Abstract：
Stair climbing exercise (SE) provides a feasible approach to elevate physical activity, but the effects on metabolic health are unclear. We systematically reviewed the currently available evidence on the effects of SE on fasting and postprandial glycaemia and lipidaemia. Studies were included if they investigated the effects of acute or chronic (at least 2 weeks) SE on fasting and/or postprandial glycaemic (insulin and glucose) and lipidaemic (triacylglycerols and non-esterified fatty acids) responses in healthy, prediabetic or type 2 diabetic adult populations. PubMed, Web of Science and Scopus were searched for eligible studies until July 2022. A total of 25 studies (14 acute and 11 chronic) were eligible for review. Acute bout(s) of SE can reduce postprandial glycaemia in individuals with prediabetes and type 2 diabetes (8 of 9 studies), but not in normoglycemic individuals. The effects of acute SE on postprandial lipidaemic responses and SE training on both fasting and postprandial glycaemia/lipidaemia were unclear. Acute SE may reduce postprandial glucose concentrations in people with impaired glycaemic control, but high-quality studies are needed. More studies are needed to determine the effect of chronic SE training on postprandial glucose and lipid responses, and the acute effects of SE on lipid responses.
摘要：
爬楼梯运动（SE）提供了一种可行的方法来提高身体活动，但对代谢健康的影响尚不清楚。我们系统地回顾了目前关于SE对空腹和餐后血糖和血脂的影响的现有证据。如果他们调查了急性或慢性（至少2周）SE对健康人群空腹和/或餐后血糖（胰岛素和葡萄糖）和血脂（三酰甘油和非酯化脂肪酸）反应的影响，糖尿病前期或2型糖尿病成人人群。PubMed,搜索WebofScience和Scopus的合格研究，直到2022年7月。共有25项研究（14项急性和11项慢性）符合审查条件。SE的急性发作可以降低糖尿病前期和2型糖尿病患者的餐后血糖（9项研究中的8项），但不是血糖正常的个体。急性SE对餐后血脂反应和SE训练对空腹和餐后血糖/血脂的影响尚不清楚。急性SE可降低血糖控制受损患者的餐后血糖浓度，但需要高质量的研究。需要更多的研究来确定慢性SE训练对餐后葡萄糖和脂质反应的影响。以及SE对脂质反应的急性影响。
