膳食纖維攝取量與運動對第2型糖尿病人的健康效益的探討

運動、飲食、藥物為糖尿病管理的基石。之前的基礎的科學研究，增加我們了解運動對醣類代謝的好處。很多的臨床試驗證實了運動和飲食的介入，可以降低第2型糖尿病的發生且改善葡萄糖不耐的情形。膳食纖維的攝取量有減少的情形這與很多疾病相關包含第2型糖尿病。然而實驗性的高纖維的攝取與改善葡萄糖代謝有關，一些流行性病學的調查結果也還未定論。有力的數據表示對胰島素的敏感度有正向的效應。本研究擬探討了解膳食纖維的攝取與運動在第2型糖尿病人的健康效應（包含血壓、血脂、血糖控制）上是否有效益？研究方法：對象為100位有第2型糖尿病的成人。透過24小時回憶法及運動食物頻率問卷，了解膳食纖維攝取量與運動情形。透過Pearson相關性分析膳食纖維攝取量對糖尿病的健康效應（包含血壓、血脂、血糖控制）是否有相關性，以及分析有效控制血糖、血脂肪、血壓的受試者運動情形和纖維攝取量高低的比較。結果：100位第2型糖尿病的受試者，增加膳食纖維攝取量，其糖化血色素會減少呈現負相關性，隨著增加膳食纖維攝取量，其腹血糖值、糖化血色素、血脂肪、血壓有減少的傾向；運動的有無與膳食纖維攝取量（每天纖維攝取量＜15公克、每天纖維攝取量≧15公克）的比較對於空腹血糖、糖化血色素、血中三酸甘油酯、血總膽固醇、低密度脂蛋白膽固醇（LDL）、高密度脂蛋白膽固醇（HDL）、血壓（收縮壓/舒張壓）的比較分析，在統計上並無明顯的差異性；分析有達到糖化血色素、血脂肪、血壓的控制對象中，發現有運動者佔的比例高於沒有運動者，且膳食纖維攝取量每日≧15公克者，佔的比例最高，因此有運動且膳食纖維攝取量每日攝取≧15公克，有助糖化血色素、血脂肪、血壓的控制的趨勢。

關鍵字

膳食纖維攝取量；第2型糖尿病；運動

並列摘要

Exercise has been considered a cornerstone of diabetes management, along with diet and medication. Advances in basic science,increasing our understanding of the effects of exercise on glucoregulation. Large clinical trials demonstrating that lifestyle interventions (diet and exercise) reduce incidence of type 2 diabetes in people with impaired glucose tolerance (IGT).Experimental high-fiber diets have been associated with improved glucose metabolism , the results of epidemiological studies are inconsistent. Available data suggest a positive effect on insulin sensitivity. This study was aimed to understand Habitual dietary fiber intake and exercises were related to health benefit in a population of type 2 diabetes. The subjects consisted of 100 adults of patients with type 2 diabetes. Dietary intake and exercise were measured by means of 24 hour food records and food, physical activity frequently questionnaire. Results showed that increasing dietary fiber intake was negative related to the levels of HbA1c in a population of type 2 diabetes. However, more fiber intake compared with the systolic blood pressure, serum triglyceride and HDL cholesterol concentrations, blood sugar in a population of type 2 diabetes trended to decrease. The subjects of type 2 diabetes with HbA1c、serum cholesterol or triglyceride concentrations controlled well ,it found that exercise and fiber intake≧15gm/day have more percentages. This study showed that dietary fiber intake and exercise were association with health benefit including systolic blood pressure, serum triglyceride and HDL cholesterol concentrations, HbA1c in a population of type 2 diabetes.

並列關鍵字

dietary fiber intake ； exercises ； type 2 diabetes

參考文獻

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膳食纖維攝取量與運動對第2型糖尿病人的健康效益的探討

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