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首页> 外文期刊>Diabetes care >Home-based resistance training is not sufficient to maintain improved glycemic control following supervised training in older individuals with type 2 diabetes.
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Home-based resistance training is not sufficient to maintain improved glycemic control following supervised training in older individuals with type 2 diabetes.

机译：在老年2型糖尿病患者的有监督训练之后，基于家庭的抵抗训练不足以维持改善的血糖控制。

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OBJECTIVE: To examine whether improvements in glycemic control and body composition resulting from 6 months of supervised high-intensity progressive resistance training could be maintained after an additional 6 months of home-based resistance training. RESEARCH DESIGN AND METHODS: We performed a 12-month randomized controlled trial in 36 sedentary, overweight men and women with type 2 diabetes (aged 60-80 years) who were randomly assigned to moderate weight loss plus high-intensity progressive resistance training (RT&WL group) or moderate weight loss plus a control program (WL group). Supervised gymnasium-based training for 6 months was followed by an additional 6 months of home-based training. Glycemic control (HbA(1c)), body composition, muscle strength, and metabolic syndrome abnormalities were assessed at 0, 3, 6, 9, and 12 months. RESULTS: Compared with the WL group, HbA(1c) decreased significantly more in the RT&WL group (-0.8%) during 6 months of supervised gymnasium-based training; however, this effect was not maintained after an additional 6 months of home-based training. In contrast, the greater increase in lean body mass (LBM) observed in the RT&WL group compared with the WL group (0.9 kg, P < 0.05) after the gymnasium-based training tended to be maintained after the home-based training (0.8 kg, P = 0.08). Similarly, the gymnasium-based increases in upper body and lower body muscle strength in the RT&WL group were maintained over the 12 months (P < 0.001). There were no between-group differences for changes in body weight, fat mass, fasting glucose, or insulin at 6 or 12 months. CONCLUSIONS: In older adults with type 2 diabetes, home-based progressive resistance training was effective for maintaining the gymnasium-based improvements in muscle strength and LBM but not glycemic control. Reductions in adherence and exercise training volume and intensity seem to impede the effectiveness of home-based training for maintaining improved glycemic control.
机译：目的：研究在进行了六个月的家庭阻力训练后，是否可以维持六个月的监督性高强度进行性阻力训练所带来的血糖控制和身体成分的改善。研究设计和方法：我们对36位久坐，超重的2型糖尿病（年龄在60-80岁之间）的久坐的超重男女进行了为期12个月的随机对照试验，他们被随机分配为中等体重减轻和高强度进行性抵抗训练（RT＆WL）组）或中等体重减轻加上控制程序（WL组）。在体育馆的指导下进行了为期6个月的培训，然后再进行了6个月的家庭基础培训。在0、3、6、9和12个月时评估血糖控制（HbA（1c）），身体成分，肌肉力量和代谢综合征异常。结果：与WL组相比，RT＆WL组在六个月的有监督体育馆训练下，HbA（1c）的下降幅度更大（-0.8％）;但是，在进行了另外6个月的家庭培训后，这种效果无法保持。相比之下，在以体育馆为基础的训练后，RT＆WL组的瘦体重（LBM）较WL组（0.9 kg，P <0.05）更大，倾向于在以家庭为基础的训练后保持瘦体重（0.8 kg）。 ，P = 0.08）。同样，在过去的12个月中，RT＆WL组中基于体育馆的上身和下身肌肉力量得到了维持（P <0.001）。在6或12个月时，体重，脂肪量，空腹葡萄糖或胰岛素的变化在组间没有差异。结论：在患有2型糖尿病的老年人中，以家庭为基础的进行性抵抗训练对维持体育馆在肌肉力量和LBM方面的改善有效，但对血糖控制则无效。依从性和运动训练量及强度的减少似乎阻碍了家庭训练对维持改善的血糖控制的有效性。

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