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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (11): 40-45.doi: 10.16460/j.issn1008-9969.2020.11.040

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Effect of Exercise on Walking Function of Elderly Type 2 Diabetic Patients：A Meta-analysis

LIU Min1, LIU An-nuo1, WU De-quan2, GAO Yu2, CHEN Guo-hong1, ZHU Gui-yue1, ZHANG Meng1, MA Wen1, DING Cui-lu1   

  1. 1. School of Nursing, Anhui Medical University, Hefei 230032, China;
    2. The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China
  • Received:2020-03-27 Online:2020-06-10 Published:2020-07-07

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Abstract: Objective To systematically evaluate the effect of exercise on walking function of elderly patients with type 2 diabetes. Methods We search databases including PubMed, Web of Science, Cochrane Library, EMbase, CBM, CNKI, Wanfang and Weipu from the inception to July 1, 2019 for RCTs on the effect of exercise on walking function of elderly patients with type 2 diabetes. Meta analysis was performed using RevMan 5.3 software. Results Eight articles were finally included, with a total of 549 subjects. Meta-analysis results showed that exercise can shorten the time of standing walking time test and improve walking function [MD=-1.63, 95%CI(-1.83, -1.44), P<0.01] and can improve the length of 6-minute walk, walking endurance and speed [MD=68.72, 95%CI(39.98, 97.45), P<0.01]. Exercise can increase the number of steps of 2 minutes in situ, improve lower extremity mobility [MD=23.34, 95%CI(19.28, 27.40), P<0.01], increase the number of 30 s seat standing and improve lower limb strength [MD=3.69, 95%CI(2.84, 4.55), P<0.01]. Conclusion Exercise can improve walking function of elderly patients with type 2 diabetes.

Key words: elderly, type 2 diabetes, exercise, walking function, Meta-analysis

CLC Number: 

  • R47
[1] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志, 2018, 38(4):34-86.DOI:10.3760/cma.j.issn.1674-5809.2018.01.003.
[2] Sarodnik C, Bours SPG, Schaper NC,et al.The Risks of Sarcopenia, Falls and Fractures in Patients with Type 2 Diabetes Mellitus[J].Maturitas,2018(109):70-77.DOI:10.1016/j.maturitas.2017.12.011.
[3] Trierweiler H, Kisielewicz G, Hoffmann Jonasson T, et al.Sarcopenia: A Chronic Complication of Type 2 Diabetes Mellitus[J]. Diabetol Metab Syndr, 2018, 10(1):25. DOI:10.1186/s13098-018-0326-5.
[4] 段富贵. 下肢肌力/体重与老年人行走能力的相关性[J].中国老年学杂志,2018, 38(16):110-111.
[5] 谭恺,王军力,王玉龙.低风险老年人步行锻炼与跌倒关系的Meta分析[J].体育科学研究,2019,23(3):63-70.DOI:10.19715/j.tiyukexueyanjiu.2019.03.013.
[6] 李立,陈玉娟,翟凤鸣,等. 老年人不同运动形式下足底压力分布特征研究进展[J].中国老年学杂志,2011,31(16):3210-3212.DOI:10.3969/j.issn.1005-9202.2011.16.104.
[7] 吕俊. 70~79岁老年人体质测评指标的筛选[D].成都:成都体育学院,2018.
[8] 康丽. 计时起立-行走测试在老年人跌倒预测与风险评估中的应用价值[D].天津:天津医科大学,2017.
[9] Higgins JPT, Thomas J,Chandler J,et al.Cochrane Handbook for Systematic Reviews of Interventions[M]. 2nd Edition. Chichester (UK): John Wiley & Sons,2019.
[10] Xiao CM.Effects of Tai Chi Ball on Balance and Physical Function in Older Adults with Type 2 Diabetes Mellitus[J].J Am Geriatr Soc,2015,63(1):176-177.DOI:10.1111/jgs.13207.
[11] 裴丽. 快速健步走运动对老年2型糖尿病患者身体活动能力的影响[J].社区医学杂志,2016,14(23):66-68.
[12] Park SY.Effects on Training and Detraining on Physical Function, Control of Diabetes and Anthropometrics in Type 2 Diabetes; A Randomized Controlled Trial[J]. Physiother Theory Pract,2015,31(2):83-88.DOI:10.3109/09593985.2014.958265.
[13] Gallé F,Di Onofrio V,Miele A,et al.Effects of a Community-based Exercise and Motivational Intervention on Physical Fitness of Subjects with Type 2 Diabetes[J]. Eur J Public Health 2019,29(2):281-286.DOI:10.1093/eurpub/cky140.
[14] del Pozo-Cruz B, Alfonso-Rosa RM,del Pozo-Cruz J,et al.Effects of a 12-wk Whole-body Vibration Based Intervention to Improve Type 2 Diabetes[J]. Maturitas,2014,77(1):52-58.DOI:10.1016/j.maturitas.2013.09.005.
[15] Hsieh PL,Tseng CH,Tseng YJ.Resistance Training Improves Muscle Function and Cardiometabolic Risks But Not Quality of Life in Older People with Type 2 Diabetes Mellitus: A Randomized Controlled Trial[J]. J Geriatr Phys Ther, 2018,41(2):65-76.DOI:10.1519/JPT.0000000000000107.
[16] 谭思洁,张棣,李伟. 康复运动对老年2型糖尿病患者身体活动能力的影响[J]. 中国康复医学杂志, 2009(8):719-722.DOI:10.3969/j.issn.1001-1242.2009.08.015.
[17] Tsang T, Orr R,Lam P,et al.Health Benefits of Tai Chi for Older Patients with Type 2 Diabetes: The “Move It for Diabetes Study”-A Randomized Controlled Trial[J].Clin Interv Aging,2007,2(3):429-439.
[18] 杨帆,罗予,温子豪. 老年人步态及运动干预手段研究进展[J].当代体育科技,2017,7(25):201-202.DOI:10.16655/j.cnki.2095-2813.2017.25.201.
[19] 董宏,孟良,王荣辉.体育锻炼对中老年人群骨密度影响的Meta分析[J].北京体育大学学报,2016,39(3):58-65.
[20] Tabit CE,Chung WB,Hamburg NM.Endothelial Dysfunction in Diabetes Mellitus: Molecular Mechanisms and Clinical Implications[J].Rev Endocr Metab Disord,2010,11(1):61-74.DOI:10.1007/s11154-010-9134-4.
[21] Al-Shreef FM, Al-Jiffri OH.Bone Metabolism and Hand Grip Strength Response to Aerobic Versus Resistance Exercise Training in Non-insulin Dependent Diabetic Patients[J].Afr Health Sci,2015,15(3):896-901. DOI:10.4314/ahs.v15i3.25.
[22] 梁敏,王海牛,黄鹏,等.抗阻动对2型糖尿病糖脂代谢异常患者干预效果的系统综述和Meta分析[J].中国组织工程研究,2019,23(35):5718-5726.
[23] 袁爱国,刘辉文,雷雨.2型糖尿病有氧运动疗法的最新研究进展[J].中国康复医学杂志,2016,31(6):702-706.DOI:10.3969/j.issn.1001-1242.2016.06.021.
[24] 沈意娜,赵芳,周立新,等.对2型糖尿病患者运动相关临床实践指南的评价研究[J].中国护理管理,2018,18(6):755-761.DOI:10.3969/j.issn.1672-1756.2018.06.008.
[25] 马明,林强,秦洪云.六分钟步行试验与摄氧量的相关性研究[J].中国组织工程研究与临床康复,2009,13(50):9909-9912.DOI:10.3969/j.issn.1673-8225.2009.50.022.
[26] Stanaway FF, Gnjidic D, Blyth FM, et al.How Fast Does the Grim Reaper Walk? Receiver Operating Characteristics Curve Analysis in Healthy Men Aged 70 and Over[J]. BMJ,2011(343):d7679. DOI:10.1136/bmj.d7679.
[27] Sivaramakrishnan D, Fitzsimons C,Kelly P,et al.The Effects of Yoga Compared to Active and Inactive Controls on Physical Function and Health Related Quality of Life in Older Adults- systematic Review and Meta-analysis of Randomised Controlled Trials[J].Int J Behav Nutr Phys Act 2019,16(1):33.DOI:10.1186/s12966-019-0789-2.
[28] 张兆龙,覃林.基于跌倒效能系统评价Otago家庭运动预防老年人日常跌倒损伤的效果[J]. 中国康复医学杂志,2018, 33(2):200-205.DOI:10.3969/j.issn.1001-1242.2018.02.015.
[29] 沈小雨,章代亮,付慧,等.运动处方对老年2型糖尿病患者影响的研究进展[J].中国老年学杂志,2018,38(5):1270-1272.DOI:10.3969/j.issn.1005-9202.2018.05.095.
[30] 许可彩,于卫华.老年人功能性体适能的影响因素研究进展[J].护理学报, 2019, 26(13):34-37.DOI:10.16460/j.issn1008-9969.2019.13.034.
[31] Hill KD, Hunter SW, Batchelor FA, et al.Individualized Home-based Exercise Programs for Older People to Reduce Falls and Improve Physical Performance: A Systematic Review and Meta-analysis[J].Maturitas,2015,82(1):72-84.DOI:10.1016/j.maturitas.2015.04.005.
[32] Chapman A, Meyer C, Renehan E, et al.Exercise Interventions for the Improvement of Falls-related Outcomes Among Older Adults with Diabetes Mellitus: A Systematic Review and Meta-analyses[J]. J Diabetes Complications,2017,31(3):631-645.DOI:10.1016/j.jdiacomp.2016.09.015.
[33] Gomes MJ,Martinez PF,Pagan LU,et al.Skeletal Muscle Aging: Influence of Oxidative Stress and Physical Exercise[J].Oncotarget, 2017, 8(12):20428-20440.DOI:10.18632/oncotarget.14670.
[34] 李俊. 有氧运动对2型糖尿病大鼠血管炎症及SIRT1/NF-κB信号通路的影响[J].北京体育大学学报, 2018,41(5):57-63.
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