饮食运动对肥胖症患者胰岛素抵抗的影响

The Influence of Diets and Exercises on Insulin Resistance in Obese Patients

目的探讨饮食、运动对肥胖症患者胰岛素抵抗和血脂、血压的影响。方法选取肥胖症患者54例,随机分为两组,干预组进行为期24周的饮食、运动干预。结果接受饮食、运动干预24周后干预组体质量、体质量指数、腰围、腰臀比、血压、空腹血糖、空腹胰岛素、甘油三酯和HOMA-IR指数下降,McAuley指数升高,与对照组比较均有统计学意义(P<0.05)。结论饮食、运动干预可减轻体质量,改善肥胖症患者的胰岛素抵抗、血压和甘油三酯。

Objective To explore the influence of diets and exercises on insulin resistance, blood lipid and blood pressure in obesepatients. Methods Fifty-four obese patients were divided into two groups at random： the intervention group and the control group.The fonner was interventionally treated by going on diet and conducting physical exercises for 24 weeks. Results After interventionby keeping on diet and doing exercises, the body weight, body mass index, waist circumference, waist-hip ratio, blood pressure, fasting plasma glucose, fasting insulin, triglycerides and HOMA-IR index in intervention group were significantly decreased than those atthe control group（P〈0.05）, while McAuley index was significantly increased than that in the control group （P〈0.05）. ConclusionDiets and physical exercises can decrease body weight, improve insulin resistance, blood pressure and tfiglyceride in obese patients.