CAJ | 학술논문

目的：为中年2型糖尿病患者制定个性有效的运动治疗方案。方法选择适合运动的16名中年2型糖尿病患者，测试其最大摄氧量（VO2 max），空腹及三餐后不同时间点血糖，低、中、高强度运动对应的心率，进而找到有效的运动强度及时间、血糖峰值时间，并在峰值前15、30、45、60、75 min分别进行有效强度和时间的运动，确定患者最佳的起始运动时间。结果（1）15 min低强度、5 min中强度运动后血糖与运动前比较差异有统计学意义（P＜0．05），且低强度45 min、中和高强度15 min以上运动可使血糖降至接近空腹水平；（2）三餐后血糖峰值集中在早餐后60～90 min ，午餐后90～120 min ，晚餐后60～120 min ，且存在明显的个体差异，但男女比较差异无统计学意义（ P＞0．05）；（3）峰值前不同时间进行运动的降糖效果虽无差异，但峰值前15～45 min效果较好。结论中年2型糖尿病患者应结合自身的血糖峰值时间，在峰值前15～45 min进行中强度15 min以上或低强度45 min以上的运动，可以达到较好的降糖效果。
목적：위중년2형당뇨병환자제정개성유효적운동치료방안。방법선택괄합운동적16명중년2형당뇨병환자，측시기최대섭양량（VO2 max），공복급삼찬후불동시간점혈당，저、중、고강도운동대응적심솔，진이조도유효적운동강도급시간、혈당봉치시간，병재봉치전15、30、45、60、75 min분별진행유효강도화시간적운동，학정환자최가적기시운동시간。결과（1）15 min저강도、5 min중강도운동후혈당여운동전비교차이유통계학의의（P＜0．05），차저강도45 min、중화고강도15 min이상운동가사혈당강지접근공복수평；（2）삼찬후혈당봉치집중재조찬후60～90 min ，오찬후90～120 min ，만찬후60～120 min ，차존재명현적개체차이，단남녀비교차이무통계학의의（ P＞0．05）；（3）봉치전불동시간진행운동적강당효과수무차이，단봉치전15～45 min효과교호。결론중년2형당뇨병환자응결합자신적혈당봉치시간，재봉치전15～45 min진행중강도15 min이상혹저강도45 min이상적운동，가이체도교호적강당효과。
Objective To draw for character effective sports therapy for middle‐age patients with type 2 diabetes .Methods Choosing 16 middle‐aged patients with type 2 diabetes suitable for sport ,testing the VO2 max ,fasting plasma glucose and the differ‐ent time points after meals ,different intensity exercise corresponding heart rate to find out effective exercise intensity and blood glu‐cose peak time .To determine patients the best starting time ,carrying out effective intensity and time exercise 15 ,30 ,45 ,60 ,75 min before the peak time .Results (1)The blood glucose significantly reduces that 15 min low intensity and 5 min medium intensity were compared with pre‐movement(P<0 .05) ,and low intensity at least 45 min ,15 min of medium and large strength movement can be dropped to close to fasting blood sugar level .(2 ) Peak glucose after meals mainly concentrated at 60 -90 min after the breakfast ,90-120 min after the lunch ,60 -120 min after dinner ,and there was an obvious individual differences ,but men and women was no statistical significance(P>0 .05) .(3) Glucose‐lowering effect was no difference of the movement at different time point before the peak ,but 15-45 min before the peak time was better .Conclusion The middle‐aged patients with type 2 diabetes should combine their own blood glucose peak time ,proceeding moderate intensity more than 15 min or low intensity more than 45 min ,they can achieve good hypoglycemic effect at 15-45 min before the peak time .