连续性及高强度间歇运动对2型糖尿病血糖调控影响的研究进展

doi:10.12114/j.issn.1007-9572.2021.00.135

摘要/Abstract

摘要： 规律运动可以帮助预防和改善2型糖尿病患者血糖控制情况，降低心血管疾病发生风险。本文综述了有氧运动对2型糖尿病血糖的改善情况，尤其是连续性及高强度间歇运动对2型糖尿病对血糖调控的影响，得出高强度间歇运动可调节骨骼肌中葡萄糖代谢情况，降低空腹血糖及糖化血红蛋白；3次/周及每周总计150 min以上的中等强度有氧运动被认为是改善2型糖尿病的症状最佳方案，且训练频率越高及训练量越大对于2型糖尿病病情的改善越有效；抗阻训练同样能增强胰岛素的作用，但抗阻介入有氧运动及抗阻介入高强度间歇训练能否对2型糖尿病产生更大的改善效果尚需更多的试验去验证。

关键词: 糖尿病, 2型；高强度间歇训练；胰岛素敏感性；血糖；综述

Abstract: Regular exercise may help to improve blood glucose control，prevent the incidence or reduce the risk of diabetes-related cardiovascular disease in type 2 diabetics.We reviewed the improvement in glycemic control achieved by aerobic exercise，especially the regulation of glycemic level by continuous and high-intensity interval trainings，and summarized that high-intensity interval training regulates the glucose metabolism in skeletal muscle，and reduces fasting blood glucose and glycosylated hemoglobin；moderate-intensity aerobic exercise three times a week（more than 150 minutes in total） is recognized to be the optimal scheme to improve the symptoms of type 2 diabetes，and better effect could be achieved by higher training frequency and greater amount of training within the bearable range；resistance training can enhance insulin effect，but whether it combined with aerobic exercise or high-intensity interval training can yield better effect，which needs to be verified by further studies.

Key words: Diabetes mellitus, type 2；High intensity interval training；Insulin sensitivity；Blood glucose；Review

闫增印,闫平平,秦春莉,等. 连续性及高强度间歇运动对2型糖尿病血糖调控影响的研究进展[J]. 中国全科医学, 2021, 24(12): 1575-1580. DOI: 10.12114/j.issn.1007-9572.2021.00.135.
YAN Zengyin,YAN Pingping,QIN Chunli, et al. New Advances in the Effect of Continuous and High-intensity Interval Trainings on Blood Glucose Regulation in Type 2 Diabetes　[J]. Chinese General Practice, 2021, 24(12): 1575-1580. DOI: 10.12114/j.issn.1007-9572.2021.00.135.

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