广场舞对女性中老年肥胖2型糖尿病患者不同部位脂肪含量的影响

Effect of square dance on the fat content in different parts of the obese middle-aged and elderly women with type 2 diabetes mellitus

目的探讨广场舞对女性中老年肥胖2型糖尿病(T2DM)患者不同部位脂肪含量的影响。方法从2014年1月~2015年12月在重庆市万州区第五人民医院体检的重庆市事业单位职工中筛选出的52例女性中老年肥胖T2DM患者作为研究对象,按随机数字表法分为运动组和对照组,每组各26例。运动组予以16周广场舞干预,对照组不进行特殊运动干预,两组受试者饮食均需控制油脂和总热量的摄入。比较两组患者干预前后体脂率(FAT%)、皮褶厚度(SFT)、内脏脂肪面积(VFA)、空腹血糖(FPG)、空腹胰岛素浓度(FIns)和胰岛素抵抗指数(HOMA-IR)。结果运动组干预后FAT%、SFT、VFA、FPG、FIns和HOMA-IR均低于干预前,且低于对照组,差异有统计学意义(P<0.05)。结论广场舞能降低女性中老年肥胖T2DM患者身体脂肪量,但对不同部位脂肪的影响不同,降低内脏脂肪含量比降低皮下脂肪效果更显著。广场舞可作为中老年肥胖T2DM患者的运动治疗手段。

Objective To evaluate the effect of square dance on the fat content in different parts of the obese middle- aged and elderly women with type 2 diabetes mellitus （T2DM）. Methods From January 2014 to December 2015, 52 cases of the obese middle-aged and elderly women with T2DM were selected as the study subjects, which were staff of Chongqing institutions with medical examinations in the Fifth People＇s Hospital of Wanzhou. They were divided into exercise group and control group, with 26 cases in each group. The exercise group was treated with square dance for 16 weeks, and the control group was not treated with special sports. Besides, they were required to control both fats and total calories. Before and after treatment, their body fat rate （FAT%）, skinfold thickness （SFT）, visceral fat area （VFT）, fasting blood-glucose （FPG）, fasting insulin concentration （Flns） and insulin resistance index （HOMA-IR） were compared. Results After treatment, the levels of FAT%, SFT, VFA, FPG, Fins and HOMA-IR in the exercise group were decreased, which were lower than those in the control group, with statistically significant difference （P 〈 0.05）. Conclusion Square dance can reduce the body fat of the obese middle-aged and elderly women with T2DM. While it has different effects on the fat in different parts, and the effect of reducing visceral fat content is more significant than that of reducing subcutaneous fat. Square dance can be used as a means of exercise therapy for the obese middle-aged and elderly patients with T2DM.