Does home-based exercise improve body mass index in patients with type 2 diabetes? Results of a feasibility trial.
ABSTRACT This feasibility trial evaluated the use, safety, and short-term benefits of a home-based exercise intervention designed to increase physical activity among adults with diabetes.
Participants with type 2 diabetes in a group practice were recruited and randomly assigned to the home-based exercise intervention or usual care. Participants were given diabetes self-management education, instructed to exercise 30 min 5 days/week, and were followed for 3 months. The intervention contained three exercise routines (aerobic and resistance exercises). Outcomes included changes from baseline at 3 months between groups in body mass index (BMI), quality of life, A1C, and blood pressure.
Seventy-six sedentary adults completed the study: 49% intervention group, 68% women, 47% black, mean age 56.6+/-9.6 years. Using intention to treat analysis, a trend towards improvement between groups for BMI (mean change -0.4 versus 0.1, respectively; P=0.06) was identified. Thirty-eight percent of the intervention group adhered to 80% of the exercise recommendation and significantly improved BMI (-1.07; P<0.05). No other differences were detected between groups.
Home-based exercise interventions have potential to reduce BMI in patients with diabetes. The results provide variance estimates necessary to power a larger study of longer duration.
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ABSTRACT: Diabetes is associated with marked cardiovascular morbidity and mortality. However, the association between different types of exercise training and blood pressure (BP) changes is not fully clear in type 2 diabetes.Sports Medicine 07/2014; 444(11):1557-72. · 5.32 Impact Factor
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ABSTRACT: INTRODUCTION: Type 2 diabetes is a heterogeneous group of metabolic disease caused by a dysfunction in insulin secretion and/or its action. OBJECTIVES: To compare the effect of two types of training, combined (aerobic and resistance) and aerobic exercise training, on glycemic control of type 2 diabetes. MATERIALS AND METHODS: The research is characterized by a quasi-experimental study. After approval of the research ethics commitee with record 09.071.4.08. III, it was started a program of combined and aerobic training. We selected 24 participants from both genders, sedentary, with a mean age of 60,41 ± 7,87. Participants were randomly divided into two groups: combined training (n = 12) and aerobic training (n = 12). They were both evaluated at baseline and study end. Serum glucose was determined by the Vitros and glycosylated hemoglobin was determined by High Performance Liquid Chromatography. Training was carried out three times a week, in a total of 20 weeks. Data are expressed as mean and standard deviation. We used the paired t test (p < 0.05) to compare the mean baseline and after 20 weeks of training. RESULTS: The mean fasting glucose in combined training significantly reduced, from 167.41 ± 38.13 to 119.83 ± 20.91, and the same occurred with aerobic training, from 189.83 ± 63.57 to 139.91 ± 34.04. The values of glycosylated hemoglobin in combined and aerobic training significantly reduced ,from 8.61 ± 1.17 to 7.25 ± 1.24 and from 9.52 ± 2.46 to 8.37 ± 1.50, respectively. CONCLUSION: The combined training was more effective for glycosylated hemoglobin and aerobic training, on plasma glucose.Fisioterapia em Movimento. 06/2012; 25(2):399-409.
Article: Éducation sur l’autogestionCanadian Journal of Diabetes 10/2013; 37:S388–S393. · 0.46 Impact Factor