精心策划的阻力训练计划可改善 2 型糖尿病女性患者的体力、健康状况和抑郁症状。

IF 0.7 Q4 ENDOCRINOLOGY & METABOLISM Endocrinology, Diabetes and Metabolism Case Reports Pub Date : 2024-10-03 Print Date: 2024-10-01 DOI:10.1530/EDM-24-0091
Mario I Hernandez, Ansley B Devine, Joseph Ramsey, Emily Dow, Carol S Johnston
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引用次数: 0

摘要

摘要:据估计,在美国成年人中,2 型糖尿病(T2D)患者中抑郁症患者占 50%,而 2 型糖尿病患者中抑郁症患者占 18%,与高血糖密切相关的炎症指标在 2 型糖尿病患者中高出 5 到 50 倍。虽然建议改变生活方式来控制糖尿病,但阻力训练(RT)并不被普遍考虑。本病例报告研究了对一名患有 T2D 和抑郁症状的久坐妇女实施结构化 RT 方案的实用性,并评估了其在力量、体能、抑郁和炎症方面的变化。这位 59 岁的患者(体重指数:38.1 kg/m2)于 2015 年确诊。她患有高血压和支气管哮喘,久坐不动,根据有效的测量方法,她患有临床抑郁症:流行病学研究中心抑郁(CES-D)问卷和情绪状态档案(POMS)问卷显示她患有抑郁症。她已在 6 个月前戒烟。在估算的 1RM 指导下,运动处方采用了渐进超负荷的方法来提高力量并促进瘦体重的增加。所有锻炼课程(约 45 分钟;每周 3 次)均由训练有素的人员指导。8 周后,总力量提高了 135%。心率降低了 14%,抑郁症状也降至正常范围。虽然 RT 改善了力量、体能和抑郁症状,但 RT 并没有改善 HbA1c、HOMA-IR 或炎症,这强调了综合治疗策略的必要性。可以通过简单的评估来确定 T2D 患者的体能和心理健康状况,将运动处方纳入标准护理,以解决这些关键的健康决定因素,将使患者有能力积极参与其健康护理:学习要点:循序渐进的个性化阻力训练计划是可行的,它能改善患有 2 型糖尿病和多种并发症的高危人群的肌肉力量、体能水平和心理健康。根据患者的需求和能力灵活制定阻力训练处方,有助于坚持锻炼并取得成功。
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A carefully planned resistance training program improves strength, fitness and depressive symptoms for a woman with type 2 diabetes.

Summary: Depression in type 2 diabetes (T2D) is estimated at 50% vs 18% among US adults, and markers of inflammation, which are tightly linked to hyperglycemia, are 5- to 50-fold higher in adults with T2D. Although lifestyle modifications are recommended for managing diabetes, resistance training (RT) is not commonly considered. This case report examined the practicality of implementing a structured RT protocol in a highly sedentary woman with T2D and depressive symptomology and assessed changes in strength, fitness, depression, and inflammation. The 59-year-old participant (body mass index: 38.1 kg/m2) was diagnosed in 2015. She had hypertension and bronchial asthma, was highly sedentary, and was clinically depressed based on validated measures: The Center for Epidemiological Studies Depression (CES-D) questionnaire and the Profile of Mood States (POMS) questionnaire. She had quit smoking 6 months earlier. The estimated 1RM guided the exercise prescription that used progressive overload to improve strength and promote the accretion of lean body mass. All exercise sessions (~45 minutes duration; 3× weekly) were supervised by trained personnel. After 8 weeks, total strength improved 135%. Heart rate was reduced by 14%, and depression symptomology fell into normal ranges. Although RT improved strength, fitness, and depressive symptomology, RT did not improve HbA1c, HOMA-IR, or inflammation emphasizing the need for a comprehensive treatment strategy. Simple assessments can be performed to determine the fitness and mental health of individuals with T2D, and incorporating an exercise prescription to standard care to address these key health determinants will empower patients to actively engage in their health care.

Learning points: A progressive, individualized resistance training program is feasible and improves muscular strength, fitness level, and mental health in a high-risk individual with type 2 diabetes and multiple comorbidities. Flexibility with resistance training prescription to adapt to patient's needs and abilities contributes to exercise adherence and successful outcomes Physical activity assessment and exercise prescription should be a part of standard care for patients with diabetes.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
142
审稿时长
9 weeks
期刊介绍: Endocrinology, Diabetes & Metabolism Case Reports publishes case reports on common and rare conditions in all areas of clinical endocrinology, diabetes and metabolism. Articles should include clear learning points which readers can use to inform medical education or clinical practice. The types of cases of interest to Endocrinology, Diabetes & Metabolism Case Reports include: -Insight into disease pathogenesis or mechanism of therapy - Novel diagnostic procedure - Novel treatment - Unique/unexpected symptoms or presentations of a disease - New disease or syndrome: presentations/diagnosis/management - Unusual effects of medical treatment - Error in diagnosis/pitfalls and caveats
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