Effects of a regular walking exercise program on behavioral and biochemical aspects in elderly people with type II diabetes

Department of Nursing, Catholic University of Daegu Department of Civil Engineering, Keimyung University, Daegu, Korea.
Nursing and Health Sciences (Impact Factor: 0.85). 06/2012; 14(4). DOI: 10.1111/j.1442-2018.2012.00690.x
Source: PubMed

ABSTRACT The present study examined the effects of a regular walking exercise program on behavioral (daily physical activity, physical strength, energy consumption) and biochemical (fasting blood glucose [FBG], glycated hemoglobin [HbA1c], total cholesterol, triglycerides [TG], low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol) aspects of elderly people with type II diabetes. A randomized and stratified experimental design was used with experimental and control groups. The experimental group was subjected to a 6 month walking exercise program, involving walking exercise three times per week for 50 min, and a 4 week education program on diet control and the prevention of complications, once per week for 20 min. Post-test was conducted after 3 and 6 months to examine short- and long-term behavioral and biochemical effects. The regular walking exercise program effectively increased daily physical activity, physical strength, and energy consumption (behavioral aspects), and decreased FBG, HbA1c, and TG levels (biochemical aspects) in elderly people with type II diabetes. The incidence of type II diabetes complications might be reduced by implementing a regular walking exercise program.

  • Source
    • "Most exercise regimens feature walking, and it has been shown that a walking program improves the metabolic profile of patients with type 2 DM (Sung & Bae, 2012). Although prevalence varies, peripheral neuropathy (PN) is common in patients with type 2 DM. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Distal symmetric polyneuropathy increases fall risk due to inability to cope with perturbations. We aimed to 1) identify the frontal plane lower limb sensorimotor functions which are necessary for robustness to a discrete, underfoot perturbation during gait; and 2) determine whether changes in the post-perturbed step parameters could distinguish between fallers and non fallers. Forty-two subjects (16 healthy old and 26 with diabetic PN) participated. Frontal plane lower limb sensorimotor functions were determined using established laboratory-based techniques. The subjects' most extreme alterations in step width or step length in response to a perturbation were measured. In addition, falls and fall-related injuries were prospectively recorded. Ankle proprioceptive threshold (APrT; p=.025) and hip abduction rate of torque generation (RTG; p=.041) independently predicted extreme step length after medial perturbation, with precise APrT and greater hip RTG allowing maintenance of step length. Injured subjects demonstrated greater extreme step length changes after medial perturbation than non-injured subjects (percent change = 18.5 ± 9.2 vs. 11.3 ± 4.57; p = .01). The ability to rapidly generate frontal plane hip strength and/or precisely perceive motion at the ankle is needed to maintain a normal step length after perturbation, a parameter which distinguishes between subjects sustaining a fall-related injury and those who did not.
    Journal of diabetes and its complications 10/2013; 28(1). DOI:10.1016/j.jdiacomp.2013.09.001 · 1.93 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to examine factors that influence the quality of life among Tianjin Chinese living with type 2 diabetes. In this study, the quality of life was assessed in 174 participants. The dependent variables included demographic and clinical data, depressive symptoms and lifestyle behavioral factors. Chi-square tests and logistic regression analysis were conducted to identify significant factors. Using multiple regression analyses, the odds ratios (ORs) of having low quality of life were 4.53 (95% confidence interval (CI) = 1.89-10.87), 2.83 (95% CI = 1.21-6.63), and 2.48 (95% CI = 1.03-5.96) for patients with microvascular complications, diabetic neuropathy, and peripheral vascular disease, respectively. Coronary heart disease, depression, and unhealthy eating habits were also found to have significant negative effects on quality of life. In addition, multiple regression analysis showed that regular exercise (OR = 0.29, 95% CI = 0.12-0.71) was a protective factor for health-related quality of life. The identification of these influencing factors will assist nurses to provide continuous care to people living with diabetes, thus to postpone or avoid complications as well as improve their quality of life.
    Nursing and Health Sciences 09/2012; 14(4). DOI:10.1111/j.1442-2018.2012.00734.x · 0.85 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Nutrition and lifestyle, particularly over-nutrition and lack of exercise, promote the progression and pathogenesis of obesity and metabolic diseases. Nutrition is likely the most important environmental factor that modulates the expression of genes involved in metabolic pathways and a variety of phenotypes associated with obesity and diabetes. During pregnancy, diet is a major factor that influences the organ developmental plasticity of the foetus. Experimental evidence shows that nutritional factors, including energy, fatty acids, protein, micronutrients, and folate, affect various aspects of metabolic programming. Different epigenetic mechanisms that are elicited by bioactive factors in early critical developmental ages affect the susceptibility to several diseases in adulthood. The beneficial effects promoted by exercise training are well recognised, and physical exercise may be considered one of the more prominent non-pharmacological tools that can be used to attenuate metabolic programming and to consequently ameliorate the illness provoked by metabolic diseases and reduce the prevalence of obesity, type 2 diabetes, and cardiovascular diseases. Literature on the different outcomes of unbalanced diets and the beneficial effects of some bioactive molecules during gestation and lactation on the metabolic health of offspring, as well as the potential mechanisms underlying these effects, was reviewed. The importance of the combined effects of functional nutrition and exercise as reprogramming tools of metabolic programming is discussed in depth. Finally, this review provides recommendations to healthcare providers that may aid in the control of early programming in an attempt to optimise the health of the mother and child.
    European Journal of Nutrition 01/2014; DOI:10.1007/s00394-014-0654-7 · 3.84 Impact Factor
Show more