| 刘元元,王刚,田羽玲.规律性游泳运动对老年2型糖尿病患者血糖控制的影响[J].中国临床保健杂志,2026,(1):55-58. |
| 规律性游泳运动对老年2型糖尿病患者血糖控制的影响 |
| Clinical observation and research on the effect of regular swimming exercise on blood glucose control in elderly patients with type 2 diabetes mellitus |
| 投稿时间：2025-11-19 |
| DOI：10.3969/J.issn.1672-6790.2026.01.009 |
| 中文关键词: 糖尿病,2型 游泳 血糖控制 生活质量 老年人 |
| 英文关键词: Diabetes mellitus,type 2 Swimming Glycemic control Quality of life Aged Fund program:National Key Research and Development Program Project |
| 基金项目:国家重点研发计划项目 |
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| 摘要点击次数: 52 |
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| 中文摘要: |
| 目的 探讨规律性游泳运动对老年2型糖尿病患者血糖控制指标的改善效果,评估其临床应用价值。方法 采用随机对照试验。选取2024年6—12月某干休所老年糖尿病患者60例作为研究对象,采用简单随机化方法分为对照组(30例)和游泳干预组(30例),进行为期12周的临床观察。对照组维持原有降糖方案及常规糖尿病教育,不进行计划性结构化运动干预,佩戴运动手环监测日常活动量；游泳干预组在常规管理基础上,进行每周3次、每次45~60 min的中等强度游泳运动,采用心率监测仪控制运动强度。干预前后检测空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c),记录体重指数(BMI)、腰围、运动强度达标情况及不良事件发生情况。最终纳入统计分析病例56例,两组各脱落2例。结果 干预后,游泳干预组FPG、2 hPG、HbA1c水平均显著下降,差异均有统计学意义(均P<0.01)；BMI、腰围亦有明显减低,差异均有统计学意义(均P<0.05)；游泳干预组上述指标均显著优于对照组,差异均有统计学意义(均P<0.05)。游泳干预组平均单次运动心率为(112.5±10.8)次/min,心率达标时长占比为(89.2±6.5)%；对照组日均中等强度活动时长为(18.5±7.2)min,无活动方案偏离情况。干预期间,游泳干预组患者仅发生轻微不良事件6例次,无严重不良事件。结论 规律性游泳运动能有效改善老年2型糖尿病患者的血糖控制,有助于体重管理,提升生活质量。 |
| 英文摘要: |
| Objective To observe the improvement effect of regular swimming exercise on blood glucose control indicators in elderly patients with type 2 diabetes and evaluate its clinical application value.Methods A randomized controlled trial was conducted.Sixty elderly patients with diabetes from a certain sanatorium from June to December 2024 were selected as the study subjects.They were divided into a control group (30 cases) and a swimming intervention group (30 cases) using a simple randomization method,and underwent a 12-week clinical observation.The control group maintained their original hypoglycemic regimen and received routine diabetes education without planned structured exercise intervention.They wore activity trackers to monitor daily activity levels.The swimming intervention group,on the basis of routine management,performed moderate-intensity swimming exercises three times a week for 45-60 minutes each time,with exercise intensity controlled by heart rate monitors.Fasting blood glucose (FPG),2-hour postprandial blood glucose (2 hPG),and glycated hemoglobin (HbA1c) were measured before and after the intervention.Body mass index (BMI),waist circumference,the proportion of time reaching the target heart rate,and the occurrence of adverse events were also recorded.A total of 56 cases were finally included in the statistical analysis,with 2 cases dropped from each group.Results After the intervention,the levels of FPG,2 hPG,and HbA1c in the swimming intervention group decreased significantly,all differences were statistically significant (all P<0.01);BMI and waist circumference also improved significantly,all differences were statistically significant (all P<0.05).The above indicators in the swimming intervention group were significantly better than those in the control group,and the differences were statistically significant (all P<0.05).The average heart rate per session in the swimming intervention group was (112.5±10.8) beats per minute,and the proportion of time reaching the target heart rate was (89.2±6.5)%.The average daily moderate-intensity activity duration in the control group was (18.5±7.2) min,with no deviation from the plan.During the intervention period,only 6 mild adverse events occurred in the swimming intervention group,and no severe adverse events were reported.Conclusions Regular swimming exercise can effectively improve the blood glucose control level of elderly patients with type 2 diabetes,help weight management,and enhance the quality of life. |
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