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Efectividad del ejercicio físico en pacientes con prediabetes sobre el control glucémico: Protocolo para una revisión sistemática
dc.rights.license | Atribución-NoComercial-SinDerivadas 4.0 Internacional |
dc.contributor.advisor | Aina Maria, Yañez Juan |
dc.contributor.advisor | Mancera Soto, Erica Mabel |
dc.contributor.author | Hernández Bermúdez, Ivonne Carolina |
dc.date.accessioned | 2021-06-25T18:40:31Z |
dc.date.available | 2021-06-25T18:40:31Z |
dc.date.issued | 2021 |
dc.identifier.uri | https://repositorio.unal.edu.co/handle/unal/79729 |
dc.description.abstract | Introducción. La prediabetes es un estado prepatológico de la diabetes mellitus tipo 2 (DM2), patología que se ha convertido en uno de los principales problemas de salud mundial, lo que la convierte en uno de los temas de interés para los profesionales sanitarios y las entidades estatales. Adyacente al padecimiento de este proceso patológico aparecen complicaciones crónicas tanto a nivel microvascular como macrovascular, que inciden en una mayor morbimortalidad, en una alteración en la calidad de vida de esta población. El uso de estrategias enfocadas en los estilos de vida puede disminuir la incidencia de esta enfermedad mediante la adopción de una alimentación saludable y una práctica de ejercicio físico regular. Objetivo. Evaluar la efectividad del ejercicio físico en pacientes con prediabetes sobre el control glucémico mediante una revisión sistemática. Diseño. La metodología del diseño de este estudio es investigación secundaria tipo revisión sistemática. Participantes. Se incluirán ensayos clínicos controlados aleatorios (ECA), en los cuales la principal estrategia de intervención esté basada en programas de entrenamiento físico con un mínimo de 8 a 12 semanas. Intervenciones. Estrategias basadas en las diferentes modalidades de entrenamiento físico, como la capacidad aeróbica en sus diferentes modalidades tanto en intensidad moderada, como entrenamiento interválico de alta intensidad, entrenamiento de resistencia, flexibilidad y/o la combinación entre cada una de estas modalidades. Se evaluó la calidad, riesgo de sesgo y heterogeneidad de los resultados. Resultados. Incluimos para nuestro análisis 20 artículos que fueron analizados cuantitativamente, todos ensayos clínicos que cumplieron con los criterios PICOT. Las principales modalidades de ejercicio físico que se utilizaron en los estudios fue el entrenamiento aeróbico (continuo como interválico con sus variantes en intensidad), entrenamiento de resistencia y/o la combinación entre estas modalidades de ejercicio físico. De acuerdo con la evaluación realizada, en el análisis de riesgo de sesgo se encontró un riesgo incierto en 10 de los artículos analizado que determinan la falta de rigor metodológico, a cambio de 4 artículos de investigación que cumplen con los criterios de minimización de riesgo de sesgo. La extracción de datos arrojó principalmente 3 variables glucocéntricas y 2 variables secundarias antropométricas adicionales que fueron objeto del análisis cuantitativo: FBG (Glucosa plasmática en ayunas), 2hGB (Glucosa plasmática en 2 horas, HbA1c (Hemoglobina glucosilada), IMC (Índice de masa corporal), % Masa grasa. Los datos obtenidos se dividieron según el grado de heterogeneidad, encontrando que tres de las variables de medición presentaron una heterogeneidad baja en los grupos principalmente de entrenamiento de resistencia y entrenamiento interválico de alta intensidad, que permitió la realización de un análisis metaanalítico del efecto de la intervención en relación con el protocolo de entrenamiento físico utilizado en cada estudio. Conclusiones. La aplicación de programas de entrenamiento físico es eficaz en personas con prediabetes para reducir el riesgo de diabetes mellitus tipo 2, mejorando el estado general de la salud, la tolerancia a la glucosa, la composición corporal y la tolerancia al ejercicio. |
dc.description.abstract | Introduction. Prediabetes is a prepathological state of type 2 diabetes mellitus (DM2), a pathology that has become one of the world's leading health problems, making it one of the topics of interest for healthcare professionals and state entities. Adjacent to the condition of this pathological process are chronic complications both at the microvascular and macrovascular level, which affect a greater morbidity, an alteration in the quality of life of this population. The use of lifestyle-focused strategies can decrease the incidence of lifestyles by adopting healthy eating and regular physical exercise practice. Objective. Evaluate the effectiveness of physical exercise in patients with prediabetes on glycaemic control through systematic review. Design. The design methodology of this study is secondary research type systematic review. Participants. Randomized controlled clinical trials (ECA) will be included, in which the main intervention strategy is based on physical training programs with a minimum of 8 to 12 weeks. Interventions. Strategies based on the different modalities of physical training, such as aerobic capacity in their different modalities in both moderate intensity, high intensity intervalic training, resistance training, flexibility and / or the combination between each of these modalities. The quality, risk of bias and heterogeneity of the results were assessed. Results. We included for our analysis 20 articles that were quantitatively analyzed, all clinical trials that met the PICOT criteria. The main modalities of physical exercise that were used in the studies were aerobic training (continuous as an intercom with its variants in intensity), resistance training and/or the combination between these types of physical exercise. According to the assessment carried out, the bias risk analysis found an uncertain risk in 10 of the analyzed articles that determine the lack of methodological rigor, in exchange for 4 research articles that meet the bias risk minimisation criteria. The extraction of data mainly yielded 3 glucocenetric variables and 2 additional anthropometric secondary variables that were subject to quantitative analysis: FBG (Fasting Plasma Glucose), 2hGB (Plasma Glucose in 2 hours, HbA1c (Glucosylated Hemoglobin), BMI (Body Mass Index), % Fat Mass. The data obtained were divided according to the degree of heterogeneity, finding that three of the measurement variables had low heterogeneity in the mainly high intensity resistance training and intervalic training groups, which allowed a metaanalytic analysis of the effect of intervention in relation to the physical training protocol used in each study. Conclusions. The application of physical training programs is effective in people with prediabetes to reduce the risk of type 2 diabetes mellitus, improving overall health, glucose tolerance, body composition and exercise tolerance. |
dc.format.mimetype | application/pdf |
dc.language.iso | spa |
dc.publisher | Universidad Nacional de Colombia |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
dc.subject.ddc | 610 - Medicina y salud::616 - Enfermedades |
dc.title | Efectividad del ejercicio físico en pacientes con prediabetes sobre el control glucémico: Protocolo para una revisión sistemática |
dc.type | Trabajo de grado - Maestría |
dc.type.driver | info:eu-repo/semantics/masterThesis |
dc.type.version | info:eu-repo/semantics/acceptedVersion |
dc.publisher.program | Bogotá - Medicina - Maestría en Fisioterapia del Deporte y la Actividad Física |
dc.description.degreelevel | Maestría |
dc.description.degreename | Magister en Fisioterapia del deporte y la actividad física |
dc.description.methods | Revisión Sistemática - Metaanálisis |
dc.description.researcharea | Kinesiología |
dc.identifier.instname | Universidad Nacional de Colombia |
dc.identifier.reponame | Repositorio Institucional Universidad Nacional de Colombia |
dc.identifier.repourl | https://repositorio.unal.edu.co/ |
dc.publisher.department | Departamento de Movimiento Corporal Humano |
dc.publisher.faculty | Facultad de Medicina |
dc.publisher.place | Bogotá, Colombia |
dc.publisher.branch | Universidad Nacional de Colombia - Sede Bogotá |
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dc.rights.accessrights | info:eu-repo/semantics/openAccess |
dc.subject.lemb | Ejercicio-aspectos fisiológicos |
dc.subject.lemb | Salud Pública |
dc.subject.proposal | Prediabetes |
dc.subject.proposal | Ejercicio físico |
dc.subject.proposal | Control glucémico |
dc.subject.proposal | Prediabetes |
dc.subject.proposal | Physical exercise |
dc.subject.proposal | Glycemic control |
dc.subject.unesco | Medicina deportiva |
dc.subject.unesco | Sports medicine |
dc.subject.unesco | Health policy |
dc.title.translated | Effectiveness of physical exercise in patients with prediabetes on glucemic control: protocol for a systematic review |
dc.type.coar | http://purl.org/coar/resource_type/c_bdcc |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa |
dc.type.content | Text |
oaire.accessrights | http://purl.org/coar/access_right/c_abf2 |
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