小运动量间歇运动和营养对血糖控制的交互影响。

Jenna B Gillen
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摘要

研究表明,在患有代谢性疾病或有代谢性疾病风险的人群中,使用连续血糖监测仪进行低量间歇训练可改善 24 小时血糖控制指数。然而,关于间歇运动对 24 小时血糖的影响,文献中的研究结果并不一致,部分原因可能是不同研究采用了不同的营养条件和/或控制方法。本报告旨在简要概述急性和慢性间歇运动对 24 小时血糖控制的影响,同时介绍营养如何影响和改变这些反应。鉴于膳食摄入对血糖调节的独特影响,在测量 24 小时血糖时采用不同的膳食控制策略--从使用参与者的习惯膳食到提供根据个人能量需求定制的标准化膳食--可能会导致不同研究就间歇运动对 24 小时血糖的影响得出不同的结论。此外,在考虑间歇运动对 24 小时血糖的影响时,围绕运动进行的营养操作,包括间歇运动是在空腹还是进食状态下开始、运动后膳食的宏量营养素组成以及参与者是否存在能量和/或碳水化合物不足等,都提供了重要的背景。有必要进行更多控制良好的研究,以探索间歇运动和营养对 24 小时血糖的交互影响。这些研究将有助于完善旨在改善血糖控制的运动和营养建议。
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Interactive effects of low-volume interval exercise and nutrition on glycemic control.

Low-volume interval training has been demonstrated to improve indices of 24 h glycemic control using continuous glucose monitoring in individuals with or at risk for metabolic diseases. Nonetheless, there are inconsistencies in the literature with respect to the effects of interval exercise on 24 h glycemia, which may partly result from different nutritional conditions and/or controls adopted across various studies. This current opinion aims to provide a concise overview of the effects of acute and chronic interval exercise on 24 h glycemic control, while also describing how nutrition can influence and modify these responses. Given the distinct impact of dietary intake on blood glucose regulation, the adoption of diverse dietary control strategies during measurement of 24 h glycemia-spanning from using the participant's habitual diet to providing standardized meals customized to individual energy requirements-may contribute to varying conclusions across studies regarding the influence of interval exercise on 24 h glycemia. In addition, nutritional manipulations surrounding exercise, including whether interval exercise commences in the fasted or fed state, the macronutrient composition of post-exercise meals, and the presence of an energy and/or carbohydrate deficit among participants, offer important context when considering the effects of interval exercise on 24 h glycemia. Additional well-controlled studies are warranted to explore the interactive effects of interval exercise and nutrition on 24 h glycemia. These efforts will assist in refining exercise and nutrition recommendations aimed at improving glycemic control.

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