2型糖尿病患者的水上训练与睡眠质量、抑郁症状和生活质量：糖尿病和水上训练研究(DATS2)-一项随机对照试验

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-01-16 DOI:10.1016/j.mhpa.2025.100670

Rodrigo Sudatti Delevatti , Larissa Leonel , Felipe Barreto Schuch , Elisa Côrrea Marson , Salime Donida Chedid Lisboa , Thais Reichert , Ana Carolina Kanitz , Vitória de Mello Bones , Luiz Fernando Martins Kruel

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引用次数: 0

摘要

背景：水上训练是一种用于2型糖尿病（T2D）管理的运动，但尚未深入研究。目的：验证有氧和有氧+阻力联合水上训练对T2D患者睡眠质量、抑郁症状和生活质量的影响。方法将t2dm患者随机分为有氧（AERO）训练组、联合（COMB）训练组和对照组。干预期持续15周，包括每周3次50分钟的治疗。AERO和COMB组分为三个中周期，强度逐渐增加。CON组在水环境中进行伸展和放松。在干预期前后评估睡眠质量、抑郁症状和生活质量（糖尿病和水上训练研究的次要结局）。采用广义估计方程进行分析，取[j] = 0.05。结果AERO组、COMB组和CON组在整体、心理和生理领域的睡眠质量、抑郁症状和生活质量方面均有显著改善，且时间效应具有统计学意义(p <；0.05)。然而，在环境和社会领域，他们的生活质量没有明显的变化(p >；0.05)。干预组和CON组的效应量都很小。AERO组在整体生活质量上比COMB组有更大的提高。结论无论采用何种方式，参加水上训练均可有效减轻t2dm患者的抑郁症状，改善睡眠质量和整体生活质量。

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Aquatic training and sleep quality, depressive symptoms and quality of life in patients with type 2 diabetes: Diabetes and Aquatic Training Study (DATS2)- A Randomized Controlled Trial

Background

Aquatic training is one type of exercise used for type 2 diabetes (T2D) management, but it has not been investigated in depth. Purpose: To verify the effects of both aerobic and combined (aerobic plus resistance) aquatic training on sleep quality, depressive symptoms, and quality of life in patients with T2D.

Methods

Patients with T2D were randomly assigned to the aerobic (AERO) training group, combined (COMB) training group, and control (CON) group. The intervention period lasted 15 weeks, consisting of three 50-min weekly sessions. The AERO and COMB groups were structured in three mesocycles with progressive increases in intensity. The CON group performed sessions of stretching and relaxation in the aquatic environment. Sleep quality, depressive symptoms, and quality of life (secondary outcomes of the Diabetes and Aquatic Training Study) were evaluated before and after the intervention period. Analysis was performed using generalized estimating equations, adopting ɑ = 0.05.

Results

The AERO, COMB, and CON groups showed significant improvements in sleep quality, depressive symptoms, and quality of life in the overall, psychological, and physical domains, with time effects being statistically significant (p < 0.05). However, no significant changes were observed in their quality of life in the environmental and social domains (p > 0.05). Effect sizes were small for both intervention and CON groups. The AERO group exhibited larger increases than the COMB group in overall quality of life.

Conclusion

Participation in an aquatic training program, regardless of the modality, is effective in reducing depressive symptoms and improving the sleep quality and overall quality of life of patients with T2D.

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;