老年糖尿病运动安全性的研究

The study on exercise safety among elderly diabetes patients

目的探讨老年糖尿病患者所需的适宜运动强度，以及不同运动处方的安全性，形成规范化的老年糖尿病运动治疗指南。方法对20位住院的老年糖尿病患者采用个性化运动处方进行强化的运动治疗，监测及评估患者达到治疗疾病的运动量及有效的运动范围，同时探讨运动处方的安全性。结果不同运动处方以及不同运动时间段的血糖差异有统计学意义（P〈0．05），同时血压差异无统计学意义（P〉0．05）。随访运动结束后的3个月，除体重和高密度脂蛋白之外，其余监测指标如血糖、糖化血红蛋白、尿微量白蛋白、低密度脂蛋白等均较运动前有所下降（P〈0．05）。结论采用个性化运动处方对老年糖尿病患者进行运动治疗是安全有效的。

Objective To observe effects and safety of exercise in elderly patients with diabetes mellitus in order to offer the guideline for the diabetic education about exercise. Methods We designed the five sport prescriptions about the different intensity and evaluated the effect of exercise training on plasma glucose, heart rate, blood pressure and a consumption of the different exercises. Twenty patients with diabetes mellitus in elderly individuals were evaluated before and after zero hour, 4 hours, and 12 hours while exercises were over. And we followed up the effects after 12 weeks. Results The level of glucose in different sport time and in different exercise prescriptions showed significant （P 〈 0. 05）. The change about the blood pressure in different sport time and in different exercise prescriptions has no statistical significance （P 〉0. 05）. After the 12 weeks following; the level of plasma glucose, HbAlc, albumin in urine, triglyceride, cholesterol, low density lipoprotein and blood pressure decreased （ P 〈 0. 05 ）. But the change about the weight and high density lipoprotein did not have statistical significance （ P 〉 0. 05 ）. Conclusions It is effective and safe to carry out individual exercise prescriptions among elderly patients with diabetes mellitus.