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[转帖] 6 Great Exercises for People With Diabetes

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发表于 2024-6-23 16:01:36 | 只看该作者 回帖奖励 |倒序浏览 |阅读模式
6 Great Exercises for People With Diabetes

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By Everyday Health June 11th, 2024
This content originally appeared on Everyday Health. Republished with permission.

By Jessica Migala

Medically Reviewed by Kacy Church, MD

Do you get enough exercise? If you’re like many Americans, the answer is no — and that can be especially true for people with diabetes. In fact, only about 40 percent of people with type 2 diabetes participate in regular physical activity, notes a study in the World Journal of Diabetes. And that’s a shame, because working out can help increase insulin action and keep blood sugar levels in check, says Sheri Colberg, PhD, founder of the Diabetes Motion Academy in Santa Barbara, California.

Not to mention, exercise may help your body fend off illnesses by ramping up immune system activity, according to MedlinePlus. Boosting your immunity with exercise, as well as managing your blood sugar, can help you stay healthy.

Exercise also helps you lose weight and improve balance. That’s important, since people who are obese are more likely to develop type 2 diabetes, according to the Obesity Action Coalition. Among adults with type 2 diabetes, having a body mass index (BMI) of over 35 (categorized as obese) increases the risk of having balance problems and falling, according to a study.


“I fully recommend that anyone over 40 with diabetes include balance training as part of their weekly routine, at least two or three days per week,” says Dr. Colberg. “It can be as simple as practicing balancing on one leg at a time, or more complex, like tai chi exercises. Lower-body and core resistance exercises also double as balance training.”

People with type 2 diabetes should aim to complete 150 to 300 minutes of moderate-intensity activity per week, according to the Physical Activity Guidelines for Americans from the Department of Health and Human Services (HHS). The HHS also recommends a twice-weekly resistance training session, an amount that will protect against heart disease by reducing high blood pressure, aiding in weight loss, and lowering cholesterol and hemoglobin A1C levels (a three-month average of blood sugar levels).

Here are six great workouts you can easily incorporate into your daily routine. Be sure to check with your healthcare team before beginning any exercise regimen, and go slowly at first. Over time, you can increase the length and intensity of your routine.

1 — Brisk Walking Is a Mild Activity With Major Benefits
If you have diabetes and don’t have an exercise routine in place, start with walking. “Walking is easy for people to do,” Colberg says, “All you need is a good pair of shoes and somewhere to go. Walking is probably one of the most prescribed activities for people with type 2 diabetes.” Brisk walking, done at a pace that raises the heart rate, is considered a moderate-intensity exercise, according to the Harvard T.H. Chan School of Public Health. Walking at a brisk clip 30 minutes per day five days per week will help you reach the recommended goal of 150 minutes of moderate-intensity exercise.

RELATED: What People With Diabetes Must Know Before Starting an Exercise Plan

2 — Tai Chi Reduces Stress and Improves Balance
Tai chi is an ancient Chinese tradition. Participants flow through a series of movements performed in a slow and relaxed manner along with deep breathing, according to the Mayo Clinic. A meta-analysis in the Journal of Diabetes Research concluded that tai chi is an effective way for people with type 2 diabetes to manage their blood glucose and A1C levels. Tai chi is ideal for people with diabetes because it provides fitness and stress reduction in one.


Tai chi also improves balance and may reduce nerve damage or neuropathy, which is a common complication among people with diabetes whose blood sugar isn’t well managed — though the latter benefit remains unproven, says Colberg. (One study looked at the effect of tai chi on people who have peripheral neuropathy (PN), or nerve damage that can be caused by chronically high blood sugar. Researchers found that the exercise did not cure PN, but it did improve balance, flexibility, and strength).

Still, Colberg emphasizes that working on your balance daily is a critical component of staying on your feet as you age and living well and independently throughout your lifetime. “If you don’t do tai chi, incorporate some other balance exercises into your weekly routine to reduce your risk of falling,” says Colberg.

3 — Weight Training Is Necessary for Maintaining Muscle
“I can’t say enough about the benefits of weight training, not just for people with diabetes but for everyone,” Colberg says. Weight training builds muscle mass, important for those with type 2 diabetes. “If you lose muscle mass, you have a lot harder time maintaining your blood sugar,” she says.

Plan for resistance exercise or weight training at least twice a week as part of your diabetes management plan, recommends the HHS. Regardless of your experience, you can safely add resistance exercise into your routine, according to the American College of Sports Medicine (ACSM). This includes exercise done with free weights, machines, or bands using a resistance that feels challenging; focus on doing two to three sets of 8 to 12 repetitions of each exercise, the ACSM recommends.

4 — Yoga Reduces Stress for Blood Sugar Control
Say om: Like tai chi, research shows that if you have diabetes, yoga can help reduce stress and manage the condition, according to a review of research. “When stress levels go higher, so do your blood sugar levels,” says Colberg.

One of the advantages of yoga as an exercise is that you can do it as often as you like. “The more the better,” she says. A study in the Journal of Physical Activity & Health concluded that exercise helps lessen depressive symptoms in adults with type 2 diabetes.


5 — Swimming Is a Low-Impact Exercise That Feels Good
Swimming is another aerobic exercise — and an ideal one for people with type 2 diabetes because it doesn’t put pressure on your joints. “Being buoyed by the water is less stressful on your body compared to walking or jogging,” Colberg says. Type 2 diabetes can lead to foot complications, including neuropathy, says the American Diabetes Association. Because neuropathy can lead to loss of feeling in the foot, you can purchase water shoes to protect your feet in the pool.

RELATED: The 6 Best Low-Impact Exercises for People With Diabetes

6 — Bicycling Is a Convenient Way to Burn Calories
Bicycling is also a form of aerobic exercise, says the HHS, one that makes your heart stronger and your lungs function better, and is a calorie burner to boot. Just riding a few times per week as a casual mode of transportation was found to reduce the risk of obesity, high blood pressure, and triglyceride levels, according to a study.

To cycle, you don’t even need to leave your house: A stationary bike can be helpful because you can do it inside, no matter the weather.

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 楼主| 发表于 2024-6-23 16:02:13 | 只看该作者
糖尿病患者的6大运动
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《每日健康》2024年6月11日
此内容最初出现在《每日健康》上。经许可重新发布。
作者:Jessica Migala
医学审查:医学博士Kacy Church
你有足够的锻炼吗?如果你和许多美国人一样,答案是否定的——糖尿病患者尤其如此。事实上,《世界糖尿病杂志》上的一项研究指出,只有大约40%的2型糖尿病患者参加了有规律的体育活动。加利福尼亚州圣巴巴拉糖尿病运动学院的创始人Sheri Colberg博士说,这真是太遗憾了,因为锻炼可以帮助增加胰岛素的作用,控制血糖水平。
更不用说,根据MedlinePlus的说法,运动可以通过增强免疫系统活动来帮助你的身体抵御疾病。通过锻炼增强免疫力,以及控制血糖,可以帮助你保持健康。
运动还可以帮助你减肥和改善平衡。肥胖行动联盟表示,这一点很重要,因为肥胖者更容易患上2型糖尿病。根据一项研究,在患有2型糖尿病的成年人中,体重指数(BMI)超过35(被归类为肥胖)会增加平衡问题和跌倒的风险。
科尔伯格博士说:“我完全建议40岁以上的糖尿病患者将平衡训练作为每周例行训练的一部分,每周至少两到三天。它可以简单到一次单腿练习平衡,也可以更复杂,比如太极拳。下半身和核心阻力练习也可以兼作平衡训练。”
根据美国卫生与公众服务部(HHS)的《美国人体育活动指南》,2型糖尿病患者的目标是每周完成150至300分钟的中等强度活动。卫生和公众服务部还建议每周进行两次阻力训练,这一训练量将通过降低高血压、帮助减肥以及降低胆固醇和血红蛋白A1C水平(三个月的平均血糖水平)来预防心脏病。
这里有六种很棒的锻炼方法,你可以很容易地将其融入日常生活。在开始任何锻炼方案之前,一定要与你的医疗团队核实,一开始要慢慢进行。随着时间的推移,你可以增加日常训练的长度和强度。
1-快走是一项温和的活动,有很大的好处
如果你患有糖尿病,并且没有适当的锻炼计划,那就从走路开始。“走路对人们来说很容易,”Colberg说,“你只需要一双好鞋和一个可以去的地方。走路可能是2型糖尿病患者最常见的活动之一。”哈佛大学陈公共卫生学院表示,快走被认为是一种中等强度的运动,以提高心率的速度进行。每周五天,每天快走30分钟,可以帮助你达到150分钟中等强度运动的建议目标。
相关:糖尿病患者在开始锻炼计划之前必须知道什么
2-太极拳可以减轻压力,改善平衡
太极是中国古老的传统。根据梅奥诊所的说法,参与者以缓慢放松的方式进行一系列动作,同时深呼吸。《糖尿病研究杂志》上的一项荟萃分析得出结论,太极拳是2型糖尿病患者控制血糖和A1C水平的有效方法。太极拳是糖尿病患者的理想选择,因为它集健身和减压于一体。
Colberg说,太极拳还可以改善平衡,并可能减少神经损伤或神经病变,这是血糖控制不佳的糖尿病患者的常见并发症,尽管后者的益处尚未得到证实。研究人员发现,这种运动并不能治愈PN,但它确实改善了平衡、灵活性和力量)。
尽管如此,科尔伯格强调,每天保持平衡是随着年龄的增长而保持站立的关键组成部分,也是在一生中独立生活的重要组成部分。科尔伯格说:“如果你不打太极,可以在每周的日常活动中加入一些其他的平衡练习,以降低摔倒的风险。”。
3-重量训练对保持肌肉是必要的
科尔伯格说:“关于重量训练的好处,我说得再多也不为过,不仅对糖尿病患者,而且对每个人都是如此。”。重量训练可以增强肌肉质量,这对2型糖尿病患者很重要。她说:“如果你失去了肌肉,你就很难维持血糖。”。
HHS建议,作为糖尿病管理计划的一部分,每周至少计划两次阻力运动或重量训练。根据美国运动医学院(ACSM)的说法,无论你的经验如何,你都可以安全地将阻力运动加入日常训练中。这包括使用自由重量、机器或带进行的锻炼,使用感觉具有挑战性的阻力;ACSM建议,重点做两到三组,每组8到12次重复。
4--瑜伽可以减轻压力,控制血糖
Say om:根据一项研究综述,研究表明,与太极拳一样,如果你患有糖尿病,瑜伽可以帮助减轻压力和控制病情。科尔伯格说:“当压力水平升高时,你的血糖水平也会升高。”。
瑜伽作为一种运动的优势之一是你可以随心所欲地做。“越多越好,”她说。《体育活动与健康杂志》上的一项研究得出结论,运动有助于减轻2型糖尿病成年人的抑郁症状。
5-游泳是一种低冲击、感觉良好的运动
游泳是另一种有氧运动,也是2型糖尿病患者的理想运动,因为它不会给你的关节带来压力。科尔伯格说:“与散步或慢跑相比,被水浮力对身体的压力较小。”。美国糖尿病协会表示,2型糖尿病会导致足部并发症,包括神经病变。因为神经病变会导致脚部失去感觉,所以你可以购买水鞋来保护你在游泳池中的双脚。
相关:糖尿病患者的6种最佳低冲击运动
6-骑自行车是燃烧卡路里的便捷方式
HHS说,骑自行车也是一种有氧运动,它能让你的心脏更强壮,肺部功能更好,是一种卡路里燃烧器。一项研究表明,作为一种休闲的交通方式,每周骑行几次可以降低肥胖、高血压和甘油三酯水平的风险。
要骑自行车,你甚至不需要离开你的房子:一辆固定的自行车会很有帮助,因为无论天气如何,你都可以在室内骑。
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板凳
 楼主| 发表于 2024-6-25 08:40:19 | 只看该作者
糖尿病患者的6大运动! (了解更多:6 Great Exercises for People With Diabeteshttp://www.dm-honeymoon.net/forum.php?mod=viewthread&tid=91&extra=page%3D1

1-快走是一项温和的活动,有很大的好处
2-太极拳可以减轻压力,改善平衡
3-重量训练对保持肌肉是必要的
4--瑜伽可以减轻压力,控制血糖
5-游泳是一种低冲击、感觉良好的运动
6-骑自行车是燃烧卡路里的便捷方式
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