Effect of Exercise Training on Physical Fitness in Type II Diabetes Mellitus
Effect of Exercise Training on Physical Fitness in Type II Diabetes Mellitus
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DOI：
10.1249/mss.0b013e3181d322dd
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发表时间：
2010-08-01
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通讯作者：
Kenny, Glen P.
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作者：
Larose, Joanie;Sigal, Ronald J.;Kenny, Glen P.
拉罗斯，J. R. J.西格尔，N. G.布尔，G. A.威尔斯，D.普鲁德霍姆，M. S.福捷，R. D.里德，H.塔洛克，D.科伊尔，P.菲利普斯，A.詹宁斯，F.坎德瓦拉，G. P.肯尼。运动训练对2型糖尿病患者体质的影响。医学科学。体育Exerc。，第42卷第8期，第1439-1447页，2010年。很少有研究比较有氧训练与阻力训练相结合对心肺功能的影响。此外，迄今为止还没有研究比较抗阻训练和联合运动训练对2型糖尿病（T2DM）的力量增益。目的：我们评估有氧运动训练（A组）、阻力运动训练（R组）、有氧和阻力联合训练（A + R组）和久坐生活方式（C组）对T2DM患者心肺功能和肌肉力量的影响。方法：251名糖尿病有氧和阻力运动试验的参与者被随机分配到A， R， A + R或c组。在0和6个月的最大运动测试后，确定峰值耗氧量((V)超过dotO(2peak))，工作量和跑步机时间。肌肉力量测量为在腿推、卧推和坐排上重复8次的最大值。对较年轻（39-54岁）和较年长（55-70岁）的成年人以及性别之间的反应进行了比较。结果：(V)过dotO（2峰）分别提高1.73 mL和1.93 mL O-2.kg（-1）。min（-1）与A和A + R相比，分别高于C （P < 0.05）。在腿推（A + R: 48%, R: 65%）、卧推（A + R: 38%, R: 57%）和坐排（A + R: 33%, R: 41%, P < 0.05）上进行A + R和R后，力量改善显著。年龄或性别对训练表现结果没有主要影响。然而，对于老年参与者来说，a + R （+ 1.5 mL O-2.kg(-1)）增加(V)超过dotO（2峰值）的趋势更多。min(1)),而不是一个只(+ 0.7毫升o - 2.公斤(1).min(1))。结论：与单独进行有氧和阻力训练相比，联合训练没有提供额外的好处，也没有减轻年轻受试者的健康改善。在年龄较大的受试者中，与单独服用a相比，服用a + R有更大的有氧健身增强趋势。
LAROSE, J., R. J. SIGAL, N. G. BOULE, G. A. WELLS, D. PRUD'HOMME, M. S. FORTIER, R. D. REID, H. TULLOCH, D. COYLE, P. PHILLIPS, A. JENNINGS, F. KHANDWALA, and G. P. KENNY. Effect of Exercise Training on Physical Fitness in Type II Diabetes Mellitus. Med. Sci. Sports Exerc., Vol. 42, No. 8, pp. 1439-1447, 2010. Few studies have compared changes in cardiorespiratory fitness between aerobic training only or in combination with resistance training. In addition, no study to date has compared strength gains between resistance training and combined exercise training in type II diabetes mellitus (T2DM). Purpose: We evaluated the effects of aerobic exercise training (A group), resistance exercise training (R group), combined aerobic and resistance training (A + R group), and sedentary lifestyle (C group) on cardiorespiratory fitness and muscular strength in individuals with T2DM. Methods: Two hundred and fifty-one participants in the Diabetes Aerobic and Resistance Exercise trial were randomly allocated to A, R, A + R, or C. Peak oxygen consumption ((V)over dotO(2peak)), workload, and treadmill time were determined after maximal exercise testing at 0 and 6 months. Muscular strength was measured as the eight-repetition maximum on the leg press, bench press, and seated row. Responses were compared between younger (aged 39-54 yr) and older (aged 55-70 yr) adults and between sexes. Results: (V)over dotO(2peak) improved by 1.73 and 1.93 mL O-2.kg(-1).min(-1) with A and A + R, respectively, compared with C (P < 0.05). Strength improvements were significant after A + R and R on the leg press (A + R: 48%, R: 65%), bench press (A + R: 38%, R: 57%), and seated row (A + R: 33%, R: 41%; P < 0.05). There was no main effect of age or sex on training performance outcomes. There was, however, a tendency for older participants to increase (V)over dotO(2peak) more with A + R (+ 1.5 mL O-2.kg(-1).min(-1)) than with A only (+ 0.7 mL O-2.kg(-1).min(-1)). Conclusions: Combined training did not provide additional benefits nor did it mitigate improvements in fitness in younger subjects compared with aerobic and resistance training alone. In older subjects, there was a trend to greater aerobic fitness gains with A + R versus A alone.