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222.9 八段锦调控糖尿病前期及糖尿病患者之饭後血糖及醣化血色素之文献回顾

TJ TCM.22(2) : 81-90, 2019

DOI : 10.6516/TJTCM.201909_22(2).0009

八段锦调控糖尿病前期及糖尿病患者之饭後血糖及醣化血色素之文献回顾

A Literature Review of Qigong Regulating Blood Glucose—Taking Baduanjin as an Example

梁雅淳1　陈相如1　杨舒渝1*

1 财团法人佛教慈济综合医院台中分院中医部，台中，台湾

【摘要】

2015 年时18 岁以上国人糖尿病盛行率为11.8%，每年以2.5 万名的速度持续增加，台湾糖尿病前期患者每年有3.2~8.8% 变成第二型糖尿病 (type2 diabetes mellitus, T2DM)，终生之患病时间较久，罹患糖尿病并发症之机率大幅增加。气功是一种低强度至中强度之有氧运动，具有调控血糖之功能，本文搜寻近十年之随机临床研究，结果为无论是第二型糖尿病患或糖尿病前期患者，可看到练习八段锦之饭後血糖改善幅度皆较空腹血糖明显，醣化血色素亦有不同程度之降低；订定运动时间及运动强度，且经过培训并考核之研究，调控血糖疗效较佳；将八段锦与其他有氧运动或太极拳比较，其调控血糖之效较优。八段锦调降血糖之可能机转包括与胰岛素阻抗相关之内脏脂肪素 (visfatin)、视黄醇结合蛋白 (Retinol binding protein-4, RBP4)。目前临床试验结果皆指向八段锦是糖尿病或糖尿病前期患者选择运动改善血糖之有效方法，但因研究偏小型或不完善需要进一步较严谨的实验设计。

【关键词】血糖调控、气功、八段锦、糖尿病、糖尿病前期

Liang Ya Chun1　Yang Su Yu1　Chen Hsiang Ju1*

1Department of Traditional Chinese Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi

Medicine Foundation, Taichung, Taiwan

【Summary】

In 2015, the prevalence of diabetes among Taiwan people over the age of 18 was 11.8%, which continued to increase at a rate of 25,000 per year. In Taiwan,3.2 to 8.8% of prediabetes patients became type 2 diabetes mellitus (T2DM) per year. The longer the illness, the greater the chance of developing complications of diabetes. Qigong is a low- to medium-intensity aerobic exercise with the function of regulating blood sugar. This article searches for randomized clinical studies in the past ten years. According to the results by the treatment of Baduanjin, both type 2 diabetes and pre-diabetic patients showed greater improvement in 2 hours postprandial blood glucose than that of fasting blood glucose, and the glycated hemoglobin was also reduced to varying degrees. Studies that have better efficacy at regulating blood glucose usually set exercise time and intensity, and most of its subjects were trained and assessed. Compared with other aerobic exercise or Tai Chi, Baduanjin is more efficient in regulating blood sugar. The possible mechanisms in blood glucose regulation of Baduanjin include visfatin and Retinol binding protein-4 (RBP4) which are both related to insulin resistance. Currently the clinical results of small or less perfect trials point to the fact that Baduanjin is an effective method to improve blood sugar in patients with diabetes or prediabetes.

【Keywords】blood glucose regulation, Qigong, Baduanjin, diabetes, pre-diabetes

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