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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (3): 51-55.doi: 10.16460/j.issn1008-9969.2019.03.051

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Effects of Resistance Exercise on Elderly Patients with Type 2 Diabetes Mellitus and Frailty

JIN Yu, DOU Li-ya, MA Hui-zhen   

  1. Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing 210008, China
  • Received:2018-09-30 Online:2019-02-10 Published:2020-07-08

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Abstract: Objective To investigate the effects of resistance exercise on elderly patients with type 2 diabetes mellitus and frailty. Methods Totally 180 elderly patients with type 2 diabetes mellitus and frailty in our hospital from April 2017 to April 2018 were selected and assigned into 2 groups, with 90 cases in each group. The control group was given conventional treatment and health education and the observation group was given resistance exercise intervention. The physiology indexes including blood sugar, blood fat and body weight were measured and the frailty level were assessed using Fried Frailty Phenotype before the intervention, 1 month and 3 months after the intervention. Results Before the intervention, there was no significant difference in physiology indexes and frailty between the two groups(P>0.05);1 month and 3 months after the intervention, physiology indexes including blood sugar, blood fat indexes and body weight in observation group were better than those in control group and the proportion of patients with frailty in the observation group was lower than that in the control group (P<0.05). Conclusion Resistance exercise in elderly patients with type 2 diabetes mellitus and frailty can lower blood sugar, blood fat and body weight, and improve patients' frailty.

Key words: type 2 diabetes mellitus, frailty, elderly patient, resistance exercise

CLC Number: 

  • R473.5
[1] García-Esquinas E, Graciani A, Guallar-Castillón P, et al.Diabetes and Risk of Frailty and Its Potential Mechanisms: A Prospective Cohort Study of Older Adults[J]. J Am Med Dir Assoc, 2015,16(9):748-754. DOI:10.1016/j.jamda.2015.04.008.
[2] 国家卫生和计划生育委员会.2016年联合国糖尿病日主题宣传活动在京举行[EB/OL]. [2017-02-25].http://www.nhfpc.gov.cn/zhuz/idzs/201611/448235ffoaa74fobbafa809daed7ebshtml.
[3] Tang Z, Wang C, Song X, et al.Cooccurrence of Cardiometabolic Diseases and Frailty in Olderly Chinese Adults In The Beijing Longitudimal Study of Ageing[J]. Age ageing,2013,42(3):346-351.DOI:10.1093/ageing/aft004.
[4] Liccini A, Malmstrom T K.Frailty and Sarcopenia As Predictors of Adverse Health Outcomes in Persons with Diabetes Mellitus[J]. J Am Med Dir Assoc, 2016,17(9):846-851. DOI:10.1016/j.jamda.2016.07.007.
[5] Castro-Rodriguez M, Carnicero J A, Carcia-Carcia F J, et al. Frailty as a Major Factor in the Increased Risk of Death and Disability in Older People with Diabetes[J]. J Am Med Dir Assoc,2016, 17(10):949-955.DOI:10.1016/j.jamda.2016.07.013.
[6] Abdelhafiz A H, Koay L, Sinclar A J. The Effect of Frailty should be Considered in the Management Plan of Older People with Type 2 Diabetes[J]. Future Sci OA,2016,2(1):FSO102.DOI:10.4155/fsoa-2015-0016.
[7] Leocadio Rodríguez-Mañas, Antony J Bayer, Mark Kelly.An Evaluation of The Effectiveness of a Multi-modal Intervention in Frail and Pre-frail Older People with Type 2 Diabetes - the Mid-frail Study: Study Protocol for a Randomised Controlled Trial[J]. Trials,2014,15:34.DOI:10.1186/1745-6215-15-34.
[8] 杨中方,白姣姣,李全磊,等.抗阻力运动对Z型糖尿病患者血糖控制效果的 Meta分析[J].护理学杂志,2014,29(3):81-85.DOI:10.3870/hlxzz.2014.03.081.
[9] 中华医学会糖尿病学分会. 中国 2 型糖尿病防治指南(2010年版)[M].北京:北京大学医学出版社,2010:20.
[10] Ferriolli E, Pessanha F P, Marchesi J C.Diabetes and Exercise in the Elderly[J]. Med Sport Sci, 2014,60:122-129.DOI:10.1159/000357342.
[11] 刘潇,吴淋淋,刘树军,等.老年2型糖尿病合并非糖尿病肾病患者的临床及病理分析[J].中国老年学杂志,2017,37(8):1900-1902. DOI:10.3969/j.issn.1005-9202.2017.08.033.
[12] Fried L P, Tangen C M, WalstonJ, et al.Frailty in Older Adults: Evidence for a Phenotype[J]. J Gerontol A Biol Sci Med Sci, 2001,56(3):M146-156.
[13] 付莉,张敏,翟迪.抗阻力运动联合有氧运动在2型糖尿病病人治疗中的应用效果评价[J].护理研究,2014,28(2B):580-582.DOI:0.3969/j.issn.1009-6493.2014.05.033.
[14] Pangilinan J, Quanstrom K, Bridge R M, et al.The Timed Up and Go Test as a Measure of Frailty in Urologic Practice[J]. Urology,2017,106:32-38. DOI:10.1016/j.urology.2017.03.054.
[15] Hoogendijk E O, Huisman M, Van Ballegooijen A J. The Role of Frailty in Explaining the Association Between the Metabolic Syndrome and Mortality in Older Adults[J]. Exp Gerontol,2017, 91:5-8.DOI:10.1016/j.exger.2017.02.007.
[16] Tuillang Y F, Alejandro S.Effects of Training and Detraining on Glycosylated Haemoglobin, Glycaemia and Lipid Profile in Type-Ii Diabetics[J]. Nutr Hosp, 2015, 32(4):1729-1734.DOI:10.3305/nh.2015.32.4.9341.
[17] 王光旭,王兴,陈新丽.不同形式运动对2型糖尿病患者糖化血红蛋白百分比和部分体成分影响的Meta分析[J].体育科学,2016,36(10):56-66.DOI:10.16469/j.css.201610008.
[18] Yang Z, Scott C A, Man C, et al.Resistance Exercise Versus Aerobic Exercise for Type 2 Diabetes:A Systematic Review and Meta-analysis[J]. Sports Med, 2014, 44(4):487-499.DOI:10.1007/s40279-013-0128-8.
[19] Landi F, Marzetti E, Martone A M, et al.Exercise as a Remedy for Sarcopenia[J]. Curr Opin Clin Nutr Metab Care,2014,17(1):25-31.DOI:10.1097/MCO.0000000000000018.
[20] 孟朝琳,王燕翔,吴小彬,等.餐后不同时间抗阻训练对2型糖尿病患者降糖作用的观察[J].护理学报,2013,20(4A):31-33.
[21] Behrens M, Zimmer P, Klare W R, et al.Fitness Training for Diabetics-theoretical and Practical Aspects[J]. Diabetes Stoffwechsel Und Herz,2012,21(1):21-25.
[22] Agniar A F, Januario R S, Junior R P, et al.Long-term Ereatine Supplementation Improves Muscular Performance During Resistance Training in Older women[J].Eur J Appl Physiol,2013, 113(4):987-996.DOI:10.1007/s00421-012-2514-6.
[23] 程晶,陈伟,钟卫权.等热量不同运动方式对2型糖尿病患者血管内皮及心肺功能的影响[J].中国康复医学杂志,2016,31(9):1018-1019.DOI:10.3969/j.issn.1001-1242.2016.09.018.
[24] Panveloski-Costa A C,Pinto Júnior D A,Brandao B B,et al. Resistive Training Reduces Inflammation in Skeletal Muscle and Improves the Peripheral Insulin Sensitivity in Obese Rats Induced by Hyperlipidic Diet[J]. Arq Bras Endocrinol Metabol, 2011, 55(2):155-163.DOI:10.1590/S0004-27302011000200008.
[25] Cadore E L, Izquierdo M.Exercise Intervention in Polypathological Aging Patients that Coexist with Diabetes Mellitus: Improving Functional Status and Quality of Life[J]. Age (Dordr), 2015,37(3):64.DOI:10.1007/s11357-015-9800-2.
[26] Sinclair A J, Rodriguez-Manas L.Diabetes and Frailty: Two Converging Conditions?[J].Can J Diabetes,2016,40(1):77-83. DOI:10.1016/j.jcjd.2015.09.004 .
[27] Eckert K.Impact of Physical Activity and Body Weight on Health Related Quality of Life in People with Type 2 Diabetes[J].Diabetes Metab Syndrobes,2012,5:303-311. DOI:10.2147/DMSO.S34835.
[28] 陈琰,郑淑蓓,郑育,等. 维持性血液透析患者的衰弱情况及其影响因素[J].中华肾脏病杂志, 2017, 33(10):763-768.DOI:10.3760/cma.j.issn.1001-7097.2017.10.007.
[29] Bergman M.Pathophysiology of Prediabetes and Treatment Implications for the Prevention of Type 2 Diabetes Mellitus[J]. Endocrine, 2013,43(3):504-513.DOI:10.1007/s12020-012-9830-9.
[30] 李红川. 实施弹力带柔性抗阻训练对中老年女性肌肉力量和平衡能力的影响研究[D].成都:成都体育学院,2012.
[31] 范锦勤,杜亚,翁锡全.不同负重抗阻训练对老年大鼠股四头肌蛋白质的影响[J].广州体育学院学报,2015,35(3):100-104.
[32] 孙易,丁树哲.从骨骼肌可塑性透视运动适应的细胞机制[J].生理科学进展,2014,45(5):349-452.
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