关键词: adult-onset diabetes diabetes digital health exercise physical activity tele-health tele-physical therapy tele-rehabilitation telemedicine

来  源:   DOI:10.3390/healthcare12090917   PDF(Pubmed)

Abstract:
BACKGROUND: Supervised exercise interventions tend to be more effective than unsupervised exercises or physical activity advice alone. However, people with type 2 diabetes may find it difficult to attend supervised exercise interventions due to several obstacles. Tele-exercise, or utilizing technology to deliver home-based exercise, might be a solution.
OBJECTIVE: This scoping review aimed to explore clinical trials investigating the impact of tele-exercise interventions in individuals with type 2 diabetes Methods: Four electronic databases were searched for the period up to January 2024 for clinical trials investigating the impact of tele-exercise on health-related outcomes in adults with type 2 diabetes.
RESULTS: Seven trials involving 460 individuals with type 2 diabetes met the inclusion criteria. In these trials, combined aerobic and resistance exercise programs were the main types delivered remotely. To deliver such programs, both synchronous (n = 4) and asynchronous (n = 3) delivery modes were adopted. Regardless of the delivery mode, all tele-exercise interventions led to improvements in various factors related to type 2 diabetes and its complications, including glycemic control, blood lipids, body composition, functional capacity, muscle strength, and quality of life. The improvements were also found to be as effective as those of supervised exercise.
CONCLUSIONS: Tele-exercise interventions seem to be feasible and as effective as supervised exercise interventions in terms of improving glycemic control, blood lipids, functional capacity, muscle strength, body composition, and quality of life for people with type 2 diabetes.
摘要:
背景:有监督的运动干预往往比单独的无监督运动或身体活动建议更有效。然而,2型糖尿病患者可能由于一些障碍而难以参加有监督的运动干预.远程锻炼,或者利用技术提供家庭锻炼,可能是一个解决方案。
目的:本范围综述旨在探索研究远程运动干预对2型糖尿病患者影响的临床试验。方法:搜索了截至2024年1月的四个电子数据库,用于研究远程运动对2型糖尿病成人健康相关结局的影响。
结果:涉及460名2型糖尿病患者的7项试验符合纳入标准。在这些试验中,有氧运动和抗阻运动相结合是远程提供的主要类型。为了提供这样的程序,采用同步(n=4)和异步(n=3)两种交付模式。无论交付方式如何,所有的远程运动干预导致改善与2型糖尿病及其并发症相关的各种因素,包括血糖控制,血脂,身体成分,功能能力,肌肉力量,和生活质量。还发现改进与监督锻炼一样有效。
结论:在改善血糖控制方面,远程运动干预似乎是可行的,与有监督的运动干预一样有效。血脂,功能能力,肌肉力量,身体成分,以及2型糖尿病患者的生活质量。
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