运动干预对中老年Ⅱ型糖尿病病人症状改善作用研究

Effect of Exercise Intervention on Improvement of Symptoms among Middle-aged and Elderly Patients with Type 2 Diabetes Mellitus

DOI：10.12064/ssr.20200212

中文关键词:Ⅱ型糖尿病运动干预糖脂代谢

英文关键词:type 2 diabetes mellitus exerciseintervention glycolipid metabolism

基金项目:2014年上海市体育科技综合计划项目（14ZH009）

作者	单位
战旗	上海市黄浦区体育局，上海 200001 。
邵丹丹	上海市黄浦区体育局，上海 200001 。
吴晓峰	上海市黄浦区体育局，上海 200001 。
黄蓓蒂	上海市黄浦区体育局，上海 200001 。
黎英	上海市黄浦区体育局，上海 200001 。
程泽鹏	上海市黄浦区体育局，上海 200001 。

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中文摘要:

目的：为了探究运动干预对Ⅱ型糖尿病患者的治疗效果，向患者普及科学健身的知识和方法，增强其体质,延缓病情进一步恶化。方法：通过对社区医院109名40~69岁的Ⅱ型糖尿病患者实施运动干预，并于实验前、中、后期对受试者形态、机能、素质及糖脂代谢指标进行测试。结果：与同期对照组和组内干预前相比，12周末运动组的体重、BMI、收缩压、TC和TG显著降低（P＜0.05），12周末的台阶指数、坐位体前屈显著增加（P＜0.05）；6周末和12周末运动组的肺活量、HDL显著增加（P＜0.05），6周末和12周末运动组的选择反应时、FPG、2hPBG、HbA1c、LDL显著降低（P＜0.05）。结论：12周运动干预能够在一定程度上改善形态、素质和机能指标，提高机体的有氧代谢能力，其中对改善糖脂代谢的效果较好，能够在一定程度上有效控制FPG、2hPBG、HbA1c水平，提升HDL水平，降低TC、TG和LDL水平，更好地调控血糖。

英文摘要:

Objective: In order to explore the therapeutic effect of exercise intervention on type 2 diabetes mellitus patients, impart scientific fitness knowledge and methods to patients, enhance their physique and delay the further deterioration of the disease. Methods: 109 patients with type 2 diabetes mellitus aged 40~69 years in community hospital were given exercise intervention and the shape, physical function, physical quality and glycolipid metabolism of the subjects were tested before, during and after the experiment. Result: Compared with the control group and the group before the intervention, the weight, BMI, systolic blood pressure, TC and TG of the 12-week exercise group decreased significantly (P<0.05); the step index and the sit-and-reach of the 12-week exercise group increased significantly (P<0.05); the vital capacity and HDL of the 6-week and 12-week exercise groups increased significantly (P<0.05), and their reaction time, FPG, 2hPBG, HbA1c, HDL and LDL decreased significantly (P<0.05). Conclusion: The 12-week exercise intervention prescription can improve the shape, physical quality and function index to a certain extent, and improve the aerobic metabolism ability of the organism. The exercise intervention has a better effect on improving the metabolism of glucose and lipid, which can effectively control the levels of FPG, 2hPBG and Ghb, raise the HDL level, and reduce the levels of TC, TG and LDL to a certain extent, thus regulating blood sugar and curbing the aggravation of diabetes mellitus.

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