高强度间歇训练的特点影响 2 型糖尿病患者的人体测量、血糖控制和心肺功能:随机对照试验的系统回顾和元分析》。

IF 9.3 1区 医学 Q1 SPORT SCIENCES
Edgardo Opazo-Díaz, Adrián Montes-de-Oca-García, Alejandro Galán-Mercant, Alberto Marín-Galindo, Juan Corral-Pérez, Jesús Gustavo Ponce-González
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引用次数: 0

摘要

背景:运动是治疗2型糖尿病(T2DM)的非药物干预措施,包括中等强度持续训练(MICT)和高强度间歇训练(HIIT)。尽管运动方案多种多样,但这些不同的 HIIT 对 T2DM 人体测量、血糖控制和心肺功能(CRF)的影响仍不清楚:目的:研究 HIIT 方案特征对 T2DM 患者人体测量、血糖控制和 CRF 的影响,并将其与对照组(不锻炼)和 MICT 进行比较:本综述已在 PROSPERO(CRD42021281398)上注册,并遵循系统综述和荟萃分析首选报告项目(PRISMA)指南。检索采用了 PubMed 和 Web of Science 数据库中的 "高强度间歇训练 "和 "糖尿病",并使用了 "随机对照试验 "过滤器,检索时间截至 2023 年 1 月:结果:在 190 条记录中,共纳入了 29 项试验,按 HIIT 间歇训练的持续时间、训练量和干预期进行了分类。在体重、腰围、空腹血浆葡萄糖、胰岛素抵抗静态模型评估(HOMA-IR)、糖化血红蛋白(%HbA1c)和CRF方面,与对照组相比,持续时间长、训练量大且长期的HIIT取得了更好的效果。研究结果表明,在长时间、大运动量和短期间隔中,HIIT 比 MICT 更有利于增加体质量(平均差 [MD] 分别为 - 3.45、- 3.13 和 - 5.42,均为 p 结论:HIIT 和 MICT 的具体方案特征会影响胰岛素抵抗的稳态模型评估(HOMA-IR)、糖化血红蛋白(%HbA1c)和 CRF:与对照组相比,特定的 HIIT 方案特征会影响人体测量、血糖控制和 CRF 的变化。然而,与 MICT 相比,只有持续时间更长、运动量更大和短期的 HIIT 才能改善 T2DM 患者的体重、腰围和 CRF。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Characteristics of High-Intensity Interval Training Influence Anthropometrics, Glycemic Control, and Cardiorespiratory Fitness in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Characteristics of High-Intensity Interval Training Influence Anthropometrics, Glycemic Control, and Cardiorespiratory Fitness in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Background: Exercise is a non-pharmacological intervention for type 2 diabetes mellitus (T2DM), including moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT). Despite diverse exercise protocol variations, the impact of these variations in HIIT on T2DM anthropometrics, glycemic control, and cardiorespiratory fitness (CRF) remains unclear.

Objective: The aim was to examine the influence of HIIT protocol characteristics on anthropometrics, glycemic control, and CRF in T2DM patients and compare it to control (without exercise) and MICT.

Methods: This review is registered in PROSPERO (CRD42021281398) and follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search, employing "high-intensity interval training" and "diabetes mellitus" in PubMed and Web of Science databases, with a "randomized controlled trial" filter, spanned articles up to January 2023.

Results: Of 190 records, 29 trials were included, categorized by HIIT interval duration, training volume, and intervention period. Long-duration, high-volume, and long-term HIIT yields superior outcomes compared to control conditions for body mass, waist circumference, fasting plasma glucose, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), glycosylated hemoglobin (%HbA1c), and CRF. The findings favored HIIT over MICT for body mass in long-duration, high-volume, and short-term intervals (mean difference [MD] - 3.45, - 3.13, and - 5.42, respectively, all p < 0.05) and for CRF in long and medium work intervals and high volume (MD 1.91, 2.55, and 2.43, respectively, all p < 0.05), as well as in medium and long-term intervention (MD 2.66 and 2.21, respectively, all p < 0.05). Regardless of specific HIIT characteristics, no differences were found in the HIIT versus MICT comparison for glycemic control.

Conclusions: Specific HIIT protocol characteristics influence changes in anthropometrics, glycemic control, and CRF compared to control groups. However, compared to MICT, only longer duration, higher volume, and short-term HIIT improved body mass, waist circumference, and CRF in individuals with T2DM.

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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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