なぜ糖尿病患者は運動に反応しないのか?(Why don’t people with diabetes respond as well to exercise?)

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2024-09-10 バージニア工科大学(VirginiaTech)

サラ・レスサード博士の研究は、糖尿病患者が運動の効果を十分に得られない理由を解明し、運動能力を向上させる方法を探るものです。彼女の研究では、糖尿病や高血糖が運動による筋肉の適応や有酸素能力を低下させることが示されました。現在、彼女はフラリン生物医学研究所で新たな研究を進め、他の治療法と運動を組み合わせて最適な効果を引き出す戦略を模索しています。

<関連情報>

高血糖は筋シグナル伝達の障害と運動に対する有酸素性適応に関連する Hyperglycaemia is associated with impaired muscle signalling and aerobic adaptation to exercise

Tara L. MacDonald,Pattarawan Pattamaprapanont,Prerana Pathak,Natalie Fernandez,Ellen C. Freitas,Samar Hafida,Joanna Mitri,Steven L. Britton,Lauren G. Koch & Sarah J. Lessard
Nature Metabolism  Published20 July 2020
DOI:https://doi.org/10.1038/s42255-020-0240-7

なぜ糖尿病患者は運動に反応しないのか?(Why don’t people with diabetes respond as well to exercise?)

Abstract

Increased aerobic exercise capacity, as a result of exercise training, has important health benefits. However, some individuals are resistant to improvements in exercise capacity, probably due to undetermined genetic and environmental factors. Here, we show that exercise-induced improvements in aerobic capacity are blunted and aerobic remodelling of skeletal muscle is impaired in several animal models associated with chronic hyperglycaemia. Our data point to chronic hyperglycaemia as a potential negative regulator of aerobic adaptation, in part, via glucose-mediated modifications of the extracellular matrix, impaired vascularization and aberrant mechanical signalling in muscle. We also observe low exercise capacity and enhanced c-Jun N-terminal kinase activation in response to exercise in humans with impaired glucose tolerance. Our work indicates that current shifts in dietary and metabolic health, associated with increasing incidence of hyperglycaemia, might impair muscular and organismal adaptations to exercise training, including aerobic capacity as one of its key health outcomes.

医療・健康
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