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目的分析老年2型糖尿病患者步行降糖的疗效及安全性。方法早餐后1h左右,68例老年2型糖尿病患者进行步行(4km/h)锻炼,对步行前后血糖等指标进行比较分析。结果步行后血糖明显低于步行前(P<0.01)。超重患者与体重正常患者步行后血糖下降值为(2.51±1.63)mmol/Lvs (1.78±1.75)mmol/L,下降幅度为23.41%±13.60% vs 14.46%±15.56%(P<0.01)。多元线性逐步回归分析显示:与步行后血糖下降幅度相关的因素依次为BMI、年龄、步行前血糖。步行中没有发生心血管事件、低血糖、运动损伤。结论早餐后1h中速(4 km/h)步行25min约1.8km,可安全有效地降低老年2型糖尿病患者餐后血糖,对超重者效果尤为显著。
Objective To analyze the efficacy and safety of walking hypoglycemic in elderly type 2 diabetic patients. Methods About 1 hour after breakfast, 68 elderly patients with type 2 diabetes underwent walking (4km / h) exercise. The blood glucose and other indexes were compared before and after walking. Results After walking blood glucose was significantly lower than before walking (P <0.01). The decline of blood glucose after walking was (2.51 ± 1.63) mmol / L vs (1.78 ± 1.75) mmol / L in overweight and normal weight patients, respectively, with a decrease of 23.41% ± 13.60% vs 14.46% ± 15.56% (P <0.01). Multivariate linear stepwise regression analysis showed that the factors associated with the decline in blood glucose after walking were BMI, age, and blood glucose before walking. No cardiovascular events during walking, hypoglycemia, sports injuries. Conclusions After 1 hour of breakfast, moderate speed (4 km / h) is about 1.8km at 25min walk, which can safely and effectively reduce postprandial blood glucose in elderly patients with type 2 diabetes, especially for those with overweight.