运用电子运动平台技术运动管理对糖耐量异常腹型肥胖患者的干预效果研究
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摘要
目的分析电子运动平台技术运动管理对糖耐量异常腹型肥胖患者的干预效果。方法选择2017年4月-2018年4月广州市白云区第一人民医院内分泌科收治的糖耐量异常腹型肥胖患者60例,按照随机数字表法分为对照组和观察组,每组各30例。两组均给予饮食指导,对照组进行常规运动干预,观察组实施电子运动平台技术运动管理,比较两组干预前后血糖指标[空腹血糖(FPG)、葡萄糖耐量试验(OGTT)后2h血糖、糖化血红蛋白(HbAlc)]、胰岛素指标[空腹胰岛素(FINS)、胰岛素抵抗指数(Homa-IR)]、血脂指标[总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)及低密度脂蛋白胆固醇(LDL-C)]、腹壁脂肪厚度、体质指数(BMI)。结果干预后,观察组FPG、OGTT 2h血糖、FINS、Homa-IR、HDL-C、LDL-C、腹壁脂肪厚度与对照组相比差异均无统计学意义,HbA1c、TC、BMI指数均显著低于对照组(P <0.05)。结论电子运动平台技术对糖耐量异常腹型肥胖患者运动管理效果较好,可有效降低患者血糖水平及BMI指数,有利于患者控制血糖和体质量。
Objective To analyze the intervention effect of electronic motion platform on exercise management for central obesity patients with abnormal glucose tolerance.Methods 60 central obesity patients with abnormal glucose tolerance were collected from April 2017 to April 2018 from the Department of Endocrinology in The First People's Hospital of Baiyun District.They were divided into control group and observation group by random number table method,30 cases in each group.Both groups were given dietary guidance.The control group was given routine exercise therapy while the observation group was given exercise management by electronic motion platform technology.The blood glucose indexes[fasting plasma glucose(FPG),2-hour blood glucose after oral glucose tolerance test(OGTT),glycosylated hemoglobin(HbAlc)],insulin indexes[fasting insulin(FINS),insulin resistance index(Homa-IR)],blood lipid indexes[total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C)],abdominal wall fat thickness and body mass index(BMI)were compared between the two groups before and after intervention.Results There were no significant differences in FPG,OGTT 2h blood glucose,FINS,Homa-IR,HDL-C,LDL-C or abdomen fat thickness between the two groups.The HbA1 c,TC,and BMI of the observation group were significantly lower than those of the control group(P<0.05).Conclusion The effect of electronic motion platform technology is good in exercise management of patients with abnormal glucose tolerance and abdominal obesity.It can effectively reduce the blood glucose level and BMI of central obesity patients,which is beneficial to control blood glucose and body mass.
Objective To analyze the intervention effect of electronic motion platform on exercise management for central obesity patients with abnormal glucose tolerance.Methods 60 central obesity patients with abnormal glucose tolerance were collected from April 2017 to April 2018 from the Department of Endocrinology in The First People's Hospital of Baiyun District.They were divided into control group and observation group by random number table method,30 cases in each group.Both groups were given dietary guidance.The control group was given routine exercise therapy while the observation group was given exercise management by electronic motion platform technology.The blood glucose indexes[fasting plasma glucose(FPG),2-hour blood glucose after oral glucose tolerance test(OGTT),glycosylated hemoglobin(HbAlc)],insulin indexes[fasting insulin(FINS),insulin resistance index(Homa-IR)],blood lipid indexes[total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C)],abdominal wall fat thickness and body mass index(BMI)were compared between the two groups before and after intervention.Results There were no significant differences in FPG,OGTT 2h blood glucose,FINS,Homa-IR,HDL-C,LDL-C or abdomen fat thickness between the two groups.The HbA1 c,TC,and BMI of the observation group were significantly lower than those of the control group(P<0.05).Conclusion The effect of electronic motion platform technology is good in exercise management of patients with abnormal glucose tolerance and abdominal obesity.It can effectively reduce the blood glucose level and BMI of central obesity patients,which is beneficial to control blood glucose and body mass.
引文
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[10]张艳艳,何朝,赵莹颖,等.北京市顺义区人群中心型肥胖与心血管疾病危险因素分析[J].中国健康教育,2016,32(5):419-423.
[11]张璐,杨跃进,温瑞,等.超重、肥胖和腹型肥胖与心血管代谢性疾病的关联研究[J].现代预防医学,2016,43(21):3887-3891.
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[13]麻晓君,戴霞,陆丽荣,等.有氧运动和抗阻运动对糖调节受损患者空腹血糖及胰岛素抵抗的影响研究[J].中国全科医学,2017,20(29):3584-3589.
[14]张珊,傅力.有氧运动影响机体脂代谢平衡研究进展[J].中国运动医学杂志,2015,34(1):69-72.
[15]李斌,郭均涛,王宏,等.体质量指数、腰臀比、体脂百分率评价青少年肥胖的研究[J].重庆医学,2014,43(34):4637-4639.
[2]刘德丰,陆强,丁伟利,等.简易体脂参数用于评价中青年人腹型肥胖可靠性的研究[J].中国糖尿病杂志,2014,22(6):525-528.
[3]徐岩,陆小平,龚雄辉,等.筛查2型糖尿病一级亲属的腹型肥胖测量指标适宜切点分析[J].医学研究生学报,2017,30(3):284-288.
[4]赵娅,万沁.糖尿病前期人群血脂特点及其对糖尿病前期转归的影响研究[J].中国全科医学,2016,19(1):54-58.
[5]王祺.EZSCAN无创筛查技术对糖尿病及糖耐量异常的临床应用价值[J].重庆医学,2017,46(3):362-365.
[6]柯斌,师林,张俊杰,等.加味苓桂术甘汤联合短期禁食治疗肥胖型糖耐量异常的临床研究[J].中药材,2012,35(5):843-845.
[7]胡国平,马维青,吕芳,等.控制血糖对新诊断腹型肥胖2型糖尿病患者胰岛α及β细胞功能的影响[J].中国糖尿病杂志,2015,23(4):313-316.
[8]周静雯,吴佳慧,梁柱,等.内蒙古部分地区蒙古族空腹血糖受损人群10年转归及影响因素分析[J].中华流行病学杂志,2014,35(11):1241-1243.
[9]孟健,俞春芳,徐凌,等.中心性肥胖对不同糖耐量人群胰岛素抵抗和胰岛β细胞功能的影响[J].实用医学杂志,2016,32(13):2202-2204.
[10]张艳艳,何朝,赵莹颖,等.北京市顺义区人群中心型肥胖与心血管疾病危险因素分析[J].中国健康教育,2016,32(5):419-423.
[11]张璐,杨跃进,温瑞,等.超重、肥胖和腹型肥胖与心血管代谢性疾病的关联研究[J].现代预防医学,2016,43(21):3887-3891.
[12]陆大江."有效步数"对2型糖尿病患者的疗效影响[J].体育与科学,2011,32(2):77-80.
[13]麻晓君,戴霞,陆丽荣,等.有氧运动和抗阻运动对糖调节受损患者空腹血糖及胰岛素抵抗的影响研究[J].中国全科医学,2017,20(29):3584-3589.
[14]张珊,傅力.有氧运动影响机体脂代谢平衡研究进展[J].中国运动医学杂志,2015,34(1):69-72.
[15]李斌,郭均涛,王宏,等.体质量指数、腰臀比、体脂百分率评价青少年肥胖的研究[J].重庆医学,2014,43(34):4637-4639.
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