[Evaluation of a Supervised Physical Exercise Program in Sedentary Patients over 65 Years with Type 2 Diabetes Mellitus]

Overview

Journal Aten Primaria

Specialty Public Health

Date 2015 Mar 15

PMID 25769195

Citations 6

Authors

Javier Parra-Sanchez

Maria Moreno-Jimenez

Carla M Nicola

Ileana I Nocua-Rodriguez

Maria R Ameglo-Parejo

Marlen Del Carmen-Pena

Carlos Cordero-Prieto

Maria J Gajardo-Barrena

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze whether an exercise program can modify glycated hemoglobin (HbA1c), blood pressure (BP), body mass index (BMI), lipids, cardiovascular risk profile (CVR), self-perceived health status (SHS), and pharmaceutical expenditure (PE).

Design: A randomized, single blind, controlled trial.

Intervention: monitored aerobic exercise: 40minutes, 2 days/week, 3 months.

Location: Primary Care: 2 rural health areas. Health Area of Navalmoral. Cáceres. Extremadura. Spain.

Participants: 100 type 2 diabetic patients, aged 65 to 80 years, sedentary. Distribution: 50% control group (CG) and 50% intervention group (IG). Abandoned 12%.

Key Measures: HbA1c, BP, BMI, lipid, CVR, SHS, PE. Complications during exercise.

Results: There were post-intervention differences between groups in HbA1c, BP, BMI, cholesterol and SHS. In the IG, there was a significant decrease in; HbA1c: 0.2±0.4% (95% CI: 0.1 to 0.3), systolic BP: 11.8±8.5mmHg (95% CI: 5.1 to 11.9), BMI: 0.5±1 (95% CI: 0.2 to 0.8), total cholesterol: 14±28.2mg/dl (95% CI: 5.9 to 22.2), LDL: 18.3±28.2mg/dl 95% CI: 10.2 to 26.3), CVR: 6.7±7.7% (95% CI: 4.5 to 8.9), PE: 3.9±10.2 € (95% CI: 0.9 to 6.8), and an increase in SHS; 4.7±5.7 (95% CI: 3 to 6.3).

Conclusions: In diabetics over 65 years, a program of monitored aerobic exercise, of easy implementation, improves HbA1c, BP, cholesterol, CVR, PE, and SHS.

Citing Articles

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References

Selvin E, Marinopoulos S, Berkenblit G, Rami T, Brancati F, Powe N . Meta-analysis: glycosylated hemoglobin and cardiovascular disease in diabetes mellitus. Ann Intern Med. 2004; 141(6):421-31. DOI: 10.7326/0003-4819-141-6-200409210-00007. View

DAgostino Sr R, Vasan R, Pencina M, Wolf P, Cobain M, Massaro J . General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008; 117(6):743-53. DOI: 10.1161/CIRCULATIONAHA.107.699579. View

Sigal R, Kenny G, Boule N, Wells G, Prudhomme D, Fortier M . Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Ann Intern Med. 2007; 147(6):357-69. DOI: 10.7326/0003-4819-147-6-200709180-00005. View

Thomas D, Elliott E, Naughton G . Exercise for type 2 diabetes mellitus. Cochrane Database Syst Rev. 2006; (3):CD002968. PMC: 8989410. DOI: 10.1002/14651858.CD002968.pub2. View

Kirwan J, Solomon T, Wojta D, Staten M, Holloszy J . Effects of 7 days of exercise training on insulin sensitivity and responsiveness in type 2 diabetes mellitus. Am J Physiol Endocrinol Metab. 2009; 297(1):E151-6. PMC: 2711659. DOI: 10.1152/ajpendo.00210.2009. View

Boule N, Haddad E, Kenny G, Wells G, Sigal R . Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA. 2001; 286(10):1218-27. DOI: 10.1001/jama.286.10.1218. View

Dunstan D, Puddey I, Beilin L, Burke V, Morton A, Stanton K . Effects of a short-term circuit weight training program on glycaemic control in NIDDM. Diabetes Res Clin Pract. 1998; 40(1):53-61. DOI: 10.1016/s0168-8227(98)00027-8. View

Folkins C, Sime W . Physical fitness training and mental health. Am Psychol. 1981; 36(4):373-89. DOI: 10.1037//0003-066x.36.4.373. View

Swain D, Franklin B . Comparison of cardioprotective benefits of vigorous versus moderate intensity aerobic exercise. Am J Cardiol. 2005; 97(1):141-7. DOI: 10.1016/j.amjcard.2005.07.130. View

10.

Buse J, Ginsberg H, Bakris G, Clark N, Costa F, Eckel R . Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2006; 115(1):114-26. DOI: 10.1161/CIRCULATIONAHA.106.179294. View

11.

Tanasescu M, Leitzmann M, Rimm E, Hu F . Physical activity in relation to cardiovascular disease and total mortality among men with type 2 diabetes. Circulation. 2003; 107(19):2435-9. DOI: 10.1161/01.CIR.0000066906.11109.1F. View

12.

Snowling N, Hopkins W . Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes Care. 2006; 29(11):2518-27. DOI: 10.2337/dc06-1317. View

13.

Chudyk A, Petrella R . Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care. 2011; 34(5):1228-37. PMC: 3114506. DOI: 10.2337/dc10-1881. View

14.

. Standards of medical care in diabetes--2013. Diabetes Care. 2012; 36 Suppl 1:S11-66. PMC: 3537269. DOI: 10.2337/dc13-S011. View

15.

. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998; 352(9131):837-53. View

16.

Hu F, Stampfer M, Solomon C, Liu S, Colditz G, Speizer F . Physical activity and risk for cardiovascular events in diabetic women. Ann Intern Med. 2001; 134(2):96-105. DOI: 10.7326/0003-4819-134-2-200101160-00009. View

17.

Colberg S, Sigal R, Fernhall B, Regensteiner J, Blissmer B, Rubin R . Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010; 33(12):e147-67. PMC: 2992225. DOI: 10.2337/dc10-9990. View

18.

Phielix E, Meex R, Moonen-Kornips E, Hesselink M, Schrauwen P . Exercise training increases mitochondrial content and ex vivo mitochondrial function similarly in patients with type 2 diabetes and in control individuals. Diabetologia. 2010; 53(8):1714-21. PMC: 2892060. DOI: 10.1007/s00125-010-1764-2. View

19.

Rabin R, de Charro F . EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001; 33(5):337-43. DOI: 10.3109/07853890109002087. View

20.

Wing R, Epstein L, Kriska A, Nowalk M, Gooding W . Exercise in a behavioural weight control programme for obese patients with Type 2 (non-insulin-dependent) diabetes. Diabetologia. 1988; 31(12):902-9. DOI: 10.1007/BF00265375. View