Physical Exercise Improves Heart Rate Variability in Patients with Type 2 Diabetes: A Systematic Review
Physical Exercise Improves Heart Rate Variability in Patients with Type 2 Diabetes: A Systematic Review
复制标题
体育锻炼可改善 2 型糖尿病患者的心率变异性：系统评价
作者：
S. Villafaina;D. Collado;J. P. Fuentes;E. Merellano;N. Gusi
本系统综述的目的是对2型糖尿病（T2DM）患者运动计划对心率变异性（HRV）影响的最新研究进行分析。对文献进行电子检索（PubMed， PEDro和Web of Science）。“HRV”、“心率变异性”、“运动”、“身体”和“糖尿病”是检索文章时使用的术语。最后选出了15篇文章。采用PRISMA方法，根据PICOS方法提取数据。虽然HRV不是T2DM治疗的常规指标，但由于其与死亡率和糖尿病神经病变的关系，它是一个重要的指标。体育锻炼已成为T2DM的一种治疗方法，因为它可以改善身体素质和功能能力，增强代谢控制和胰岛素敏感性，减少炎症标志物和神经病变症状，并可以增加皮肤轴突的再生能力，减缓或防止神经病变的进展。然而，目前尚不清楚体育锻炼在多大程度上可以改善这一人群的心率变异。入选的15项研究中，男性和女性的参与情况相似（男性48.01%，女性51.99%）。在四项研究中，所有的干预项目都包括有氧训练，并辅以力量训练。体育锻炼的持续时间在30到75分钟之间，频率在每周2到7天之间。与基线相比，有9项研究观察到糖尿病组在统计学上有显著改善。每周3天以上的有氧训练，辅以力量训练，至少持续3个月，似乎可以改善T2DM患者的HRV。每周的频率可能是改善心率变异最重要的因素。这些方面可以帮助设计基于科学证据的更好的方案，将心率变异作为与糖尿病神经病变和死亡率相关的重要变量。
Purpose of ReviewThe aim of the present systematic review is to provide an up-to-date analysis of the research on the effects of exercise programs on heart rate variability (HRV) in individuals with type 2 diabetes mellitus (T2DM). An electronic search of the literature (PubMed, PEDro and Web of Science) was performed. “HRV”, “heart rate variability”, “exercise”, “physical” and “diabetes” were the terms used for article retrieval. Lastly, 15 articles were selected. PRISMA methodology was employed and data were extracted according to the PICOS approach.Recent FindingsAlthough HRV is not routinely measured in the management of T2DM, it is an important measure due to its relation with mortality and diabetic neuropathy. Physical exercise has become a therapy for T2DM, because it improves physical fitness and functional capacity, enhances metabolic control and insulin sensitivity, reduces inflammatory markers and neuropathy symptoms and can increase the regenerative capacity of cutaneous axons, slowing or preventing neuropathy progression. However, it is not clear to what extent physical exercise can improve HRV in this population.SummaryParticipation in the 15 selected studies was similar in men and women (48.01% men and 51.99% women). All the intervention programs included aerobic training, and it was complemented by strength training in four studies. Duration of physical exercise sessions ranged between 30 and 75 min, the frequency being between 2 and 7 days/week. Statistically significant improvements in groups with diabetes, relative to baseline, were observed in nine studies. More than 3 days per week of aerobic training, complemented by strength training, during at least 3 months seems to improve HRV in T2DM. Weekly frequency might be the most important factor to improve HRV. These aspects could help to design better programs based in scientific evidence, incorporating HRV as an important variable associated with diabetic neuropathy and mortality.
肥胖个体中有氧运动训练的心脏调节和功效。
影响因子：
4.1
作者：
Baynard T;Goulopoulou S;Sosnoff RF;Fernhall B;Kanaley JA
通讯作者：
Kanaley JA
影响因子：
3
作者：
Kluding PM;Pasnoor M;Singh R;Jernigan S;Farmer K;Rucker J;Sharma NK;Wright DE
通讯作者：
Wright DE
影响因子：
9.8
作者：
Goulopoulou, Styliani;Baynard, Tracy;Franklin, Ruth M.;Fernhall, Bo;Carhart, Robert, Jr.;Weinstock, Ruth;Kanaley, Jill A.
通讯作者：
Kanaley, Jill A.