PDF(Pubmed)
Abstract：
UNASSIGNED: We aimed to explore the relationship between remote resistance exercise programs delivered via a smartphone application and skeletal muscle mass among elderly patients with type 2 diabetes, utilizing real-world data.
UNASSIGNED: The resistance exercises were provided through Joymotion®, a web-based telerehabilitation smartphone application (Shanghai Medmotion Medical Management Co., Ltd). The primary outcome was the changes in skeletal muscle index (SMI) before and after the remote resistance exercises programs. The secondary outcomes were changes in skeletal muscle cross-sectional area (SMA), skeletal muscle radiodensity (SMD) and intermuscular adipose tissue (IMAT).
UNASSIGNED: A total of 101 elderly patients with type 2 diabetes were analyzed. The participants had an average age of 72.9 ± 6.11 years for males and 74.4 ± 4.39 years for females. The pre- and post-intervention SMI mean (± SE) was 31.64 ± 4.14 vs. 33.25 ± 4.22 cm2/m2 in male, and 22.72 ± 3.24 vs. 24.28 ± 3.60 cm2/m2 in female respectively (all P < 0.001). Similarly, a statistically significant improvement in SMA, IMAT, and SMD for both male and female groups were also observed respectively (P < 0.001). Multiple linear regression models showed potential confounding factors of baseline hemoglobin A1c and duration of diabetes with changes in SMI in male, while hemoglobin A1c and high density lipoprotein cholesterol with changes in SMI in female.
UNASSIGNED: Remote resistance exercises programs delivered by a smartphone application were feasible and effective in helping elderly patients with type 2 diabetes to improve their skeletal muscle mass.
UNASSIGNED: The resistance exercises were provided through Joymotion®, a web-based telerehabilitation smartphone application (Shanghai Medmotion Medical Management Co., Ltd). The primary outcome was the changes in skeletal muscle index (SMI) before and after the remote resistance exercises programs. The secondary outcomes were changes in skeletal muscle cross-sectional area (SMA), skeletal muscle radiodensity (SMD) and intermuscular adipose tissue (IMAT).
UNASSIGNED: A total of 101 elderly patients with type 2 diabetes were analyzed. The participants had an average age of 72.9 ± 6.11 years for males and 74.4 ± 4.39 years for females. The pre- and post-intervention SMI mean (± SE) was 31.64 ± 4.14 vs. 33.25 ± 4.22 cm2/m2 in male, and 22.72 ± 3.24 vs. 24.28 ± 3.60 cm2/m2 in female respectively (all P < 0.001). Similarly, a statistically significant improvement in SMA, IMAT, and SMD for both male and female groups were also observed respectively (P < 0.001). Multiple linear regression models showed potential confounding factors of baseline hemoglobin A1c and duration of diabetes with changes in SMI in male, while hemoglobin A1c and high density lipoprotein cholesterol with changes in SMI in female.
UNASSIGNED: Remote resistance exercises programs delivered by a smartphone application were feasible and effective in helping elderly patients with type 2 diabetes to improve their skeletal muscle mass.
摘要：
■我们旨在探索通过智能手机应用提供的远程抗阻运动计划与老年2型糖尿病患者的骨骼肌质量之间的关系，利用真实世界的数据。
■阻力练习是通过Joymotion®提供的，基于网络的远程康复智能手机应用程序(上海Medmotion医疗管理有限公司，有限公司)。主要结果是远程阻力锻炼计划前后骨骼肌指数（SMI）的变化。次要结果是骨骼肌横截面积（SMA）的变化，骨骼肌放射密度（SMD）和肌间脂肪组织（IMAT）。
■共分析101例老年2型糖尿病患者。参与者的平均年龄男性为72.9±6.11岁，女性为74.4±4.39岁。干预前后SMI平均值（±SE）为31.64±4.14。男性33.25±4.22cm2/m2，和22.72±3.24vs.女性分别为24.28±3.60cm2/m2（均P<0.001）。同样，SMA的统计显着改善，IMAT,男性和女性组的SMD也分别观察到（P<0.001）。多元线性回归模型显示基线血红蛋白A1c和糖尿病持续时间与男性SMI变化的潜在混杂因素，而女性血红蛋白A1c和高密度脂蛋白胆固醇与SMI的变化有关。
■通过智能手机应用程序提供的远程阻力锻炼计划在帮助患有2型糖尿病的老年患者改善其骨骼肌质量方面是可行且有效的。
■阻力练习是通过Joymotion®提供的，基于网络的远程康复智能手机应用程序(上海Medmotion医疗管理有限公司，有限公司)。主要结果是远程阻力锻炼计划前后骨骼肌指数（SMI）的变化。次要结果是骨骼肌横截面积（SMA）的变化，骨骼肌放射密度（SMD）和肌间脂肪组织（IMAT）。
■共分析101例老年2型糖尿病患者。参与者的平均年龄男性为72.9±6.11岁，女性为74.4±4.39岁。干预前后SMI平均值（±SE）为31.64±4.14。男性33.25±4.22cm2/m2，和22.72±3.24vs.女性分别为24.28±3.60cm2/m2（均P<0.001）。同样，SMA的统计显着改善，IMAT,男性和女性组的SMD也分别观察到（P<0.001）。多元线性回归模型显示基线血红蛋白A1c和糖尿病持续时间与男性SMI变化的潜在混杂因素，而女性血红蛋白A1c和高密度脂蛋白胆固醇与SMI的变化有关。
■通过智能手机应用程序提供的远程阻力锻炼计划在帮助患有2型糖尿病的老年患者改善其骨骼肌质量方面是可行且有效的。
