{"title":"同期训练序列对患有心脏自主神经病变的 2 型糖尿病患者的心率变异性、血糖控制、身体成分、血脂状况和心肺功能的影响：随机对照试验","authors":"Saima Zaki , Md Farhan Alam , Saurabh Sharma , Irshad Husain Naqvi , Shibili Nuhmani","doi":"10.1016/j.cegh.2024.101747","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Type 2 Diabetes Mellitus (T2DM) is a global health concern, with cardiac autonomic neuropathy (CAN) being a significant complication that exacerbates cardiovascular risks. Aerobic and resistance exercises are recognized for their benefits in managing T2DM, but the optimal integration of these modalities, especially for patients with T2DM, requires further exploration.</p></div><div><h3>Objective</h3><p>To investigate the effects of the sequence of aerobic and resistance training in a concurrent training regimen on heart rate variability (HRV), glycemic control, body composition, lipid profile, and cardiorespiratory fitness (CRF) in patients with T2DM.</p></div><div><h3>Methods</h3><p>In this randomized controlled trial, 45 T2DM patients with CAN were allocated to three groups: a control group, an aerobic then resistance training (ART) group, and a resistance then aerobic training (RAT) group. Measurements were taken at baseline and after a 13-week intervention, assessing HRV, glycemic control, body composition, lipid profile, and CRF.</p></div><div><h3>Results</h3><p>Both ART and RAT groups showed significant improvements in HRV, glycemic control, body composition, lipid profile, and CRF compared to the control group. Notably, there were no significant differences between ART and RAT groups in these outcomes, suggesting that the sequence of aerobic and resistance exercises in concurrent training does not significantly affect the health benefits attained.</p></div><div><h3>Conclusion</h3><p>Concurrent aerobic and resistance training, irrespective of the sequence, effectively improves HRV, glycemic control, body composition, lipid profile, and CRF in T2DM patients with CAN. This study supports the inclusion of concurrent training in exercise prescriptions for managing T2DM and its complications.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002446/pdfft?md5=aa787844640fdbea1694a2c6bbad0bc7&pid=1-s2.0-S2213398424002446-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Impact of concurrent training sequence on heart rate variability, glycemic control, body composition, lipid profile, and cardiorespiratory fitness in type 2 diabetes patients with cardiac autonomic neuropathy: A randomized controlled trial\",\"authors\":\"Saima Zaki , Md Farhan Alam , Saurabh Sharma , Irshad Husain Naqvi , Shibili Nuhmani\",\"doi\":\"10.1016/j.cegh.2024.101747\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Type 2 Diabetes Mellitus (T2DM) is a global health concern, with cardiac autonomic neuropathy (CAN) being a significant complication that exacerbates cardiovascular risks. Aerobic and resistance exercises are recognized for their benefits in managing T2DM, but the optimal integration of these modalities, especially for patients with T2DM, requires further exploration.</p></div><div><h3>Objective</h3><p>To investigate the effects of the sequence of aerobic and resistance training in a concurrent training regimen on heart rate variability (HRV), glycemic control, body composition, lipid profile, and cardiorespiratory fitness (CRF) in patients with T2DM.</p></div><div><h3>Methods</h3><p>In this randomized controlled trial, 45 T2DM patients with CAN were allocated to three groups: a control group, an aerobic then resistance training (ART) group, and a resistance then aerobic training (RAT) group. Measurements were taken at baseline and after a 13-week intervention, assessing HRV, glycemic control, body composition, lipid profile, and CRF.</p></div><div><h3>Results</h3><p>Both ART and RAT groups showed significant improvements in HRV, glycemic control, body composition, lipid profile, and CRF compared to the control group. Notably, there were no significant differences between ART and RAT groups in these outcomes, suggesting that the sequence of aerobic and resistance exercises in concurrent training does not significantly affect the health benefits attained.</p></div><div><h3>Conclusion</h3><p>Concurrent aerobic and resistance training, irrespective of the sequence, effectively improves HRV, glycemic control, body composition, lipid profile, and CRF in T2DM patients with CAN. This study supports the inclusion of concurrent training in exercise prescriptions for managing T2DM and its complications.</p></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-08-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2213398424002446/pdfft?md5=aa787844640fdbea1694a2c6bbad0bc7&pid=1-s2.0-S2213398424002446-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424002446\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424002446","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景2型糖尿病（T2DM）是一个全球关注的健康问题，而心脏自主神经病变（CAN）是加重心血管风险的重要并发症。有氧运动和阻力运动被认为对控制 T2DM 有益，但如何将这些运动方式最佳地结合起来，尤其是对 T2DM 患者而言，还需要进一步探索。目的 研究在同时进行的训练中，有氧训练和阻力训练的顺序对 T2DM 患者心率变异性（HRV）、血糖控制、身体成分、血脂状况和心肺功能（CRF）的影响。方法在这项随机对照试验中，45 名患有 CAN 的 T2DM 患者被分为三组：对照组、先有氧后阻力训练（ART）组和先阻力后有氧训练（RAT）组。结果与对照组相比，ART 组和 RAT 组在心率变异、血糖控制、身体成分、血脂状况和 CRF 方面都有显著改善。值得注意的是，ART 组和 RAT 组在这些结果上没有明显差异，这表明同期训练中有氧运动和阻力运动的顺序不会对所获得的健康益处产生显著影响。这项研究支持将同步训练纳入治疗 T2DM 及其并发症的运动处方中。
Impact of concurrent training sequence on heart rate variability, glycemic control, body composition, lipid profile, and cardiorespiratory fitness in type 2 diabetes patients with cardiac autonomic neuropathy: A randomized controlled trial
Background
Type 2 Diabetes Mellitus (T2DM) is a global health concern, with cardiac autonomic neuropathy (CAN) being a significant complication that exacerbates cardiovascular risks. Aerobic and resistance exercises are recognized for their benefits in managing T2DM, but the optimal integration of these modalities, especially for patients with T2DM, requires further exploration.
Objective
To investigate the effects of the sequence of aerobic and resistance training in a concurrent training regimen on heart rate variability (HRV), glycemic control, body composition, lipid profile, and cardiorespiratory fitness (CRF) in patients with T2DM.
Methods
In this randomized controlled trial, 45 T2DM patients with CAN were allocated to three groups: a control group, an aerobic then resistance training (ART) group, and a resistance then aerobic training (RAT) group. Measurements were taken at baseline and after a 13-week intervention, assessing HRV, glycemic control, body composition, lipid profile, and CRF.
Results
Both ART and RAT groups showed significant improvements in HRV, glycemic control, body composition, lipid profile, and CRF compared to the control group. Notably, there were no significant differences between ART and RAT groups in these outcomes, suggesting that the sequence of aerobic and resistance exercises in concurrent training does not significantly affect the health benefits attained.
Conclusion
Concurrent aerobic and resistance training, irrespective of the sequence, effectively improves HRV, glycemic control, body composition, lipid profile, and CRF in T2DM patients with CAN. This study supports the inclusion of concurrent training in exercise prescriptions for managing T2DM and its complications.
期刊介绍：
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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