在接受抗阻训练的 2 型糖尿病老年患者中补充乳清蛋白:双盲随机对照试验。

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Celine de Carvalho Furtado, Giovana Jamar, Alan Carlos Brisola Barbosa, Victor Zuniga Dourado, José Reinaldo do Nascimento, Glaucia Cristina Antunes Ferraz de Oliveira, Edgar Matias Bach Hi, Thiago de Arruda Souza, Maria José Gonzalez Parada, Felipe Granado de Souza, Claudia Ridel Juzwiak, Império Lombardi
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引用次数: 0

摘要

背景/目的:本研究旨在分析补充乳清蛋白(WP)对接受阻力训练的非胰岛素依赖型糖尿病老年人的血糖控制、肌肉力量、生活质量和身体成分的影响:对患有 2 型糖尿病的老年人进行了一项双盲、安慰剂对照随机研究。对身体成分、食物摄入量、肌肉力量、血糖概况、肾功能指标、心肺能力和生活质量进行了评估。老年人被随机分为补充剂组和安慰剂组,补充剂组每周两次,每次 33 克可湿性粉剂,补充剂组在阻力训练日进行,为期 12 周:共有 39 名老年人被随机分为两组,其中补充剂组 19 人,安慰剂组 20 人。两组的肌肉力量都有所改善,但可湿性粉剂组的肌肉力量没有超过对照组。与安慰剂组相比,补充可湿性粉剂略微增加了血尿素(p = .05),但数值仍在正常范围内。根据 12 项短式健康调查问卷显示,使用可湿性粉剂的组在心理健康方面略有改善,但没有临床意义上的改善:结论:两组患者的肌肉力量和质量都有所改善,与补充剂的使用无关,这表明每周进行两次阻力锻炼有助于防止患有 2 型糖尿病的老年人肌肉疏松症恶化。还需要进行更多的研究,以确定安全有效的补充量,从而在不影响肾功能的情况下提高糖尿病老年人的肌肉力量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Whey Protein Supplementation in Older Adults With Type 2 Diabetes Undergoing a Resistance Training Program: A Double-Blind Randomized Controlled Trial.

Background/objective: This study aims to analyze the effect of whey protein (WP) supplementation on glycemic control, muscle strength, quality of life, and body composition in older adults with non-insulin-dependent diabetes undergoing a resistance training program.

Methods: A double-blind, placebo-controlled, randomized study was carried out with older adults with Type 2 diabetes. Body composition, food intake, muscle strength, glycemic profile, markers of renal function, cardiopulmonary capacity, and quality of life were evaluated. Older adults were randomized into a supplementation group with 33 g of WP consumed twice a week on days of resistance training for 12 weeks supplemented group and a placebo group.

Results: In total, 39 older adults were randomized into two groups, 19 in the supplement group and 20 in the placebo group. Both groups showed improvement in muscle strength, with the WP group failing to exceed that of the control group. WP supplementation slightly increased blood urea compared with the placebo group (p = .05), but values remained within normal limits. The group that used WP showed a small improvement in mental health, according to the 12-Item Short-Form Health Survey questionnaire, but without clinically important improvements.

Conclusion: Both groups showed improvements in muscle strength and mass, regardless of supplementation, showing that resistance exercises performed twice a week can contribute to the nonprogression of sarcopenia in older adults with Type 2 diabetes. More studies are needed to determine the safe and effective amount of supplementation to improve muscle strength without renal impairment in older adults with diabetes.

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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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