中国康复理论与实践2025，Vol.31Issue(5)：553-560,8.DOI:10.3969/j.issn.1006-9771.2025.05.008
身体活动干预2型糖尿病患者的健康效益:系统综述的系统综述
Health benefits of physical activity in patients with type 2 diabetes:a systematic review of systematic reviews
摘要
Abstract
Objective To evaluate the evidence about impact of physical activity(PA)on glycemic control and related health out-comes in patients with type 2 diabetes mellitus(T2DM). Methods Adhering to PRISMA guideline,systematic reviews and meta-analyses published between 2017 and 2024 were retrieved from the databases such as Medline,Embase and Cochrane Library.Two researchers independently ex-tracted data and assessed the quality using AMSTAR2.The included systematic reviews were systematically re-viewed. Results Eight systematic reviews were included,with six rated as high quality and two as low quality.Various forms of PA interventions,such as aerobic exercise,resistance training,combined training and high-intensity interval train-ing,might significantly reduce glycated hemoglobin,enhance cardiorespiratory fitness,lower cardiovascular risk factors(such as body mass,blood pressure and blood lipids),and decrease the risk of diabetes-related complica-tions and mortality in T2DM patients.Combined training and high-intensity training seemed to be better.Profes-sionally supervised PA was more effective. Conclusions Regular and multimodal PA is effective on glycemic control,and cardiovascular and metabolic risk factors in T2DM patients.It is advocated an individualized,diversified,adequately dosed(encouraging higher total dos-es),intensity-appropriate(promoting higher intensity),combined-mode and supervision-integrated PA strategies.关键词
2型糖尿病/身体活动/血糖控制/并发症/系统综述Key words
type 2 diabetes/physical activity/glycemic control/complications/systematic review分类
临床医学引用本文复制引用
王梅,朱文平..身体活动干预2型糖尿病患者的健康效益:系统综述的系统综述[J].中国康复理论与实践,2025,31(5):553-560,8.基金项目
国家留学基金委员会创新型人才国际合作培养项目(No.202411340002) Supported by China Scholarship Council International Cooperation Cultivating Innovative Talents Program(No.202411340002) （No.202411340002）
