糖尿病肾病患者合理运动的研究进展

Research progress of rational exercise among patients with diabetic nephropathy

糖尿病肾病(diabetic nephropathy,DN)又称糖尿病性肾小球硬化症,是糖尿病微血管最常见的慢性并发症之一,也是导致终末期肾脏病的主要原因。研究表明,合理运动能够帮助患者控制体质指数,提高体能,增加胰岛素敏感性,从而改善糖尿病肾病患者的症状。目前,关于糖尿病患者的运动疗法相对于糖尿病肾病患者较为成熟。该文旨在结合糖尿病肾病患者的生理特点,实现运动获益和风险平衡的目的,预防运动损失,提高患者运动依从性,综述了运动对DN患者的积极作用、适宜DN患者的运动类型和提高运动依从性的可行性措施,为临床或社区医师制定个性化体育运动提供依据,控制DN患者血糖,降低终末期肾病的发生,为糖尿病肾病患者提供更好的保障。

Diabetic nephropathy(DN),also known as diabetic glomerulosclerosis,is one of the most common chronic complications of diabetic micro-vessels and the main cause of end-stage renal disease.Studies have shown that reasonable exercise can help to control body mass index of patients,improve performance,increase insulin sensitivity,and thus improve the symptoms of patients suffered from diabetic nephropathy.At present,the application of exercise therapy in diabetic patients is relatively mature compared with diabetic nephropathy patients.This paper aims to combine the physiological characteristics of patients with diabetic nephropathy,achieve the purpose of balance between exercise benefits and risk,prevent loss of motion,improve exercise compliance of patients.The article summarizes the positive role of sports in DN patients,movement types suitable for patients with DN and measures to improve the feasibility of the exercise adherence,provide evidence for personalized sports made by clinical or community physicians,to control blood sugar of DN patients and reduce the incidence of end-stage renal disease and provide better guarantee for diabetic nephropathy patients.