Maíra Florentino Pessoa, Helga C Muniz de Souza, Alanna P Vasconcelos da Silva, Rafaela Dos Santos Clemente, Daniella Cunha Brandão, Armèle Dornelas de Andrade
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引用次数: 9
Abstract
Type II diabetes (TIIDM) is characterized by high levels of blood glucose followed by excessive insulin release so that the target cells become less sensitive, developing insulin resistance and maintaining hyperglycemic levels. Physical activity is the strongest element to prevent and to manage the TIIDM, and the majority of patients do not remain in regularly active levels, because the premature fatigue in these patients decreases the adherence to the training. Contrastingly, the whole body vibration (WBV) training may improve the glucose metabolism in diabetic patients, reducing the peripheral blood sugar, decreasing the physical discomfort and perceived exertion. Therefore, the purpose of the study was to determine the effect of an acute WBV session as therapy to promote fasting decreases in insulin levels in peripheral blood in TIIDM when compared to healthy elderly. For this, fifteen healthy elderly women and fourteen diabetic elderly women, all sedentary, were allocated in diabetic or control groups, and we made an acute whole body session composed of 10 bouts lasting 2 minutes each one, separated by a 30-second rest period. The WBV was executed in a triaxial platform MY3 Power Plate® at 35 hertz and has been chosen a peak-to-peak displacement of 4 millimeters. After the protocol, both groups decreased the glycemic levels and increased lactate production in relation to the basal levels and when compared diabetic and control, where the most important results have been shown in diabetic women. This study revealed that WBV training in TIIDM has had significant beneficial effects on the control of glucose levels, still in an acute session. So that, the complete training probably will show better results about glycemic control and this finding could be especially important when prescribing exercise for elderly who are unable or unwilling to use traditional loads or who show poor exercise compliance.
II型糖尿病(TIIDM)的特点是血糖水平高,随后胰岛素释放过多,使靶细胞变得不那么敏感,产生胰岛素抵抗并维持高血糖水平。身体活动是预防和控制TIIDM的最强因素,大多数患者不能保持有规律的活动水平,因为这些患者的过早疲劳降低了对训练的坚持。相比之下,全身振动(WBV)训练可以改善糖尿病患者的葡萄糖代谢,降低外周血血糖,减少身体不适和感觉劳累。因此,本研究的目的是确定与健康老年人相比,急性白胃治疗对促进空腹降低糖尿病患者外周血胰岛素水平的作用。为此,15名健康的老年妇女和14名糖尿病老年妇女,都是久坐不动的,被分配到糖尿病组或对照组,我们进行了一个急性全身会话,由10个回合组成,每次持续2分钟,间隔30秒的休息时间。WBV在35赫兹的三轴平台MY3 Power Plate®上执行,并选择了4毫米的峰对峰位移。方案完成后,两组患者的血糖水平均有所下降,与基础水平相比,乳酸分泌量有所增加。与糖尿病患者和对照组相比,最重要的结果出现在糖尿病女性患者身上。这项研究表明,在糖尿病患者中,腹肌体积训练对血糖水平的控制有显著的有益作用,但仍处于急性期。因此,完整的训练可能会显示出更好的血糖控制效果,这一发现对于那些不能或不愿使用传统负荷或运动依从性差的老年人来说尤其重要。
期刊介绍:
Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.