护理研究2026，Vol.40Issue(10)：1750-1755,6.DOI:10.12102/j.issn.1009-6493.2026.10.020
低血糖生成指数膳食联合抗阻运动在妊娠期糖尿病病人中的应用
Application of low glycemic index diet combined with resistance exercise in patients with gestational diabetes mellitus
摘要
Abstract
Objective:To explore the application effects of a low glycemic index(GI)diet combined with resistance exercise in patients with gestational diabetes mellitus(GDM).Methods:GDM patients who underwent prenatal check-ups and delivered at Zhangye People's Hospital Affiliated to Hexi University were selected as the research subjects from June to December 2024.The patients were divided into observation group and control group using random number table.The control group received conventional lifestyle management,while the observation group was received low glycemic index diet diet combined with resistance exercise based on conventional lifestyle management.Indicators monitored included glycemic and lipid metabolism parameters[fasting blood glucose(FBG),glycated hemoglobin(HbA1c),total cholesterol(TC),triglycerides(TG),2-hour postprandial blood glucose(2 hPG),fasting insulin(FINS),homeostatic model assessment for insulin resistance(HOMA-IR)],adipokines[leptin(LEP),adiponectin(ADPN),soluble leptin receptor(sLR),LEP/ADPN(L/A)],and delivery outcomes(gestational hypertensive disorders,premature rupture of membranes,cesarean section,preterm birth,cumulative blood loss at 2 hours postpartum,macrosomia,fetal distress,neonatal asphyxia,neonatal hypoglycemia,1-minute Apgar score).Results:A total of 46 patients in the observation group and 45 patients in the control group completed the intervention.After the intervention,the observation group showed lower levels of FBG,2 hPG,HbA1c,TC,TG,LEP,L/A,FINS,and HOMA-IR compared to both pre-intervention levels and the control group during the same period.The ADPN and sLR levels of observation group were higher than pre-intervention levels and those of the control group.The incidence rates of events such as cesarean section,macrosomia,and neonatal asphyxia of observation group were all lower than those in the control group.The cumulative blood loss at 2 hours postpartum of observation group was less than that in the control group.The 1-minute Apgar score of observation group was higher than that in the control group(all P<0.05).Conclusions:The combination of low glycemic index diet and resistance exercise can improve insulin sensitivity,optimize glycemic and lipid metabolism indicators,and regulate the balance of the adipokine network to ameliorate the metabolic status of GDM patients.关键词
妊娠糖尿病/低血糖指数/饮食/抗阻训练/胰岛素抵抗/糖代谢/脂代谢/脂肪因子Key words
gestational diabetes mellitus/low-glycemic index/diet/resistance training/insulin resistance/glucose metabolism/lipid metabolism/adipokines引用本文复制引用
杨淑珍,王莉,陈冬梅,黄蜜,王晓燕,孔婷..低血糖生成指数膳食联合抗阻运动在妊娠期糖尿病病人中的应用[J].护理研究,2026,40(10):1750-1755,6.基金项目
甘肃省科技厅自然科学基金项目,编号:25JRRG002 （）
甘肃省大学生创新创业训练计划项目,编号:S202210740032 （）
