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Beyond general resistance training. Hypertrophy versus muscular endurance training as therapeutic interventions in adults with type 2 diabetes mellitus: A systematic review and meta-analysis.
Obesity Reviews ( IF 8.0 ) Pub Date : 2020-02-17 , DOI: 10.1111/obr.13007
Pedro Acosta-Manzano 1, 2 , María Rodriguez-Ayllon 2, 3 , Francisco M Acosta 2, 3 , David Niederseer 4 , Josef Niebauer 5
Affiliation  

Resistance training (RT) is a powerful first‐line intervention for the management of type 2 diabetes mellitus (T2DM). Nonetheless, the effects of the most frequent RT (hypertrophy training [HT] and muscular endurance training [MERT]) employed for the management of T2DM, and which type of RT might exert superior effects, remain elusive. Thus, this review aims to assess the effects of HT and MERT on glycaemic control, physical fitness, body composition, lipid profile, blood pressure, C‐reactive protein, and quality of life in patients with T2DM; to analyse which particular RT is more effective; to assess the effects of general RT; and to identify RT components, characteristics of patients, and medications that could mediate the effects of RT. Randomized controlled trials (RCT) and non‐RCT (RT≥ 4 weeks) in adults with T2DM were selected. Both HT and MERT improved HbA1c, insulin levels and sensitivity, muscle strength, body mass index, waist circumference, and fat mass. Additionally, HT improved glucose, cardiorespiratory fitness, fat percentage, lean body mass, lipid profile, systolic blood pressure, and C‐reactive protein, and MERT improved weight. Overall, HT and MERT exert beneficial effects well comparable with aerobic training. Both types of RT can be used as potent therapeutic interventions for the management of T2DM depending on patients' limitations/preferences.

中文翻译:

除了一般的抵抗训练。肥大与肌肉耐力训练作为成人2型糖尿病的治疗手段:系统评价和荟萃分析。

抵抗训练(RT)是用于治疗2型糖尿病(T2DM)的强大的一线干预手段。但是,用于治疗T2DM的最常见的RT(肥大训练[HT]和肌肉耐力训练[MERT])的效果以及哪种类型的RT可能会产生更好的效果,仍然难以捉摸。因此,本综述旨在评估HT和MERT对T2DM患者血糖控制,身体健康,身体成分,脂质分布,血压,C反应蛋白和生活质量的影响;分析哪个特定RT更有效;评估一般放疗的效果;并确定RT成分,患者特征以及可能介导RT效果的药物。选择成人T2DM患者的随机对照试验(RCT)和非RCT(RT≥4周)。HT和MERT均可改善HbA1c,胰岛素水平和敏感性,肌肉力量,体重指数,腰围和脂肪量。此外,HT改善了葡萄糖,心肺功能,脂肪百分比,瘦体重,脂质分布,收缩压和C反应蛋白,而MERT改善了体重。总体而言,HT和MERT产生的有益效果与有氧训练相当。根据患者的局限性/偏好,两种类型的RT均可作为T2DM的有效治疗干预手段。HT和MERT产生的有益效果与有氧训练相当。根据患者的局限性/偏好,两种类型的RT均可作为T2DM的有效治疗干预手段。HT和MERT产生的有益效果与有氧训练相当。根据患者的局限性/偏好,两种类型的RT均可作为T2DM的有效治疗干预手段。
更新日期:2020-02-17
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