Effects of exercise therapy on type 2 diabetes patients in the working mode of " combination of physical and health"

中国综合临床 Pub Date : 2019-09-01 DOI:10.3760/CMA.J.ISSN.1008-6315.2019.05.006

Jie Zhu, M. Hu, Min Qian, Yifeng Wang, Miaomiao Zhao, Ying-jiu Zhai, K. Mu

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Abstract

Objective To evaluate the effect of aerobic exercise combined with resistance exercise on blood sugar and constitution in patients with type 2 diabetes mellitus. Methods Fifty eligible subjects in community type 2 diabetes database were randomly selected and a model intervention group of " 1+ 2+ 1" was established.The regular exercise intervention was conducted for six months by combining aerobic exercise with resistance exercise.The fasting blood sugar, blood pressure, heart rate, body mass and fat mass before and after intervention were compared by paired t test.Changes in related physical indicators. Results After 6 month of exercise therapy, fasting blood glucose of subjects reduced from (8.58±4.40) mmol/L to (6.29±1.72) mmol/L(P=0.032). Body weight also reduced from (62.44±7.35) Kg to (60.70±7.54) Kg(P=0.008). In physical quality related indexes, fat mass decreased significantly, while protein content increased significantly.There were no changes in muscle mass and fat free body weight.In addition, grip strength and flexion range of subjects significantly increased after exercise therapy.Comprehensive score of physical quality of subjects increased from (73.25±5.65) to (75.48±5.04)(P=0.010). Conclusion Exercise therapy of aerobic exercise combined with resistant exercise can effectively reduce blood glucose, body weight and fat mass, increase muscle strength, flexibility and physical quality.This also reflects that the community-led " health and physical integration" mode of work is an effective means to manage chronic diseases and enhance the physical fitness of residents. Key words: Combination of physical and health; Aerobic exercise; Resistant exercise; Type 2 diabetes

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“体健结合”工作模式下运动疗法对2型糖尿病患者的影响

目的探讨有氧运动联合抗阻运动对2型糖尿病患者血糖及体质的影响。方法从社区2型糖尿病数据库中随机抽取50名符合条件的受试者，建立“1+ 2+ 1”模式干预组。以有氧运动与抗阻运动相结合的方式进行为期6个月的常规运动干预。采用配对t检验比较干预前后空腹血糖、血压、心率、体质量、脂肪量。相关物理指标的变化。结果运动治疗6个月后，受试者空腹血糖由(8.58±4.40)mmol/L降至(6.29±1.72)mmol/L(P=0.032)。体重也从(62.44±7.35)Kg下降到(60.70±7.54)Kg(P=0.008)。在体质相关指标中，脂肪量显著降低，蛋白质含量显著增加。肌肉量和无脂肪体重没有变化。此外，运动治疗后，受试者握力和屈曲幅度明显增加。受试者身体素质综合评分由(73.25±5.65)分上升至(75.48±5.04)分(P=0.010)。结论有氧运动结合抗阻运动的运动疗法能有效降低血糖、体重和脂肪量，提高肌肉力量、柔韧性和身体素质。这也反映出社区主导的“健体结合”工作模式是管理慢性病、增强居民体质的有效手段。关键词:体质与健康结合;有氧运动;抵抗运动;2型糖尿病

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来源期刊

中国综合临床

CiteScore

0.10

自引率

0.00%

发文量

16855

期刊介绍： Clinical Medicine of China is an academic journal organized by the Chinese Medical Association (CMA), which mainly publishes original research papers, reviews and commentaries in the field. Clinical Medicine of China is a source journal of Peking University (2000 and 2004 editions), a core journal of Chinese science and technology, an academic journal of RCCSE China Core (Extended Edition), and has been published in Chemical Abstracts of the United States (CA), Abstracts Journal of Russia (AJ), Chinese Core Journals (Selection) Database, Chinese Science and Technology Materials Directory, Wanfang Database, China Academic Journal Database, JST Japan Science and Technology Agency Database (Japanese) (2018) and other databases.