抗阻力运动能改善中国老年2型糖尿病患者认知功能

Resistance training can improve cognitive function of elderly patients with type 2 diabetes in China

目的:探讨抗阻力运动对中国老年2型糖尿病患者认知功能的改善作用。方法:从上海市静安区医联体慢病管理体系中选择90例老年2型糖尿病患者。患者在医师指导下每周使用美国bioDensityTM抗阻力运动仪完成1次抗阻力运动训练,包括4个最大范围的主动伸缩活动,每个活动达最高阈值后持续5s;持续训练6个月。研究期间要求患者维持既往饮食习惯及药物治疗方案。在执行抗阻力运动前(基线)及抗阻力运动6个月时分别由专业人员指导患者完成MoCA认知量表。以配对t检验比较患者抗阻力运动前后MoCA认知量表得分情况。结果:剔除失访及治疗方案改变者,最终有80例患者纳入分析。抗阻力运动治疗6个月后MoCA认知量表分值较基线升高[(26.75±4.21)分vs(24.54±4.32)分,P<0.0001]。结论:基于bioDensityTM仪器,每周1次的抗阻力运动可改善中国老年2型糖尿病患者的认知功能。

Objective: To explore the effects of resistance training on cognitive function of elderly patients with type 2 diabetes in China. Methods: A total of 90 patients from Chronic Disease Management System of Medical Association in Jing’an District of Shanghai were selected. Under the guidance, the patients underwent resistance exercise training weekly using bioDensity TM machine, including four maximal active stretching activities. Each activity lasted for 5 seconds after reaching the maximum threshold, and the training lasted for 6 months. During the program period, patients were required to maintain a regular diet and medication. The cognitive function was assessed by MoCA score assessment at baseline and followed up after 6-month progressive resistance training program. The data of MoCA score was compared by paired- t test before and after training. Results: A total of 80 patients eventually finished the training, while 10 patients dropped out or changed the treatment methods. MoCA score increased after training than that before training (26.75±4.21 vs 24.54±4.32, P < 0.000 1 ). Conclusions: Progressive resistance training via bioDensity TM once a week could improve the cognitive function of Chinese elderly patients with type 2 diabetes.