Benefits of different combinations of aerobic and resistance exercise for improving plasma glucose and lipid metabolism and sleep quality among elderly patients with metabolic syndrome: a randomized controlled trial

Endocrine journal

article

Ye Zhou¹  Wanling Wu²  Youqing Zou³  Wentao Huang¹  Shanshan Lin⁴  Jinsong Ye⁵  Yutao Lan¹ 

[1] School of Nursing, Guangdong Pharmaceutical University;Hui Ya Hospital of The First Affiliated Hospital, Sun Yat-sen University;The Fifth Affiliated Hospital of Sun Yat-sen University;Faculty of Health, University of Technology Sydney;Taikang Yueyuan Nursing Home

关键词: Metabolic syndrome;    Aerobic exercise;    Resistance training;    Glucolipid metabolism;    Sleep quality;   

DOI  :  10.1507/endocrj.EJ21-0589

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

Exercise has beneficial effects on metabolic syndrome (MS). However, the exercise prescriptions that best support plasma glucose and lipid control remain unknown. We evaluated the effects of different combinations of aerobic and resistance training programs on plasma glucose and lipid metabolism and sleep quality in elderly MS patients. Eighty-five elderly MS patients were randomly assigned to five groups: aerobic training (AT), resistance training (RT), high aerobic with low resistance training (HALRT), high resistance with low aerobic training (HRLAT), or control. The exercise groups performed supervised moderate-intensity exercise during three 50-min sessions per week for 12 weeks. Body mass index (BMI), waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP), handgrip strength (HGS), fasting plasma glucose (FPG), 2-hour postprandial blood glucose (2hPG), total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) levels and sleep quality were evaluated at baseline and after 12 weeks. All intervention groups showed significant improvements in SBP, HGS, FPG, 2hPG, and Pittsburgh Sleep Quality Index (PSQI) scores compared to baseline (all p < 0.05), while DBP, TC, TG, and LDL-C levels were significantly improved only in the HRLAT and HALRT groups (p < 0.05). The HALRT group showed the largest improvements in WC, SBP, DBP, HGS, FPG, 2hPG, and PSQI score (p < 0.001). The largest improvements in BMI, TC, and LDL-C were observed in the HRLAT group (p < 0.001). The combined exercise prescriptions were more effective than aerobic or resistance training alone at improving plasma glucose and lipid metabolism and sleep quality in elderly MS patients.

【 授权许可】

Unknown