التفاصيل البيبلوغرافية
| العنوان: |
便携式可穿戴设备结合运动管理对2型 糖尿病患者血糖和肌氧代谢的影响. (Chinese) |
| Alternate Title: |
Effects of portable wearable devices combined with exercise management on blood glucose and muscle oxygen metabolism in patients with type 2 diabetes mellitus. (English) |
| المؤلفون: |
牛文畅, 姜宏卫, 梁晓丽, 张瑞瑞, 房文静, 刘晓倩, 马沛, 韦伟, 袁举, 袁惠平, 王曼丽, 楼青青, 郑雪洋, 彭慧芳, 贾竹敏 |
| المصدر: |
Chinese Journal of Diabetes Mellitus; Jun2022, Vol. 14 Issue 6, p577-583, 7p |
| Abstract (English): |
Objective To investigate the effects of portable and wearable devices combined with exercise management on blood glucose and muscle oxygen metabolism in type 2 diabetes mellitus (T2DM) patients. Methods A total of 54 T2DM patients without exercise contraindications, who were admitted to the Department of Endocrinology in the First Affiliated Hospital of Henan University of Science and Technology from May 2018 to June 2019 were selected. The patients were divided into two groups: wearable devices combined with the exercise management group (the experimental group, 33 cases) and control group (21 cases) according to the random envelope method. Both groups were given routine discharge health education and exercise guidance. The experimental group wore portable devices during exercise once every other day for two weeks. Two weeks later, a home program with brisk walking according to the exercise speed of the patients was formulated, and the program was managed remotely through step counting on Wechat, the daily exercise of patients was uploaded to the Wechat group of exercise management. After 24 weeks, the patients were tested in the exercise center. The control group wore portable devices to collect indicators at baseline and the end of the study, without exercise intervention guidance. After 24 weeks, the changes of the two groups in fasting plasma glucose (FPG), glycated hemoglobin A1c (HbA1c), low-density lipoprotein cholesterol (LDL-C), muscle oxygen, and heart rate were measured. Statistical analysis to compare the indexes between groups was conducted with t-test, Wilcoxon rank-sum test, or χ2 test. Results Compared with the control group, LDL-C significantly decreased in the experimental group [(-1.02±0.96) vs. (0.19±0.85)mmol/L, respectively, P<0.05] after the intervention. In contrast with the indexes before intervention, FPG [7.00 (5.90, 8.20) vs. 8.00 (6.70, 9.60) mmol/L], HbA1c [6.40% (6.10%, 7.00%) vs. 7.50% (6.20%, 10.10%)] and LDL-C [(1.83±0.72) vs. (2.85±0.80) mmol/L] in experimental group decreased significantly (P<0.05). The crossing time of muscle oxygen and heart rate curve, the lowest point time of muscle oxygen, and the rising point time of muscle oxygen were advanced in experimental group compared with the control group, with the values of (13.70±6.22) vs. (14.56±5.18) min, (14.05±3.75) vs. (15.88±3.70) min, (16.90±5.25) vs. (18.00±4.49) min, but there was no statistical significance (P>0.05). Compared with the control group, after 24 weeks, the muscle oxygen at 1 minute in the second stage was significantly decreased (3.85%±0.58% vs. 2.43%±0.24%) and the heart rate at 2 minutes in the third stage was significantly increased [(3.33±0.58) vs. (5.06±0.57) times per min, P<0.05]. Conclusions Portable and wearable devices combined with exercise management can decrease the blood glucose level, and improve muscle oxygen metabolism and cardiorespiratory endurance in T2DM patients. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): |
目的探讨便携式可穿戴设备结合运动管理对2型糖尿病（T2DM）患者血糖和肌氧代 谢的影响。方法选取2018年5月至2019年6月于河南科技大学第一附属医院就诊的无运动禁忌的 T2DM患者54例, 按随机信封法分为可穿戴设备结合运动管理组（试验组, 33例）和对照组（21例）。 两组均给予常规出院健康教育及运动指导。试验组使用穿戴便携式设备进行2周运动干预, 隔日 1次, 2周后研究者根据患者运动速度设置居家快步走运动方案, 采用微信计步的方式远程管理, 将每 天运动情况上传至微信运动管理群, 24周后返回运动中心测试。对照组在基线及研究结束时穿戴便 携式设备收集指标, 未进行运动干预。24 周后, 观察两组患者空腹血糖（FPG）、糖化血红蛋白 （HbA1c）、低密度脂蛋白胆固醇（LDL-C）、肌氧、心率等指标的变化。组间指标的比较采用t 检验、 Wilcoxon秩和检验或χ²检验。结果与对照组相比, 干预后试验组LDL-C降低幅度更大, 差异具有统 计学意义［分别为（-1.02±0.96）和（0.19±0.85）mmol/L, P<0.05］。与干预前相比, 试验组FPG［分别为 7.00（5.90, 8.20）和8.00（6.70, 9.60）mmol/L］, HbA1c［分别为6.40%（6.10%, 7.00%）和7.50%（6.20%, 10.10%）］, LDL-C［分别为（1.83±0.72）和（2.85±0.80）mmol/L］均降低, 差异具有统计学意义（P<0.01）。 与对照组相比, 试验组肌氧与心率曲线交叉点时间［分别为（13.70±6.22）和（14.56±5.18）min］、肌氧最 低点时间［分别为（14.05±3.75）和（15.88±3.70）min］、肌氧回升点时间［分别为（16.90±5.25）和（18.00± 4.49）min］均提前, 但差异均无统计学意义（P>0.05）;与对照组相比, 干预后试验组第2阶段1 min肌氧 降幅（分别为3.85%±0.58%和2.43%±0.24%）、第3阶段2 min心率升幅［分别为（3.33±0.58）和（5.06± 0.57）次/min］差异均有统计学意义（P<0.05）。结论便携式可穿戴设备并结合运动管理可降低血糖, 提高T2DM患者肌氧代谢能力及心肺耐力。. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |