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

Abstract

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

CLC Number:

R 587.1

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.

References

[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.

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

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10

[1]	LI Jiang, QIU Yan, WANG Ting, WANG Dan, YU Yifan, PU Lingli, BU Ling. Correlation between preoperative SII/ALB and clinicopathologic features in elderly patients with lung adenocarcinoma [J]. Practical Geriatrics, 2024, 38(9): 893-896.
[2]	QI Jiaying, YIN Tongtong, WANG Fangfang, ZHANG Hui, WANG Li. A dose-response Meta-analysis of the association between physical activity and the risk of sarcopenia in the elderly [J]. Practical Geriatrics, 2024, 38(9): 905-910.
[3]	GAO Yuan, CHEN Hua, CHEN Ke, HUANG Wenlong. Relationship of bone mineral density and fracture risk with type 2 diabetes mellitus-related factors in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 911-915.
[4]	DAI Jing, CUI Yan. Correlation between glycosylated hemoglobin variability and cognitive dysfunction in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(9): 931-935.
[5]	ZHENG Hong, QI Zhenbo, XU Peng, XU Jie, YU Xinyu, ZANG Yanan, ZHANG Zhaoyan. Effects of hypnotics on cognition function and daytime sleepiness in the elderly [J]. Practical Geriatrics, 2024, 38(9): 936-939.
[6]	ZHANG Xingxing, ZHANG Haiyang, HE Xiaojing, LU Xiang. Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly [J]. Practical Geriatrics, 2024, 38(9): 940-943.
[7]	NI Hongyan, CHEN Yun, ZHANG Qibing, MA Yiming, XIE Chenglan. Effects of electroacupuncture on cognitive function and inflammatory factors in elderly patients undergoing lower limb orthopedic surgery during the perioperative period [J]. Practical Geriatrics, 2024, 38(9): 944-947.
[8]	LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 958-961.
[9]	CAI Huicui, CHEN Yan, WANG Yan, YE Jinjun, ZHU Yuying. Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy [J]. Practical Geriatrics, 2024, 38(9): 968-972.
[10]	WANG Xiaojiao, WANG Ning, CUI Hong, YE Tong, WANG Xiaoming. Influence of exercise rehabilitation in elderly patients with mild to moderate chronic heart failure [J]. Practical Geriatrics, 2024, 38(8): 775-778.
[11]	SHEN Chenjun, WANG Xiaoqing, TANG Degang, NING Ping. Correlation between standardized uric acid and renal function in elderly patients with chronic kidney disease aged 90 and over [J]. Practical Geriatrics, 2024, 38(8): 779-782.
[12]	HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease [J]. Practical Geriatrics, 2024, 38(8): 783-787.
[13]	XIANG Chao, LUO Caidong. Analysis of the diagnostic value of T wave change of avL lead for the degree of coronary artery stenosis in elderly patients with coronary heart disease [J]. Practical Geriatrics, 2024, 38(8): 788-791.
[14]	LI Huiying, CAI Lili, ZHU Qiwei. Predictive value of plasma N-terminal pro-brain natriuretic peptide for prognosis in patients aged ≥80 years old with left ventricular hypertrophy [J]. Practical Geriatrics, 2024, 38(8): 797-801.
[15]	WANG Xinping, XIE Baimei, WEI Guo, YE Xiaoli, ZHAO Yayun, TAN Xiaotian. Expression levels and clinical significance of serum S100A9 and sCD163 in elderly patients with idiopathic interstitial pneumonia [J]. Practical Geriatrics, 2024, 38(8): 802-807.