运动联合营养缓解2型糖尿病的专家共识

Expert consensus on sports combined with nutrition therapy on type 2 diabetes mellitus

2型糖尿病(T2DM)是成年人普遍存在的健康问题,发病率高达10%~12%,占糖尿病的患者的90%。T2DM患者平均寿命会比非糖尿病人群短4~6年,经过积极控制后,对寿命影响不大。《“健康中国2030”规划纲要》提出要广泛开展全民健身运动,加强体医融合和非医疗健康干预,为进一步提高通过运动疗法和饮食缓解T2DM,减少患者并发症,减少医疗压力,减轻国家负担。为此,我国体育科学、康复科学和医学领域等专家组成的专家组,组织制定了《运动联合营养缓解2型糖尿病的专家共识》。该专家共识通过检索国际、国内常用电子数据库,参考英国牛津循证医学中心(Oxford Centre for Evidence-Based Medicine,OCEBM)的证据水平进行分级,结合我国正在积极推行“体医融合和非医疗健康干预”的国情,制定了符合中国特色的运动疗法治疗T2DM的规范和推荐建议,旨在更好地指导运动健康管理实践和推行体医融合理念。

Type 2 diabetes mellitus(T2DM)is a common health problem among adults.The incidence rate is 10%-12%,accounting for 90%of the patients with diabetes.People with type 2 diabetes will live an average of 4-6 years shorter than the non-diabetic population,but with aggressive control,its impact on life expectancy is not significant.In October 2016,the State Council issued the outline of the"Healthy China 2030"plan,proposing to widely carry out national fitness exercise,strengthen the integration of sports and medicine and non-medical health intervention,and further treat T2DM through exercise therapy and diet,reduce patient complications,minimize medical stress and lower the burden on the country.Therefore,experts in the fields of sports science,rehabilitation medicine and clinical medicine in China organized and developed the“experts consensus on sports combined with nutrition therapy on type 2 diabetes mellitus”.The expert consensus has formulated the norms and recommendations of exercise therapy for T2DM with Chinese characteristics by searching the commonly used international and domestic electronic databases,referring to the evidence level of Oxford Center for Evidence-Based Medicine(OCEBM)in the UK,and in combination with the national conditions that China is actively promoting"integration of sports-medicine and non-medical health intervention".It aims to better guide the practice of sports health management and implement the concept of sports-medicine integration.