Timing and intensity of exercise for glucose control. Reply to Chacko E. [letter].
Timing and intensity of exercise for glucose control. Reply to Chacko E. [letter].
复制标题
控制血糖的运动时间和强度。
DOI：
10.1007/s00125-014-3359-9
复制
发表时间：
2014
期刊：
影响因子：
8.2
通讯作者：
Thyfault,JohnP
中科院分区：
文献类型：
--
作者：
Booth,FrankW;Thyfault,JohnP
致编者：Chacko[1]博士在改善2型糖尿病患者血糖控制方面考虑了体育活动的时间和强度，值得祝贺。她建议2型糖尿病患者进行适度运动以改善血糖控制的最佳时间是餐后30 - 90分钟。虽然她和该领域对通过运动改善血糖的关注是一个有价值的起点，但这种运动处方不太可能产生运动在不断增长的人口中所能提供的最佳健康长寿益处。为了最佳地改善健康，必须考虑增加和保持健身和瘦体重。至于健身，每天只步行60分钟的处方不能达到每周代谢当量（METS）的阈值，而这一阈值已被证明可使高风险患者10年内冠心病风险降低。此外，单独的步行运动可能不会最大限度地增加或保持心血管健康和瘦肌肉质量，后者必须保持，以便在整个衰老过程中继续步行和体育活动。我们的观点很简单：虽然我们的首要目标应该是增加身体活动，但我们也必须为2型糖尿病患者提供对抗疾病进一步发展和健康长寿所需的关键弹药。因此，使用运动来改善血糖控制，除了保持有氧健身和瘦体重（力量）外，都应该成为2型糖尿病患者或有发展风险的患者的“运动公式”的一部分。
To the Editor: Dr Chacko [1] is to be congratulated for her consideration of the timing and intensity of physical activity upon improvements in glycaemic control in type 2 diabetic patients. She suggests that the best timing for moderate exercise to improve glycaemic control in patients with type 2 diabetes is between the 30 and 90 min post-meal mark. While her and the field’s focus on improving glycaemia with exercise is a valuable starting place, this exercise prescription is unlikely to produce the optimal health benefits for longevity that exercise can provide in this growing population. To optimally improve health, increasing and maintaining fitness and lean body mass must be considered. As regards fitness, a 60 min/day walking only prescription would not meet the weekly metabolic equivalents (METS) threshold that has been shown to result in a 10 year reduction in coronary heart disease risk in high-risk patients [2]. Furthermore, walking exercise alone may not maximally increase, or maintain, cardiovascular fitness and lean muscle mass, the latter of which must be maintained in order to continue walking and physical activity throughout the ageing process. Our point here is simple: although our first goal should be to increase physical activity, we must also provide type 2 diabetic patients with the crucial ammunition needed for battling further disease development and living a healthy, long life [3]. Thus, using exercise to improve glycaemic control in addition to maintaining aerobic fitness and lean body mass (strength) should all be a part of the ‘exercise formula’prescribed to patients with, or at risk of developing, type 2 diabetes.