Distúrbios
relacionados
à
resistência
insulínica
são
cada
vez
mais
prevalentes
na
população.
No
entanto,
apesar
da
grande
quantidade
de
estudos
que
avaliam
o
impacto
do
exercício
físico
em
pacientes
jovens
com
pré-diabetes,
diabetes
mellitus
tipo
II,
ou
síndrome
metabólica,
pouco
se
sabe
sobre
a
eficácia
dessa
intervenção
população
idosos
portadores
dessas
doenças.
Nesse
sentido,
presente
estudo
tem
como
objetivo
determinar
(aeróbico
treinamento
resistido)
nos
parâmetros
insulina
idosos.
With
the
rising
incidence
of
chronic
diseases
in
China,
national
health
management
has
become
increasingly
important.
The
integration
sports
and
a
strategic
priority
for
promoting
public
improving
nation's
level.
This
study
constructs
theoretical
model
integration,
exploring
how
scientific
fitness
can
contribute
to
active
health,
especially
within
context
"Healthy
China"
initiative.
research
proposes
comprehensive
framework
that
combines
"12345
pyramid
integration"
with
closed-loop
service
fitness.
includes
various
elements
such
as
knowledge
learning,
status
assessments,
specialized
exercise
training,
monitoring,
feedback,
aiming
promote
lifelong
physical
activity
optimize
outcomes
across
different
demographic
groups.
Promoting
education
disease
significantly
increased
awareness
Regular
screenings
assessments
capacity
help
create
personalized
prescriptions,
enhancing
participation
activities.
feedback
mechanism
ensures
continuous
improvement
levels
supports
long-term
engagement
healthy
behaviors.
presented
this
offers
an
actionable
practical
support
implementation
By
integrating
resources,
technologies,
interdisciplinary
collaboration,
enhance
reduce
burden
diseases,
provide
solid
foundation
future
policy
industry
development.
BMC Sports Science Medicine and Rehabilitation,
Год журнала:
2025,
Номер
17(1)
Опубликована: Март 22, 2025
Frailty
is
a
syndrome
as
with
aging
in
the
population
of
type
2
diabetes
mellitus
(T2DM)
and
exercise
has
become
an
essential
non-pharmacological
tool
especially
pre-frail
stage.
Notably,
form
supervised
home-based
program
been
strongly
recommended
recent
years.
This
study
aimed
to
verify
potential
effects
elastic
band
older
T2DM
patients
China.
A
total
100
participants
were
included
randomly
divided
into
intervention
group
(IG)
(n
=
50)
control
(CG)
50).
The
CG
received
routine
care,
while
IG
extra
training
under
online
offline
supervisions
sustaining
12-weeks.
glycosylated
hemoglobin
(HbA1c),
blood
lipids,
body
composition,
physical
function,
scales
Diabetes
specificity
quality
life
scale
(DSQL),
Pittsburgh
sleep
index
(PSQI)
short
geriatric
depression
(GDS-15)
evaluated
before
after
intervention.
average
age
66.01
±
4.76
55%
male
BMI
24.75
3.51
kg/m2.
clinical
characteristics
two
groups
comparable.
After
12
weeks'
training,
muscle
mass
limbs
(P
<
0.05),
function
indicators
including
grip
strength,
chair
stands
(both
P
walking
time
0.01),
HbA1c
frailty
score
subjective
DSQL
scores
0.01)
depressive
status
improved
significantly
when
compared
CG.
Supervised
could
improve
limb
mass,
fitness,
glucose
lipid
patients.
ChiCTR2300070726;
Registration
date:
21/04/2023.
Journal of Applied Gerontology,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 28, 2025
This
study
explored
the
impact
of
a
16-week
high-speed
resistance
training
(HSRT)
program
on
heart
rate
variability
(HRV)
indices
in
independent
older
adults.
The
participants
were
divided
into
either
an
intervention
group
(IG,
N
=
40)
or
control
(CG,
39).
IG
participated
supervised
HSRT
sessions
three
times
weekly,
comprising
5–6
exercises
with
2–3
sets
and
6–10
repetitions,
which
lasted
60–70
min.
CG
did
not
engage
any
exercise
program.
HRV
indices,
encompassing
time,
frequency,
non-linear,
recorded
over
six-minute
period.
ANCOVA
results
revealed
significant
improvements
favoring
for
mean
RR
(η
2
p
0.050),
systolic
blood
pressure
0.126),
pulse
0.157).
Additionally,
within-group
analyses
increases
stress
index
(
d
unb
0.52),
sample
entropy
0.38),
DFA
α1
0.38)
exclusively
CG.
highlights
potential
to
induce
favorable
changes
parasympathetic
activity
reduce
arterial
stiffness.
Exercise
training
can
reduce
chronic
low-grade
inflammation;
however,
the
most
effective
mode
of
exercise
for
lowering
inflammation
in
patients
with
type
2
diabetes
mellitus
(T2D)
is
unknown.
Therefore,
we
performed
a
systematic
review
pairwise
and
network
meta-analyses
to
determine
efficacy
different
modes
improving
T2D.
A
literature
search
was
conducted
PubMed,
Web
Science,
Scopus
from
inception
May
2024
using
four
main
key
words
including
"exercise,"
"cytokines,"
"type
diabetes,"
"randomization."
Randomized
control
or
clinical
trials
investigating
effects
any
mode,
aerobic
(AT),
resistance
(RT),
AT
+
RT,
high-intensity
interval
(HIIT),
HIIT
RT
on
inflammatory
markers
interleukin-6
(IL-6),
TNF-α,
C-reactive
protein
(CRP),
leptin,
adiponectin
T2D
were
included.
Standardized
mean
differences
(SMD)
95%
confidence
intervals
(CIs)
calculated
random
models.
Overall,
60
studies
involving
3339
Compared
control,
effectively
reduced
IL-6
[SMD:
-0.58],
TNF-α
-0.62],
CRP
-0.78],
leptin
-0.27],
increased
0.35].
Based
meta-analysis,
IL-6,
adiponectin;
CRP,
adiponectin.
However,
HIIT,
did
not
change
as
compared
controls.
an
approach
T2D;
specifically,
appear
be
more
than
RT.
Diabetology & Metabolic Syndrome,
Год журнала:
2024,
Номер
16(1)
Опубликована: Фев. 26, 2024
Abstract
Objective
To
systematically
evaluate
the
efficacy
of
different
training
modes
in
patients
with
diabetes
decline.
Methods
PubMed,
Cochrane
Library,
EMbase,
Web
Science,
CNKI,
VIP,
WANFANG,
SinoMed
were
searched
computer
to
collect
randomized
controlled
trials
(RCTs)
intervention
and
frailty,
search
time
was
as
May
21,
2023.
After
two
review
authors
independently
screened
studies,
extracted
data,
assessed
risk
bias
included
network
meta-analysis
performed
using
Stata14.0
R4.3.1
software.
Fasting
blood
glucose
(FGB),
glycosylated
haemoglobin
(HbA1c),
two-hour
postprandial
(PBG),
total
cholesterol
(TCH),
triglycerides
(TG),
low-density
lipoprotein
(LDL-C),
Short
Physical
Performance
Battery
(SPPB),
body
mass
index
(BMI)
used
outcome
measures.
Results
A
15
RCTs
included,
including
1550
patients.
The
results
showed
that
integrated
reduced
FBG
compared
control
group;
training,
Pilates
resistance
can
reduce
HbA1c;
PBG;
TCH;
TG;
improves
BMI.
best
probability
ranking
multi-group
had
most
significant
effect
on
improving
PBG
SPPB
scores.
Conclusion
current
evidence
suggests
is
way
fasting
improve
physical
activity
before
meals,
may
be
glycated
hemoglobin,
hours
after
lipid
level
BMI
China.
Trial
registration
:
PROSPERO
number
for
this
study:
CRD42023427868.
Nutrients,
Год журнала:
2024,
Номер
16(23), С. 4251 - 4251
Опубликована: Дек. 9, 2024
Background:
Obesity
poses
an
enormous
public
health
and
economic
burden
worldwide.
Visceral
fat
accumulation
is
associated
with
various
metabolic
cardiovascular
consequences,
resulting
in
increased
prevalence
of
atherosclerotic
conditions.
We
aimed
to
examine
the
impact
low-and
moderate-intensity
aerobic
training
on
several
anthropometric
cardiorespiratory
parameters
markers
atherosclerosis,
including
inflammation,
serum
levels
lipoproteins
adipokines
extremely
obese
patients
poor
condition.
Methods:
Forty
severely
were
recruited
randomized
into
two
groups,
Group
1
2,
for
a
six-week
inpatient
study.
received
(40–60%
heart
rate
reserve)
2
low-intensity
(30–39%
combined
resistance
training.
The
patients’
functions
assessed
by
ergospirometry.
Anthropometric
data
recorded,
body
composition
was
analyzed
functional
tests
performed.
also
investigated
lipids
high-sensitive
C-reactive
protein
calculated
homeostatic
model
assessment-insulin
indices
adipokine
as
predictive
biomarkers.
Results:
Functional
abilities
some
biochemical
parameters,
such
resistance,
lipids,
apolipoprotein
A
apolipoprotein-B
improved
both
groups
positive
direction.
However,
capacity
Lipocalin-2
decreased,
while
irisin
paraoxonase
significantly,
but
only
1.
Conclusions:
Six
weeks
training,
regardless
its
intensity,
could
induce
favorable
changes
tests,
even
obese,
unconditioned
groups.
should
at
least
increase
yield
better
lipid
profile
oxidative
status
inflammation
profile.
European Journal of Sport Science,
Год журнала:
2024,
Номер
24(1), С. 127 - 138
Опубликована: Янв. 1, 2024
Abstract
This
study
compared
the
capacity
of
high‐repetition
giant‐set
resistance
training
(HGRT)
and
high‐intensity
interval
(HIIT)
to
decline
C‐reactive
protein
(CRP),
interleukin
(IL)‐6,
soluble
IL‐6
receptor
(SIL‐6R),
IL‐18,
insulin
markers
in
long‐
(5–10
years)
short‐term
(1–4
overweight
men.
Another
purpose
was
compare
these
between
two
populations.
Firstly,
eligible
participants
were
matched
based
on
age,
body
mass
index,
aerobic
fitness
then
divided
into
a
(
n
=
37)
or
32)
population.
After
that,
each
category
randomly
assigned
HGRT
(2
giant
sets
4‐exercise
×
2
circuits
at
30%–50%
one‐repetition
maximum
with
novel
periodization),
HIIT
(4‐set
4‐min
running
80%–90%
HRmax),
control
(CON,
non‐exercising)
groups.
The
well‐balanced
programs
performed
three
weekly
sessions
for
12
weeks.
showed
that
individuals
longer
history
being
have
elevated
baseline
concentrations
CRP,
SIL‐6R,
IL‐18
(all,
p
≤
0.04,
effect
size
[ES]
≥0.65).
Both
led
similar
reduction
homeostasis
model
assessment
versus
CON
(all
0.03,
ES
≥
0.49)
regardless
duration
overweight,
although
SIL‐6R
significantly
reduced
after
pretest
(both,
0.17).
exercises
caused
significant
long‐term
population
CON,
while
only
program
decreased
CRP
0.21
0.34).
Thus,
it
seems
plays
crucial
role
deteriorating
some
biomarkers,
greater
potential
attenuate
IL‐18.
However,
might
anti‐inflammatory
(as
indicated
by
SIL‐6R)
than
HGRT.
Reviews in Cardiovascular Medicine,
Год журнала:
2024,
Номер
25(5)
Опубликована: Май 22, 2024
Background:
This
study
investigates
the
effects
of
a
12-week
circuit
exercise
program
on
blood
pressure,
vascular
function,
and
inflammatory
cytokines
in
older
obese
women
with
sarcopenia.
Methods:
Twenty-eight
sarcopenia
(mean
age:
78.2
±
3.7
years)
were
randomly
divided
into
an
group
(EG,
n
=
14)
control
(CG,
14).
The
EG
participated
training
regimen,
conducted
three
times
weekly,
each
session
lasting
between
45
to
75
minutes
(progressively
increased
over
time).
CG
was
advised
maintain
their
regular
daily
routines
throughout
intervention
period.
All
dependent
variables,
including
inflammation
cytokines,
evaluated
pre-
post-intervention.
Results:
Positive
changes
observed
body
composition
(body
fat
mass;
p
<
0.001,
percentage;
0.01,
free-fat
0.01),
pressure
(heart
rate;
0.05,
rate
product;
function
(brachial–ankle
pulse
wave
velocity;
flow-mediated
dilation;
0.001),
(interleukin-6;
0.05).
In
CG,
there
increase
mass
(p
0.05)
percentage
0.05),
while
no
other
variables.
Conclusions:
significantly
reduced
improved
decreased
However,
individual
variations
response
highlight
need
for
personalized
regimens.