实验与检验医学
實驗與檢驗醫學
실험여검험의학
EXPERIMENTAL AND LABORATORY MEDICINE
2014年
6期
683-685
,共3页
糖尿病%肥胖%运动处方
糖尿病%肥胖%運動處方
당뇨병%비반%운동처방
Diabetes%Obesity%Quantitative exercise prescriptions
目的：探讨量化运动处方对肥胖2型糖尿病患者代谢指标的影响。方法根据体重指数(BMI)将2型糖尿病患者分为正常体重组及肥胖组，均实施6个月的量化运动处方，分别观察3个月及6个月的体重指数(BMI)、空腹血糖(FBG)、餐后2h血糖、糖化血红蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)及空腹胰岛素水平。结果1.3个月后，肥胖组的BMI(下降值为2.4kg/m2)、餐后2h血糖(下降值为1.6mmol/L)、TG(下降值为0.6mmol/L)及空腹胰岛素(下降值为2.2mU/L)的下降幅度均明显高于正常体重组(P<0.05)。2.6个月后，肥胖组的BMI(下降值为4.6kg/m2)、FBG(下降值为2.7mmol/L)、餐后2h血糖(下降值为3.5mmol/L)、HbA1c(下降值为1.2%)、TG(下降值为0.9mmol/L)、空腹胰岛素(下降值为3.4mU/L)的下降均明显高于体重正常组(P<0.05)。结论肥胖的2型糖尿病患者能从运动处方带来更多代谢指标更大程度的改善，并且随着时间的延长，效果更明显。
目的：探討量化運動處方對肥胖2型糖尿病患者代謝指標的影響。方法根據體重指數(BMI)將2型糖尿病患者分為正常體重組及肥胖組，均實施6箇月的量化運動處方，分彆觀察3箇月及6箇月的體重指數(BMI)、空腹血糖(FBG)、餐後2h血糖、糖化血紅蛋白(HbA1c)、甘油三酯(TG)、總膽固醇(TC)及空腹胰島素水平。結果1.3箇月後，肥胖組的BMI(下降值為2.4kg/m2)、餐後2h血糖(下降值為1.6mmol/L)、TG(下降值為0.6mmol/L)及空腹胰島素(下降值為2.2mU/L)的下降幅度均明顯高于正常體重組(P<0.05)。2.6箇月後，肥胖組的BMI(下降值為4.6kg/m2)、FBG(下降值為2.7mmol/L)、餐後2h血糖(下降值為3.5mmol/L)、HbA1c(下降值為1.2%)、TG(下降值為0.9mmol/L)、空腹胰島素(下降值為3.4mU/L)的下降均明顯高于體重正常組(P<0.05)。結論肥胖的2型糖尿病患者能從運動處方帶來更多代謝指標更大程度的改善，併且隨著時間的延長，效果更明顯。
목적：탐토양화운동처방대비반2형당뇨병환자대사지표적영향。방법근거체중지수(BMI)장2형당뇨병환자분위정상체중조급비반조，균실시6개월적양화운동처방，분별관찰3개월급6개월적체중지수(BMI)、공복혈당(FBG)、찬후2h혈당、당화혈홍단백(HbA1c)、감유삼지(TG)、총담고순(TC)급공복이도소수평。결과1.3개월후，비반조적BMI(하강치위2.4kg/m2)、찬후2h혈당(하강치위1.6mmol/L)、TG(하강치위0.6mmol/L)급공복이도소(하강치위2.2mU/L)적하강폭도균명현고우정상체중조(P<0.05)。2.6개월후，비반조적BMI(하강치위4.6kg/m2)、FBG(하강치위2.7mmol/L)、찬후2h혈당(하강치위3.5mmol/L)、HbA1c(하강치위1.2%)、TG(하강치위0.9mmol/L)、공복이도소(하강치위3.4mU/L)적하강균명현고우체중정상조(P<0.05)。결론비반적2형당뇨병환자능종운동처방대래경다대사지표경대정도적개선，병차수착시간적연장，효과경명현。
Objective To investigate the impacts of quantitative exercise prescription on metabolicindices of obese patients with type 2 diabetes mellitus. Methods All of the diabetes subjects were divided into two subunits as normal weight group and obesity weight group by the body mass index (BMI). Then all the subjects executed the quantitative exercise prescriptions for 6 months. The fasting blood glucose(FBG), postprandial blood glucose, hemoglobin A1C(HbA1c), triglyceride(TG), total cholesterol(TC) and fasting insulin were observed in the third month and the sixth month time points. Results 1. After 3 months, the decrease of BMI(2.4kg/m2), postprandial glucose(1.6mmol/L), TG(0.6mmol/L) and fasting insulin(2.2mu/L) in obesity weight group were signifi-cantly higher than that in the normal weight group(P<0.05). 2. After 6 months, the decrease of BMI(4.6kg/m2), FBG(2.7mmol/L) , postprandial glucose(3.5mmol/L), HbA1c(1.2%), TG(0.9mmol/L) and fasting insulin (3.4mU/L) in obesity weight group were signifi-cantly higher than that in the normal weight group (P<0.05). Conclusion The obese patients with type 2 diabetes mellitus could get better treatment from the quantitative exercise prescriptions than the normal weight patients with type 2 diabetes mellitus, and as the extension of time, the treatment advantage will be more obvious.
