摘要
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（VO2max）,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、75min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）15min低强度、5min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45min、中和高强度15min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60-90min,午餐后90-120min,晚餐后60-120min,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15-45min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15-45min进行中强度15min以上或低强度45min以上的运动,可以达到较好的降糖效果。
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 different time points after meals, different intensity exercise corresponding heart rate to find out effective exercise intensity and blood glucose 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 rain 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 rain 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--45min 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 rain or low intensity more than 45 min,they can achieve good hypoglycemic effect at 15--45 min before the peak time.
出处
《重庆医学》
CAS
北大核心
2015年第14期1891-1893,1896,共4页
Chongqing medicine
基金
黑龙江省自然科学基金项目(QC2014085)
关键词
糖尿病
2型
个性化
运动治疗方案
中年人
diabetes mellitus,type 2
personalized
exercise therapy
middle age
