广场舞对血糖控制不佳的中老年2型糖尿病女性患者的影响

摘要

Objective To investigate the effect of square dance on the metabolic indexes and quality of life in the elderly female patients with type 2 diabetes. Methods According to the inclusion criteria, 72 elderly female pa-tients of type 2 diabetes were selected. Subjects were randomly divided into the experimental group (36 cases) and control group (36 cases) by the computer random number method. Both groups were provided conventional diabetes education. In addition, the patients in the experimental group participated in square dance five times a week at least, no less than 1 h per time for a period of 12 weeks. Both groups were measured blood glucose, glycated hemoglobin (HbA1c), waist circumference and insulin resistance index (HOMA-IR) and other metabolic indexes. Diabetes self-man-agement active scale and quality of life questionnaire related to diabetes at the baseline and the end of the study were investigated. Results After 12 weeks, compared with the control group, the experimental group had significantly de-creased postprandial glucose [(10.1±1.90) mmol/L vs (11.5±2.32) mmol/L], HOMA-IR [(3.58±0.52) vs (3.85±0.48)], HbA1c [(6.82 ± 0.63)%vs (7.28 ± 0.85)%] and other metabolic indicators, as well as significantly improved patient ac-tive scale [(66.89±9.25) vs (60.25±11.81)] and quality of life questionnaire [(-1.98±0.82) vs (-2.50±0.71)]. The differ-ences were statistically significant (P<0.05). Conclusion Square dance can effectively reduce postprandial glucose in elderly female patients with type 2 diabetes, improve their motivation in participation in sports management, and im-prove their quality of life.%目的 探讨中老年2型糖尿病女性患者参与广场舞后代谢指标及生活质量的变化.方法 根据入组标准,72例研究对象入选,采用计算器随机数字法将研究对象随机分为观察组和对照组,每组各36例.两组都接受常规糖尿病教育,此外,观察组每周至少参加5次广场舞集体锻炼,每次不少于1 h,为期12周.实验前后两组分别测定血糖、糖化血红蛋白(HbA1c)、腰围和胰岛素抵抗指数(HOMA-IR)等代谢指标,并完成糖尿病自我管理积极度调查和糖尿病生活质量问卷.结果 12周后,与对照组比较,观察组在餐后血糖[(10.1±1.90) mmol/L vs (11.5±2.32) mmol/L]、HOMA-IR [(3.58±0.52) vs (3.85±0.48)]、HbA1c [(6.82±0.63)%vs (7.28±0.85)%]等代谢指标方面下降明显,在积极度水平[(66.89±9.25)分vs (60.25±11.81)分]和生活质量[(-1.98±0.82)分vs (-2.50±0.71)分]等方面显著改善,其差异均有统计学意义(P<0.05).结论 广场舞能有效降低中老年2型糖尿病女性患者的餐后血糖,提高其参与糖尿病自我运动管理的积极性,并能改善其生活质量.