{"title":"同期运动训练对 2 型糖尿病患者的疗效：系统回顾和荟萃分析。","authors":"Saima Zaki, Saurabh Sharma, Hemlata Vats","doi":"10.1080/09593985.2023.2225717","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Concurrent Exercise Training (CET) is defined as an exercise training mode in which aerobic and resistance exercises are performed in the same session.</p><p><strong>Objectives: </strong>The effects of CET in type 2 diabetes mellitus (T2DM) are inconclusive. Therefore, the objective of the present systematic review with a meta-analysis is to evaluate the effects of CET on metabolic markers, body composition, lipid profile, inflammation, and cardiorespiratory fitness (CRF) in people with T2DM.</p><p><strong>Methods: </strong>Five electronic databases were searched from inception up to January 2023. The eligibility criteria included prospective studies that had T2DM participants aged between 35 and 65 years who performed CET at least 2 times/week for a minimum duration of 8 weeks with a control group.</p><p><strong>Results: </strong>Seven studies were identified for qualitative review. Sufficient data were not available for one study, therefore, meta-analysis was performed in six studies. A significant effect was observed in glucose level (<i>p</i> < .01); glycated hemoglobin (<i>p</i> = .02); Homeostatic Model Assessment for Insulin Resistance (<i>p</i> = .02); body mass index (<i>p</i> = .02); %body fat (<i>p</i> < .01); %fat-free mass (<i>p</i> < .01); waist circumference (<i>p</i> = .03); triglyceride (<i>p</i> < .01); peak oxygen uptake (<i>p</i> < .01); and tumor necrotic factor -α (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>The CET is effective in improving metabolic markers, body composition, lipid profile, inflammation, and CRF in people with T2DM and can be included in the management of T2DM. The overall evidence for this conclusion may be influenced by bias in included studies.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of concurrent exercise training in people with type 2 diabetes: A systematic review and meta-analysis.\",\"authors\":\"Saima Zaki, Saurabh Sharma, Hemlata Vats\",\"doi\":\"10.1080/09593985.2023.2225717\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Concurrent Exercise Training (CET) is defined as an exercise training mode in which aerobic and resistance exercises are performed in the same session.</p><p><strong>Objectives: </strong>The effects of CET in type 2 diabetes mellitus (T2DM) are inconclusive. Therefore, the objective of the present systematic review with a meta-analysis is to evaluate the effects of CET on metabolic markers, body composition, lipid profile, inflammation, and cardiorespiratory fitness (CRF) in people with T2DM.</p><p><strong>Methods: </strong>Five electronic databases were searched from inception up to January 2023. The eligibility criteria included prospective studies that had T2DM participants aged between 35 and 65 years who performed CET at least 2 times/week for a minimum duration of 8 weeks with a control group.</p><p><strong>Results: </strong>Seven studies were identified for qualitative review. Sufficient data were not available for one study, therefore, meta-analysis was performed in six studies. A significant effect was observed in glucose level (<i>p</i> < .01); glycated hemoglobin (<i>p</i> = .02); Homeostatic Model Assessment for Insulin Resistance (<i>p</i> = .02); body mass index (<i>p</i> = .02); %body fat (<i>p</i> < .01); %fat-free mass (<i>p</i> < .01); waist circumference (<i>p</i> = .03); triglyceride (<i>p</i> < .01); peak oxygen uptake (<i>p</i> < .01); and tumor necrotic factor -α (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>The CET is effective in improving metabolic markers, body composition, lipid profile, inflammation, and CRF in people with T2DM and can be included in the management of T2DM. The overall evidence for this conclusion may be influenced by bias in included studies.</p>\",\"PeriodicalId\":48699,\"journal\":{\"name\":\"Physiotherapy Theory and Practice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Theory and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09593985.2023.2225717\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/6/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2023.2225717","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/6/23 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景：同期运动训练（CET）被定义为在同一疗程中进行有氧运动和阻力运动的运动训练模式：CET对2型糖尿病（T2DM）的影响尚无定论。因此，本系统综述和荟萃分析的目的是评估 CET 对 T2DM 患者的代谢指标、身体成分、血脂状况、炎症和心肺功能（CRF）的影响：方法：检索了从开始到 2023 年 1 月的五个电子数据库。资格标准包括前瞻性研究，这些研究的参与者年龄在 35 岁至 65 岁之间，每周至少进行 2 次 CET，持续时间至少为 8 周，并设有对照组：共确定了七项研究进行定性审查。其中一项研究没有足够的数据，因此对六项研究进行了荟萃分析。在血糖水平（p p = .02）、胰岛素抵抗稳态模型评估（p = .02）、体重指数（p = .02）、体脂百分比（p p = .03）、甘油三酯（p p p 结论：CET 能有效改善代谢指标：CET 可有效改善 T2DM 患者的代谢指标、身体成分、血脂状况、炎症和 CRF，可纳入 T2DM 的管理中。这一结论的总体证据可能会受到纳入研究偏差的影响。
Effectiveness of concurrent exercise training in people with type 2 diabetes: A systematic review and meta-analysis.
Background: Concurrent Exercise Training (CET) is defined as an exercise training mode in which aerobic and resistance exercises are performed in the same session.
Objectives: The effects of CET in type 2 diabetes mellitus (T2DM) are inconclusive. Therefore, the objective of the present systematic review with a meta-analysis is to evaluate the effects of CET on metabolic markers, body composition, lipid profile, inflammation, and cardiorespiratory fitness (CRF) in people with T2DM.
Methods: Five electronic databases were searched from inception up to January 2023. The eligibility criteria included prospective studies that had T2DM participants aged between 35 and 65 years who performed CET at least 2 times/week for a minimum duration of 8 weeks with a control group.
Results: Seven studies were identified for qualitative review. Sufficient data were not available for one study, therefore, meta-analysis was performed in six studies. A significant effect was observed in glucose level (p < .01); glycated hemoglobin (p = .02); Homeostatic Model Assessment for Insulin Resistance (p = .02); body mass index (p = .02); %body fat (p < .01); %fat-free mass (p < .01); waist circumference (p = .03); triglyceride (p < .01); peak oxygen uptake (p < .01); and tumor necrotic factor -α (p < .01).
Conclusions: The CET is effective in improving metabolic markers, body composition, lipid profile, inflammation, and CRF in people with T2DM and can be included in the management of T2DM. The overall evidence for this conclusion may be influenced by bias in included studies.
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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