不同形式运动对2型糖尿病患者糖化血红蛋白百分比和部分体成分影响的Meta分析

被引：30

作者：

王光旭

王兴

陈新丽

机构：

[1] 上海体育学院体育教育训练学院

来源：

体育科学 | 2016年 / 36卷 / 10期

关键词：

元分析; 糖化血红蛋白百分比; 身体质量指数; 体脂量; 体脂百分比;

D O I：

暂无

中图分类号：

R587.1 [糖尿病];

学科分类号：

100201 [内科学];

摘要：

目的:评估不同运动对2型糖尿病患者HbA1c%与BMI、体脂量和体脂百分比等体成分指标影响效果。方法:电子检索PubMed、EBSCO Host、Elsevier、WOS、中国知网等数据库,期限为1990—2016年全部文献。将运动干预2型糖尿病患者的随机对照实验全面的收集,运用Cochranc偏倚风险评估工具对纳入文献进方法学质量评价,ReMan 5.3.5软件对得到数据进行统计学处理。结果:Meta分析共纳入文献8篇,总样本量1 192人均为成年2型糖尿病患者;纳入文献中等质量2篇,高质量6篇。Meta分析结果:HbA1c%meta分析,有氧训练组与抗阻训练组比较MD=-0.29(95%CI,I2=60%,P<0.0001);综合训练组与有氧训练组比较MD=-0.19(95%CI,I2=33%,P=0.009);综合训练组与抗阻训练组比较MD=-0.49(95%CI,I2=72%,P<0.000 01。BMI Meta分析:抗阻训练组与对照组比较MD=-0.05(95%CI,I2=59%,P=0.40);综合训练组与有氧训练组比较MD=-0.06(95%CI,I2=37%,P=0.52。体脂量Meta分析:有氧训练组与抗阻训练组比较MD=-0.35(95%CI,I2=6%,P=0.29);综合训练组与有氧训练组比较MD=-0.46(95%CI,I2=0%,P=0.16);综合训练组与抗阻训练组比较MD=-0.80(95%CI,I2=0%,P=0.01)。体脂百分比Meta分析:有氧训练组与对照组比较MD=-0.47(95%CI,I2=87%,P=0.25);综合训练组与抗阻训练组比较MD=-0.55(95%CI,I2=86%,P=0.07)。结论:综合训练为2型糖尿病患者血糖控制最佳运动方式;抗阻训练对2型糖尿病患者BMI无显著影响;有氧训练对2型糖尿病患者体脂百分比无显著影响;综合训练对2型糖尿病患者BMI、体脂量和体脂百分比改善均无显著优势。

引用

页码：56 / 66

页数：11

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