Implementing Low-Cost, Community-Based Exercise Programs for Middle-Aged and Older Patients with Type 2 Diabetes: What Are the Benefits for Glycemic Control and Cardiovascular Risk?

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2017 Sep 14

PMID 28902144

Citations 11

Authors

Romeu Mendes

Nelson Sousa

Victor Machado Reis

Jose Luis Themudo-Barata

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to analyze the effects of a long-term, community-based, combined exercise program developed with low-cost exercise strategies on glycemic control and cardiovascular risk factors in middle-aged and older patients with type 2 diabetes.

Methods: Participants ( = 124; 63.25 ± 7.20 years old) engaged in either a 9-month supervised exercise program ( = 39; consisting of combined aerobic, resistance, agility/balance, and flexibility exercise; three sessions per week; 70 min per session) or a control group ( = 85) who maintained their usual care. Glycemic control, lipid profile, blood pressure, anthropometric profile, and the 10-year risk of coronary artery disease were assessed before and after the 9-month intervention.

Results: A significant time * group interaction effect ( < 0.001) was identified in the values of the glycated hemoglobin, fasting plasma glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, systolic blood pressure, diastolic blood pressure, body mass index, waist circumference, and the 10-year risk of coronary artery disease.

Conclusions: A long-term, community-based, combined exercise program developed with low-cost exercise strategies was effective in inducing significant benefits on glycemic control, lipid profile, blood pressure, anthropometric profile, and the 10-year risk of coronary artery disease in middle-aged and older patients with type 2 diabetes. Clinical Trial Identification Number: ISRCTN09240628.

Citing Articles

The Effectiveness of Clinician-Led Community-Based Group Exercise Interventions on Health Outcomes in Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.

White L, Kirwan M, Christie V, Hurst L, Gwynne K Int J Environ Res Public Health. 2024; 21(5.

PMID: 38791815 PMC: 11120654. DOI: 10.3390/ijerph21050601.

Differences in Health-Related Quality of Life and Physical Condition of Two Community-Based Exercise Programs in Subjects with Cardiovascular Risk Factors: A Prospective Observational Cohort Study.

Garcia-Sanchez E, Avila-Gandia V, Lopez-Roman F, Rubio-Arias J, Menarguez-Puche J J Pers Med. 2022; 12(11).

PMID: 36422070 PMC: 9695815. DOI: 10.3390/jpm12111894.

A Web-Delivered, Clinician-Led Group Exercise Intervention for Older Adults With Type 2 Diabetes: Single-Arm Pre-Post Intervention.

Kirwan M, Chiu C, Laing T, Chowdhury N, Gwynne K J Med Internet Res. 2022; 24(9):e39800.

PMID: 36149745 PMC: 9547336. DOI: 10.2196/39800.

Multicomponent Exercise Program for Improvement of Functional Capacity and Lipidic Profile of Older Women with High Cholesterol and High Triglycerides.

Leitao L, Marocolo M, DE Souza H, Arriel R, Vieira J, Mazini M Int J Environ Res Public Health. 2021; 18(20).

PMID: 34682474 PMC: 8535711. DOI: 10.3390/ijerph182010731.

Benefits of adding food education sessions to an exercise programme on cardiovascular risk factors in patients with type 2 diabetes.

Vasconcelos C, Cabral M, Ramos E, Mendes R J Nutr Sci. 2021; 10:e59.

PMID: 34422261 PMC: 8358841. DOI: 10.1017/jns.2021.50.

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