抗阻–有氧运动对中老年2型糖尿病患者的影响

Effects of Resistance-Aerobic Exercise on Elderly Patients with Type 2 Diabetes Mellitus

摘要: 目的：了解不同负荷水平的抗阻–有氧运动对中老年2型糖尿病患者的影响。方法：随机选取36名中老年2型糖尿病患者作为实验对象并进行运动负荷干预，高抗阻训练组18人，低抗阻训练组18人。两组分别进行为期12周运动干预并定期随访其生理、生化指标进行记录、分析。结果：高抗阻、低抗阻–有氧运动组的糖化血红蛋白、空腹血糖及餐后两小时血糖及在实验前后变化显著(P < 0.01)；高抗阻–有氧运动组中高密度脂蛋白有显著性的提高(P < 0.05)；低抗阻–有氧运动组的总胆固醇、低密度脂蛋白明显增加(P < 0.05)。但两组间各指标无显著性差异。结论：不同负荷水平的抗阻–有氧联合运动均能改善中老年糖尿病患者的血脂、血糖，但负荷水平高低对结果并没有显著影响。

Abstract: Objective: To understand the effects of resistance-aerobic exercise at different load levels on middle-aged and elderly patients with type 2 diabetes. Methods: 36 middle-aged and elderly patients with type 2 diabetes were randomly selected as experimental subjects and exercise intervention was conducted. There were 18 patients in the high-resistance training group and 18 in the resistance training group. Exercise intervention was conducted for 12 weeks in each group and physiological and biochemical indexes were followed up regularly. Results: There were significant changes in fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin before and after the experiment in the groups with high and low resistance and aerobic exercise (P < 0.01). There was a significant increase in high-density lipoprotein in the high-resistance-aerobic exercise group (P < 0.05). There were significant increases in total cholesterol and LDL in the low resistance-aerobic exercise group (P < 0.05). However, there was no significant difference between the two groups. Conclusion: Resistance and aerobic combined exercise at different load levels can improve the blood glucose and blood lipid of middle-aged and elderly diabetes patients, but the load level has no significant effect on the results.