抗阻训练结合有氧运动和饮食调理对2型糖尿病患者并发症及生活质量的影响

Effects of resistance training combined with aerobic exercise and diet adjustment on complications and quality of life in patients with type 2 diabetes mellitus

目的:研究有氧运动结合抗阻训练、饮食调理对2型糖尿病(type 2 diabetes mellitus,T2DM)患者并发症和生活质量的影响.方法:选取2018年1月至2018年8月皖北煤电集团总医院首次确诊的T2DM患者92例,采用随机数字表法均分为两组各46例,对照组给予饮食调理和有氧运动联合干预,观察组在此基础上加用抗阻训练,两组干预时间均为3个月,比较两组干预后血糖、血脂及生活质量变化以及T2DM并发症发生情况.结果:干预后,两组FBG,2 h PG及HbA1c水平均明显降低(P<0.05),且观察组FBG,2 h PG及HbA1c水平低于对照组;两组血清TG,TC及LDL-C水平均明显降低(P<0.05),且观察组血清TG,TC及LDL-C水平低于对照组;两组DSQL生理功能、心理精神、社会关系及治疗评分均明显升高(P<0.05),且观察组各维度评分高于对照组,差异均有统计学意义(P<0.05);观察组和对照组T2DM并发症发生率分别为6.52%和13.04%(P>0.05).结论:有氧运动结合抗阻训练、饮食调理干预可明显提升T2DM患者血糖和血脂控制水平,改善患者生活质量.

Objective:To study the effects of aerobic exercise combined with resistance training and diet adjustment on complications and quality of life in patients with type 2 diabetes mellitus (T2DM). Methods:Ninety-two patients firstly diagnosed as T2DM in our hospital from January 2018 to August 2018 were selected and divided into two groups according to the random number table method, with 46 cases in each group. Control group was given diet adjustment and aerobic exercise for intervention, and observation group was added with resistance training on this basis, and the two groups were intervened for 3 months. The changes of blood glucose, blood lipids and quality of life and the occurrence of T2DM complications were compared between the two groups after intervention.Results:After intervention, the levels of FBG, 2 h PG and HbA1c were significantly decreased in the two groups (P<0.05), and the levels of FBG, 2 h PG and HbA1c in the observation group were lower than those in the control group, and the levels of serum TG, TC and LDL-C were significantly decreased in the two groups (P<0.05), and the levels of serum TG, TC and LDL-C in the observation group were lower than those in the control group, and the scores of physiological function, mental spirit, social relationship and treatment of DSQL in the two groups were significantly increased (P<0.05), and the dimensions scores in observation group were higher than those in control group (P<0.05). The incidence rates of T2DM complications in observation group and control group were 6.52% and 13.04% respectively (P>0.05). Conclusion:Aerobic exercise combined with resistance training and diet adjustment intervention can significantly improve the blood glucose and blood lipids control levels and promote the quality of life of T2DM patients.