健走運動對第二型糖尿病中高齡患者之健康效益

臺灣人口老化的影響使得第二型糖尿病盛行率持續攀升，如何改善中高齡患者之生活型態以維持健康生活品質儼然成為公共衛生的挑戰。本文綜整有關健走運動介入第二型糖尿病中高齡患者的實證性研究，目的在瞭解健走運動對第二型糖尿病中高齡患者的健康效益，以提供未來擬定運動行為與健康促進策略之參考。整體而言，健走運動介入被證實可有效降低第二型糖尿病患發生心血管疾病相關併發症之風險。第二型糖尿病中高齡患者會因社區夥伴支持而參與健走運動以維持運動動機及提升生活品質。研究結語指出本文以證據為基礎，歸納出健走運動應用於第二型糖尿病中高齡患者的健康與行為，包含：增加運動時間與頻率、提升運動強度及身體活動量，並且促進社區夥伴關懷與支持。透過此策略將能有效促進血糖控制、改善血液指標、提升能量消耗與健康生活品質。即便如此，目前健走運動介入針對中高齡糖尿病患的研究證據仍然不多，建議未來可透過穿戴式裝置評估身體活動量，以詳細探討健走運動對中高齡糖尿病患不同健康效益之影響。

關鍵字

生活型態；健康生活品質；公共衛生；血糖；身體活動量

並列摘要

The aging of Taiwan's population has brought about a constant rising prevalence of type 2 diabetes. Improving the lifestyle of middle-aged and older adults to maintain a healthy quality of life has become a public health challenge. The purpose of this article is thus to summarize the empirical studies on the intervention of walking exercise in middle-aged and older patients with type 2 diabetes, to understand its health benefits and potential mechanisms for the target group, and then hopefully to provide a reference for future strategies in exercise behavior and health promotion. Overall, the intervention of walking exercises has been proven to effectively reduce the risk of cardiovascular disease-related complications in patients with type 2 diabetes. Members of the target population could participate in walking exercises with community partners' support to maintain their motivation and improve their quality of life. Based on the evidence-based articles, this article summarizes the health and behavior of walking exercise applied to older patients with type 2 diabetes and offers suggestions, including: increasing physical activity; increasing exercise duration, frequency, and intensity; and promoting community-based peer caring and support. Walking exercise could effectively promote blood sugar control, improve blood indicators, increase energy consumption, and improve quality of life. However, there is still not much research evidence on the intervention of walking exercises for middle-aged and elderly diabetic patients. Future studies could incorporate wearable devices to assess physical activity levels and explore the impact of walking exercises on health benefits among middle-aged and elderly diabetic patients.

並列關鍵字

lifestyle ； healthy quality of life ； public health ； physical activity ； blood sugar

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