成人2型糖尿病患者的身体活动指南：系统综述

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2025-02-01 DOI:10.1016/j.diabres.2024.111982

Eda Tonga , Hannah Worboys , Rachael A. Evans , Sally J. Singh , Melanie J. Davies , G. Andre Ng , Thomas Yates

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引用次数: 0

摘要

目的：本研究的目的是系统地回顾2型糖尿病（T2D）成人的身体活动建议。方法：检索在线数据库中的临床实践指南（CPG）、声明和建议。两位作者根据资格标准对指南进行了筛选。独立提取体力活动和疾病特异性预防措施的FITT（频率、强度、时间、类型）。CPGs的方法学质量使用AGREE II仪器进行评估。根据FITT对建议进行了分类，并记录了针对特定疾病的适应情况。结果：纳入了15条指南。9例进行了AGREE II评估，其中3例为高质量，其余为中低质量。最主要的建议是每周至少150 分钟的适度有氧运动。T2D的适应主要集中在血糖水平、饮食、足部护理、天气条件、久坐行为、神经病变和视网膜病变。结论：虽然指南一直推荐有氧运动，但对力量和柔韧性锻炼的重视程度有限。注意到在方法和报告质量方面的重大限制，特别是在利益相关者参与和适用性方面。未来的指南应使用标准化的FITT框架，并遵循标准的开发方法，以增强医疗保健专业人员和患者的可用性。

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Physical activity guidelines for adults with type 2 Diabetes: Systematic review

Aims

The aim of this study was to systematically review recommendations on physical activity for adults with type 2 diabetes (T2D).

Methods

Online databases were searched for clinical practice guidelines (CPGs), statements, and recommendations. Two authors screened the guidelines based on eligibility criteria. FITT (Frequency, Intensity, Time, Type) for physical activity and disease-specific precautions were extracted independently. The methodological quality of CPGs was assessed using the AGREE II instrument. Recommendations were categorized according to FITT, with disease-specific adaptations also recorded.

Results

Fifteen guidelines were included. Nine underwent AGREE II evaluation, with three rated high quality and the rest moderate to low. The predominant recommendation was to engage in at least 150 min of moderate aerobic exercise per week. Adaptations for T2D focused on glucose levels, diet, foot care, weather conditions, sedentary behaviour, neuropathy, and retinopathy.

Conclusion

While guidelines consistently recommended aerobic exercise, there was limited emphasis on strength and flexibility exercises. Significant limitations in methodological and reporting quality were noted, especially in stakeholder involvement and applicability. Future guidelines should use a standardized FITT framework and adhere to standard development methods to enhance usability for healthcare professionals and patients.

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.