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Влияние тренировок в воде на состояние сердечно-сосудистой системы у пациентов с сахарным диабетом 2 типа: систематический обзор и метаанализ

https://doi.org/10.18087/cardio.2021.9.n1729

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Аннотация

Цель    Провести систематический обзор и мета-анализ данных исследований, изучавших влияние тренировок в воде (ВТ) на здоровье сердечно-сосудистой системы у пациентов с сахарным диабетом 2 типа (СД2).
Материал и методы    Поиск публикаций по исследованиям, изучавшим тренировки в воде у пациентов с СД2 проводился в базах данных PubMed, Cochrane, EMBASE, Web of Science и Ovid за период до 25 мая 2021 г. Основными анализируемыми параметрами были тест 6-минутной ходьбы (Т6МХ) и максимальное потребление кислорода (VO2max). Вторичными конечными точками были частота сердечных сокращений (ЧСС), систолическое (САД) и диастолическое (ДАД) артериальное давление в покое.
Результаты    Было отобрано 12 исследований, включивших 320 участников. Среди них в трех исследованиях ВТ сравнивались с упражнениями в зале, шесть исследований сравнивали ВТ с контролем без вмешательства и три исследования сравнивали результат до/после ВТ без контрольной группы. Мета-анализ показал, что по сравнению с исходным уровнем после тренировок в воде (исследования до/после) VO2max увеличился (взвешенная разница средних (ВРС)=0,71, 95% ДИ 0,47; 0,94), в то время как ЧСС покоя, САД покоя и ДАД покоя снижались (ВРС=-5,88, 95% ДИ -6,88;-4,88; ВРС=-5,76, 95% ДИ 7,75;-3,78; ВРС=-2,48, 95% ДИ -3,83;-1,13). При сравнении ВТ с группой контроля, дистанция Т6МХ и VO2max увеличились (ВРС=127,00, 95% 95%ДИ 49,26; 204,74; ВРС=2,02, 95% ДИ 1,66; 2,38, соответственно) и ЧСС покоя снизились (ВРС=-4,20, 95% ДИ -6,36; -2,03, ВТ по сравнению с контролем). Достоверных различий по указанным выше показателям между ВТ и тренировками в зале не выявлено.
Выводы    ВТ как и тренировки на суше увеличивают VO2max и снижают ЧСС покоя, САД и ДАД покоя. Динамика этих показателей говорит о положительном влиянии ВТ на состояние сердечно-сосудистой системы у пациентов с СД2. Однако необходимы дополнительные данные, чтобы подтвердить влияние ВТ на результаты Т6МХ у пациентов с СД2.

 

Об авторах

Хайфэн Чжу
Народная больница Тайчжоу, Тайчжоу, провинция Цзянсу, Китай
Китай

лечащий врач



Цзин Цзинь
Народная больница Тайчжоу, Тайчжоу, провинция Цзянсу, Китай
Китай

заместитель главного врача



Гаонян Чжао
Народная больница Тайчжоу, Тайчжоу, провинция Цзянсу, Китай
Китай

главный врач



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Для цитирования:


Чжу Х., Цзинь Ц., Чжао Г. Влияние тренировок в воде на состояние сердечно-сосудистой системы у пациентов с сахарным диабетом 2 типа: систематический обзор и метаанализ. Кардиология. 2021;61(9):52-60. https://doi.org/10.18087/cardio.2021.9.n1729

For citation:


Zhu H., Jin J., Zhao G. Effect of aquatic exercise on cardiovascular fitness in people with type 2 diabetes mellitus: a systematic review and meta-analysis. Kardiologiia. 2021;61(9):52-60. https://doi.org/10.18087/cardio.2021.9.n1729

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