복합 운동이 국내 제2형 당뇨 노인 여성의 당 대사 및 심혈관 질환 위험 인자에 미치는 영향: 체계적 문헌 고찰

초록

The purpose of this study was to systematically review the effects of combined exercise on glucose metabolism and cardiovascular disease risk factors in women aged 65 years and older with type 2 diabetes mellitus. Following the PRISMA guidelines, studies were identified from six domestic databases, and 11 studies met the inclusion criteria. Methodological quality was assessed using the RoB 2 and ROBINS-I tools. Among the eight studies reporting glucose metabolism outcomes, six demonstrated significant improvements, while four of the nine studies reporting cardiovascular disease risk factors showed significant improvements in lipid profiles and blood pressure. Greater improvements were observed in participants whose baseline values exceeded recommended clinical targets, whereas limited changes were found in those whose baseline values were already close to the recommended range. In conclusion, combined exercise may be associated with improvements in glucose metabolism and cardiovascular disease risk factors in older Korean women with type 2 diabetes mellitus. The findings suggest that the effects of combined exercise may be more closely related to baseline status than to exercise intensity. However, caution is warranted because of the generally high risk of bias and variations in intervention characteristics across studies. Further high-quality studies and meta-analyses are needed to verify these effects.

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