The decline in blood glucose levels is less with intermittent high-intensity compared with moderate exercise in individuals with type 1 diabetes

被引:145
作者
Guelfi, KJ
Jones, TW
Fournier, PA
机构
[1] Univ Western Australia, Sch Human Move & Exercise Sci, Crawley, WA 6009, Australia
[2] Princess Margaret Hosp, Dept Endocrinol & Diabet, Subiaco, WA, Australia
[3] Univ Western Australia, Telethon Inst Child Hlth Res, Ctr Child Hlth Res, Perth, WA 6009, Australia
关键词
D O I
10.2337/diacare.28.6.1289
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - To compare the response of blood glucose levels to intermittent high-intensity exercise (IHE) and moderate-intensity exercise (MOD) in individuals with type 1 diabetes. RESEARCH DESIGN AND METHODS - Seven healthy individuals with type 1 diabetes were tested on two separate occasions, during which either a 30-min MOD or IHE protocol was performed. MOD consisted of continuous exercise at 40% V-O2peak, while the IHE protocol involved a combination of continuous exercise at 40%V-O2peak, interspersed with 4-s sprints performed every 2 min to simulate the activity patterns of team sports. RESULTS - Both exercise protocols resulted in a decline in blood glucose levels. However, the decline was greater with MOD (-4.4 +/- 1.2 mmolA) compared with IHE (-2.9 +/- 0.8 mmolA; P < 0.05), despite the performance of a greater amount of total work with IHE (P < 0.05). During 60 min of recovery from exercise, glucose levels remained higher in IHE compared with MOD (P < 0.05). Furthermore, glucose levels remained stable during recovery from IHE, while they continued to decrease after MOD (P < 0.05). The stabilization of blood glucose levels with IHE was associated with elevated levels of lactate, catecholamines, and growth hormone during early recovery from exercise (P < 0.05). There were no differences in free insulin, glucagon, cortisol, or free fatty acids between MOD and IHE. CONCLUSIONS - The decline in blood glucose levels is less with IHE compared with MOD during both exercise and recovery in individuals with type 1 diabetes.
引用
收藏
页码:1289 / 1294
页数:6
相关论文
共 28 条
[1]  
[Anonymous], 1993, AUST J SCI MED SPORT
[2]   THE LEVEL AND TEMPO OF CHILDRENS PHYSICAL ACTIVITIES - AN OBSERVATIONAL STUDY [J].
BAILEY, RC ;
OLSON, J ;
PEPPER, SL ;
PORSZASZ, J ;
BARSTOW, TJ ;
COOPER, DM .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1995, 27 (07) :1033-1041
[3]  
Birrer RB, 2003, PHYSICIAN SPORTSMED, V31, P29, DOI 10.3810/psm.2003.05.365
[4]   THE EFFECTS OF PHYSICAL-TRAINING ON BLOOD LIPID PROFILES IN ADOLESCENTS WITH INSULIN-DEPENDENT DIABETES-MELLITUS [J].
CAMPAIGNE, BN ;
LANDT, KW ;
MELLIES, MJ ;
JAMES, FW ;
GLUECK, CJ ;
SPERLING, MA .
PHYSICIAN AND SPORTSMEDICINE, 1985, 13 (12) :83-89
[5]   EPINEPHRINE-INDUCED INSULIN RESISTANCE IN MAN [J].
DEIBERT, DC ;
DEFRONZO, RA .
JOURNAL OF CLINICAL INVESTIGATION, 1980, 65 (03) :717-721
[6]   SPORT AND THE DIABETIC CHILD [J].
DORCHY, H ;
POORTMANS, J .
SPORTS MEDICINE, 1989, 7 (04) :248-262
[7]  
Ford T, 1999, INT SPORTS J, V3, P91
[8]  
FREMION AS, 1987, PHYSICIAN SPORTSMED, V15, P118
[9]   Intermittent high-intensity exercise does not increase the risk of early postexercise hypoglycemia in individuals with type 1 diabetes [J].
Guelfi, KJ ;
Jones, TW ;
Fournier, PA .
DIABETES CARE, 2005, 28 (02) :416-418
[10]  
Jessen N, 2004, DIABETES, V53, pA348