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BMJ子刊:有氧运动vs抗组运动——孕妈妈选哪种可减少妊娠期糖尿病风险?速戳!

2022-04-14 liangying MedSci原创

非药物干预措施控制妊娠期血糖水平尤其重要,未来GDM患者需要关注这一问题。

妊娠期糖尿病(GDM)是指在妊娠期间首次发现的任何程度的糖耐量异常,约占妊娠期高血糖妇女总数的90%至95%。全球GDM的发病率每年都在增加,在过去20年中,低收入和中等收入国家的发病率增加了30%以上。GDM可导致不良妊娠结局的风险增加,如早产、胎儿呼吸窘迫和巨大胎儿,并显著增加产妇产后5-10年患2型糖尿病(DM)以及后代患肥胖和糖尿病的风险。因此,预防GDM对孕妇的不良后果至关重要。

迄今为止,抗阻运动对妊娠期糖尿病(GDM)患者的糖尿病相关参数(血糖水平和胰岛素使用)和妊娠结局的影响尚未与有氧运动进行比较。本研究的目的是探索抵抗运动与有氧运动对GDM患者血糖水平、胰岛素利用率和妊娠结局的影响。

从2019年12月至2020年12月,选择100名患有GDM的孕妇,并随机分为抵抗运动组(49名患者)和有氧运动组(51名患者)。有氧运动组接受有氧运动干预,而阻力运动组接受阻力运动干预。两组均接受运动干预50-60分钟,每周3次,持续6周。此外,两组患者接受相同的常规护理,包括个性化饮食干预、在线教育和孕妇学校课程。

研究结果显示,抗阻运动组和有氧运动组干预后血糖水平低于干预前(p<0.05)。干预后两组空腹血糖水平、胰岛素利用率、不良妊娠结局发生率无显著性差异(p>0.05),然而,两组在餐后2小时血糖水平和运动依从性方面存在显著差异(p<0.05),阻力运动组的结果优于有氧运动组。

两组干预前后血糖水平比较

总之,研究显示阻力训练更容易进行,具有更好的依从性,并且有助于在怀孕期间甚至产后坚持。非药物干预措施控制妊娠期血糖水平尤其重要,未来GDM患者需要关注这一问题。

参考文献:Xie Y, Zhao H, Zhao M, et al Effects of resistance exercise on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus: a randomized controlled trial BMJ Open Diabetes Research and Care 2022;10:e002622. doi: 10.1136/bmjdrc-2021-002622

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    2022-09-13 gaoxiaoe
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    2022-05-20 lg.zhao
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    2022-04-10 明天jing

    有氧运动与无氧运动应该一直有争议,二者对健康的作用有差别,但是也应该有度(时间)的关系,过度运动可能并不合适,尤其是无氧运动。

    0

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