人FPG、PBG、HbA1c水平均显著低于干预前,TUG时间显著短于干预前,BBS评分显著高于干预前(P<0.05);观察组病人干预3、6个月后的FPG、PBG、HbA1c水平均低于对照组,TUG时间短于对照组,BBS评分高于对照组,差异均有统计学意义(P<0.05)。结论弹力带抗阻运动有助于老年2型糖尿病合并肌少症病人的血糖控制,能够提高病人的身体平衡与行走能力。Objective To explore the effects of resistance exercise on blood glucose control and activity in the elderly patients with type 2 diabetes mellitus with sarcopenia.Methods A total of 100 elderly patients with type 2 diabetes mellitus with sarcopenia admitted to the Second Affiliated Hospital of Nanchang University from January 2022 to February 2023 were enrolled in this study,and were randomly divided into control group and observation group,with 50 cases in each group.The patients in the control group received routine exercise guidance.On the basis of the control group,the patients in the observation group received elastic band resistance exercise intervention.The results of fasting plasma glucose(FPG),postprandial blood glucose(PBG),glycosylated hemoglobin(HbA1c),Berg balance scale(BBS)and timed up and go test(TUG)were compared between the two groups before intervention,3 months and 6 months after the intervention.Results Before intervention,there were no significant differences in the levels of FPG,PBG,HbA1c,BBS score and TUG time between the two groups(P>0.05);After 3 and 6 months of intervention,the levels of FPG,PBG,HbA1c and TUG time were significantly decreased,and the score of BBS was sinificantly increased in the two groups(P<0.05),especially in the observation group(P<0.05).Conclusions Elastic band resistance exercise is helpful to control blood glucose,and to improve the patients’physical balance and walking ability in the elderly patients with type 2 diabetes mellitus with sarcopenia.

关 键 词：抗阻运动 老年人 2型糖尿病 血糖控制 活动能力 肌少症 

分 类 号：R587.1[医药卫生—内分泌]