中国全科医学2025，Vol.28Issue(27)：3410-3421,12.DOI:10.12114/j.issn.1007-9572.2024.0211
同期训练可改善伴有超重或肥胖2型糖尿病患者的健康效应:一项Meta分析
Conccurent Training Can Improve the Physical Health in Diabesity Individuals:a Meta-analysis
摘要
Abstract
Background Obesity and type 2 diabetes,both associated with chronic metabolic dysfunction,are characterized by insulin resistance and heightened cardiovascular risk.Concurrent training emerges as an effective intervention to improve physical health in these patients,though the specific impacts warrant further exploration.Objective This study systematically evaluates the impact of concurrent training on body composition and other health metrics in obese type 2 diabetic patients.Methods We reviewed randomized controlled trials from databases like PubMed,Web of Science,Ebsco,CNKI,VIP,Wanfang Data,and SinoMed focusing on trials conducted between January 2001 and March 2024.These trials measured the effects of concurrent training on various health outcomes.Quality assessments were performed using the Cochrane risk of bias tool,and data were analyzed using Stata 16.0.Results Twelve randomized controled trials involving 967 participants showed that concurrent training significantly improves body composition[BMI:WMD=-0.46,P<0.001;body fat percentage(BF%):WMD=-3.49,P<0.001;fat-free mass(FFM%):WMD=3.26,P<0.001;waist circumference(WC):WMD=-2.73,P<0.001;hip circumference(HC):WMD=-2.78,P<0.001],cardiorespiratory fitness[maximal oxygen uptake(VO2max):WMD=5.13,P<0.001)],and metabolic profiles[Triglycerides(TG):SMD=-1.48,P=0.007;total cholesterol(TC):SMD=-1.66,P=0.002;high-density lipoprotein cholesterol(HDL-C):SMD=1.10,P=0.011;low-density lipoprotein cholesterol(LDL-C):SMD=-1.26,P=0.018;glycated hemoglobin percentage(HbA1c):WMD=-0.86,P<0.001;homeostasis model assessment of insulin resistance(HOMA-IR):SMD=-0.97,P=0.004;Glucose:SMD=-1.32,P=0.014],and inflammation markersα(TNF-α):SMD=-1.98,P<0.001.Conclusion Concurrent training markedly improves key health outcomes in obese type 2 diabetes patients.The outcomes vary based on the volume and order of training sessions.关键词
同期训练/糖尿病/肥胖/身体成分/心肺耐力/脂质代谢/炎症Key words
Concurrent training/Diabetes/Obesity/Body composition/Cardiorespiratory fitness/Lipid metabolism/Inflammation分类
医药卫生引用本文复制引用
卢冬磊,杨风英,冯展鹏,曹立全,谭思洁..同期训练可改善伴有超重或肥胖2型糖尿病患者的健康效应:一项Meta分析[J].中国全科医学,2025,28(27):3410-3421,12.基金项目
国家重点研发计划(2020YFC2006704) （2020YFC2006704）
天津市教委科研计划重点项目(2020ZD07) （2020ZD07）
