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

doi:10.3969/j.issn.1003-9198.2024.11.004

摘要/Abstract

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。

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

Abstract: 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.

Key words: resistance exercise, aged, type 2 diabetes mellitus, blood glucose control, activity capacity, sarcopenia

中图分类号:

R 587.1

杨丽萍, 康玉凤, 彭珍珍. 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[J]. 实用老年医学, 2024, 38(11): 1097-1100.

YANG Liping, KANG Yufeng, PENG Zhenzhen. Effects of resistance exercise on blood glucose control and activity in elderly patients with type 2 diabetes mellitus with sarcopenia[J]. Practical Geriatrics, 2024, 38(11): 1097-1100.

参考文献

[1] 孙艳, 吴智勇, 徐永霞, 等. 住院老年2型糖尿病合并痛性神经病变患病率及危险因素[J]. 中国老年学杂志, 2020, 40(17):3614-3617.
[2] 吴丽娟, 郭太林, 李小明, 等. 亚洲地区老年2型糖尿病患者肌少症患病率和影响因素的Meta分析[J]. 中国糖尿病杂志, 2020, 28(9):651-656.
[3] 徐琴娟, 胡雁飞, 胡化刚. 不同运动方式对改善维持性血液透析患者步行能力的网状Meta分析[J]. 解放军护理杂志, 2021, 38(7):1-5.
[4] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 国际内分泌代谢杂志, 2021, 41(5):482-548.
[5] DINIZ T A, ANTUNES B M, LITTLE J P, et al. Exercise training protocols to improve obesity, glucose homeostasis, and subclinical inflammation[J]. Methods Mol Biol, 2022, 2343:119-145.
[6] 祁梦梦, 王倩, 辛倩玉, 等. 抗阻训练对2型糖尿病合并肌少症的影响及相关机制研究进展[J]. 中华糖尿病杂志, 2021, 13(12):1187-1189.
[7] 姚丽萍, 刘波, 丁洁, 等. 基于“互联网+”的压力接种训练结合弹力带抗阻运动对2型糖尿病患者血糖及心理影响[J]. 护士进修杂志, 2022, 37(15):1379-1383.
[8] 汪菁峰, 李福海, 沈冬丽, 等. 神经调节蛋白-1对心肌梗死大鼠葡萄糖代谢的改善作用[J]. 中华心血管病杂志, 2021, 49(9):912-919.
[9] 龚云, 王超. 运动疲劳对大鼠骨骼肌纤维GLUT4mRNA和蛋白表达的影响[J]. 首都体育学院学报, 2017, 29(2):182-187.
[10] 俞长君, 姜铄, 段俊婷. 活性维生素D₃对老年肌少症合并糖尿病患者的干预效果[J]. 中国食物与营养, 2022, 28(5):55-58.
[11] XIONG H, LU J, YONG S Q, et al. Effect of aerobic and resistant exercise intervention oninflammaging of type 2 diabetes mellitus in middle-aged and older adults: a systematic review and meta-analysis[J]. J Am Med Dir Assoc, 2022, 23(5):823-830.
[12] HOLZER R, SCHULTE-KÖRNE B, SEIDLER J, et al. Effects of acute resistance exercise with and without whole-body electromyostimulation and endurance exercise on the postprandial glucose regulation in patients with type 2 diabetes mellitus: a randomized crossover study[J]. Nutrients, 2021, 13(12):4322.
[13] LI Y, SONG A M, FU Y, et al. Perinatal nicotine exposure alters Akt/GSK-3β/mTOR/autophagy signaling, leading to development of hypoxic-ischemic-sensitive phenotype in rat neonatal brain[J]. Am J Physiol Regul Integr Comp Physiol, 2019, 317(6):803-813.
[14] 董欣, 莫懿晗, 王秀华, 等. 抗阻运动对老年肌少症危险人群肌肉量、肌力和活动能力的影响[J]. 中国护理管理, 2021, 21(8):1190-1195.
[15] 刘敏, 周子玉, 马晓卫, 等. 超重肥胖老年女性下肢肌力及平衡能力的运动干预实验研究[J]. 武汉体育学院学报, 2021, 55(6):95-100.