Impact of Underwater Treadmill Training on Glycemic Control, Blood Lipids, and Health-Related Fitness in Adults With Type 2 Diabetes

Conners, Ryan T.; Caputo, Jennifer L.; Coons, John M.; Fuller, Dana K.; Morgan, Don W.

doi:10.2337/cd17-0066

Cited by 15 publications

(16 citation statements)

References 46 publications

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“…Footwear considered appropriate must have a thick sole, su cient width and depth to accommodate a sock and the foot comfortably, the inside of the footwear must be soft and seamless, adjustable with laces or velcro, offering total protection to the toes (round or square toe), sole up to three centimeters, and made with soft raw material [7,19,34]. It should be noted that the use of inappropriate shoes has been described in the literature as a relevant factor for the development of the risk of ulceration and peak plantar pressure [18,[35][36][37][38].…”

Section: Discussionmentioning

confidence: 99%

Diabetic Foot Assessment of People With Diabetic Peripheral Neuropathy And Associated Factors To Plantar Pressure Changes.

Jorgetto¹,

Oggiam²,

Gamba³

et al. 2021

Preprint

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Diabetic neuropathy is one of the main complications of Diabetes Mellitus, which can lead to loss of protective sensation, motor alteration, in plantar pressure, generating deformities, abnormal gait and mechanical trauma to the feet.OBJECTIVE: to evaluate the distribution of plantar pressure, sensorimotor changes, balance and associated factors to plantar pressure changes in people with peripheral diabetic neuropathy.METHOD: Cross-sectional study conducted with individuals registered in the municipal public health network of a city in the east of São Paulo - Brazil, with Diabetes Mellitus and Peripheral Neuropathy identified by the Michigan Screening Instrument, sensory-motor changes by the International Consensus, static and dynamic assessments of plantar pressure using Baropodometry with BaroScan and balance using the Berg scale.RESULTS: Of the 200 individuals evaluated, 52.55% had no plantar protective sensitivity, the static evaluation did not identify changes in the peak of plantar pressure, however in the dynamics the average in the right foot was 6.08 (± 2) kgf / cm2 and 6 , 7 (± 1.62) kgf / cm2 on the left foot, the center of static pressure on the right foot was lower (10.55 ± 3.82) than on the left foot (11.97 ± 3.90), pointing hyper plantar pressure. The risk of falling was high, ranging from 8 to 56 points, with an average of 40.96 (± 10.77).CONCLUSION: The absence of protective plantar sensitivity, increased pressure, biomechanical changes lead to loss of balance and are predictive of complications in the feet due to diabetic neuropathy.

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Section: Discussionmentioning

confidence: 99%

Diabetic Foot Assessment of People With Diabetic Peripheral Neuropathy And Associated Factors To Plantar Pressure Changes.

Jorgetto¹,

Oggiam²,

Gamba³

et al. 2021

Preprint

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“…Out of the 29 included studies, eight articles [30,32,34,35,37,[39][40][41] with 441 patients, demonstrated that structured physical exercise interventions were associated with an increase of 51.59 meters in walking performance evaluated by the 6-minute-walk test (6MWT) (95% CI 7.55% to 95.63%; I 2 92%; p for heterogeneity < 0.01) as compared with control (Figure 2, panel 1 (A)).…”

Section: Walking Performancementioning

confidence: 99%

Association between physical exercise interventions and functional capacity in individuals with type 2 diabetes: a systematic review and meta-analysis of controlled trials

Pfeifer

Nardi

Silva

et al. 2021

Preprint

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Background: The prevalence of type 2 diabetes mellitus increases with age and people with type 2 diabetes are more affected by reductions in functional performance. Although exercise interventions are recommended for people with diabetes, it is relevant to assess the effects of different training modes on the available functional outcomes. Objective: To summarize the effects of distinct modes of exercise training in comparison to non-exercise on the functional capacity of adults with type 2 diabetes. Methods: A systematic review and meta-analysis of randomized (RCT) and non-randomized (NRS) controlled trials was conducted. Seven databases were searched from inception to January 2021. Eligible studies should last 8 weeks or longer, comparing structured exercise training and non-exercise control for one out of six pre-specified functional capacity outcomes (Timed Up and Go test, chair stands, walking performance, upper limb muscle strength, lower limb muscle strength, physical fitness parameter), in patients with type 2 diabetes, aged ≥45 years or older. The risk of biases was assessed with the Checklist Downs & Black. Pooled mean differences were calculated using a random-effects model, followed by sensitivity and meta-regression analyses. Results: Of 17165 references retrieved, 29 trials (1557 patients) were included. Among these, 13 studies used aerobic training, 6 studies used combined training, 4 studies used resistance training, 3 studies had multiple intervention arms and 3 studies used other types of training. Exercise training was associated with an increase in functional capacity outcomes, as reflected by changes in 6-minute-walk test (51.6 meters; 95% CI 7.6% to 95.6%; I2 92%), one-repetition maximum leg-press (18.0 kg; 95% CI 4.0% to 31.9%; I2 0%), and peak oxygen consumption (2.41 mL/kg min; 95% CI 1.89% to 2.92%; I2 100%) compared with control groups. In sensitivity and subgroup analyses using VO2max as outcome and stratified by for the type of study (RCT or NRS), duration of diabetes diagnosis, and sex, we observed overlapping confidence intervals. Meta-regression showed no association between HbA1C levels and VO2max (p = 0.34; I2 99.6%; R2 = 2.6%). Conclusion: Structured exercise training based on aerobic training, resistance training, combination of both, or composed by other types of training (i.e. Pilates, Tai Chi and Whole-body vibration) is associated with an improvement in functional capacity in patients with type 2 diabetes, except for the upper limb muscle strength. However, we could not identify potential effect predictors associated with directional summary estimates. Registration: This systematic review was registered in the PROSPERO international prospective register of systematic reviews (CRD42020162467); date of registration: 12/15/2019. The review protocol is hosted at the Open Science Framework (OSF) (Preprint DOI: 10.31219/osf.io/kpg2m). Funding: This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Finance Code 001; National Institute of Science and Technology for Health Technology Assessment (IATS) – FAPERGS/Brasil; National Council on Technology and Scientific Development (CNPq).

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“…Pada metode aktivitas fisik , ditemukan dalam lima studi bahwa latihan kombinasi, dibandingkan dengan latihan aerobic, resistensi, maupyn latihan peregangan, mmeiliki manfaat yang lebih baik bagi penderita DMT2. Intensitas latihan mempengaruhi profil lipid karena latihan aerobic maupun resistensi intensitas sedang dan jangka waktu yang pendek tidak mengurangi LDL maupun TG (25), hal itu berbeda dengan hasil penelitian dari rahbar (2017) bahwa pelatihan aerobic dengan intensitas sedang dalam waktu 8 minggu mempiliki dampak positif terhadap pengendalian parameter biokimia, yaitu penurunan kadar glukosa darah puasa, tingkat kolesterol, TG maupun LDL (26). Pelatihan latihan aerobik meningkatkan efektivitas perawatan medis pada DMT2.…”

Section: Gambar 1 Diagram Flow Dan Pemilihan Artikelunclassified

“…Praktek program aktivitas fisik berkorelasi dengan kontrol glikemik yang lebih baik dan profil lipid karena menurunkan kadar glukosa darah puasa (26,27,29,40,41), dan tingkat postprandial (28,41), hemoglobin terglikasi (HbA1c) (26), resistensi insulin (27,29,40), dan kadar insulin puasa (27,29,40). Selain itu juga diamati penurunan pada kadar Trigliserida (TG) (25,26,40,41) , kolesterol total (26,40,41), High Density Lipoprotein (HDL) (25,41), dan Low Density Lipoprotein (LDL) (25,26,40,41).…”

Section: Gambar 1 Diagram Flow Dan Pemilihan Artikelunclassified

“…Program olahraga aquatic adalah modalitas latihan inovatif yang menggabungkan latihan aerobik dan resistensi, dimana pada tahap latihan resistensi dapat meningkatkan kolesterol HDL (25,41). Peningkatan konsentrasi HDL setelah pelatihan ketahanan dikaitkan dengan peningkatan produksi dan aksi beberapa enzim yang merangsang sistem transportasi kolesterol terbalik (59) .…”

Section: Pembahasanunclassified

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Program Pendidikan dan Dampak Aktivitas Fisik pada Penanda Biokimia Pasien Diabetes Mellitus Tipe 2: A Systematic Review

Fajriyah

Trisnawati

Samudera

2020

JPKSF

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Background: Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia with impaired carbohydrate, protein and fat metabolism associated with dyslipidemia, which is a risk factor for increased cardiovascular disease and mortality. Educational / physical education programs and activities are alternatives in the management of Type 2 Diabetes mellitus (T2DM). Objective: To evaluate the effect of a single intervention or a combination of educational programs and physical activity on glucose values and lipid profiles in T2DM patients. Methods: The database used in this systematic review was Scopus and PubMed / Medline, in English. The analyzed papers were published between 2016-2020. Total of 20 randomized controlled trials were included that focused on educational program interventions and physical activity in T2DM patients. Results: The selected article has shown that the implementation of physical activity programs (aerobic, resistance, aerobic and resistance combination, as well as Passive Static Stretching (PSS)) and educational programs obtained based on article analysis namely professional Problem Based Learning (PBL), Conversation maps ( CMs), self-management education conducted by nurses, education with video media, family-based, group-based education, community-based multimodal intervention methods, diabetes self-management education (DSME) programs, autonomy support (family and peers). improve glycemic control as well as lipid profile in T2DM patients. Conclusions: educational programs regarding the importance of changing lifestyles and physical activity programs are scientifically expressed as complementary therapy strategies in the treatment and metabolic control of T2DM. Suggestion: Education programs and physical activities independently or modified can be used as alternative non-pharmacological / complementary therapies by taking into account the level of education and medical history of DMT2 patients. Keywords: education; physical activity; biochemistry; type 2 diabetes mellitus ABSTRAK Latar belakang: Diabetes mellitus adalah kelainan metabolisme yang ditandai dengan adanya hiperglikemia kronis dengan gangguan metabolisme karbohidrat, protein dan lemak yang dikaitkan dengan dislipidemia, yang merupakan faktor risiko peningkatan penyakit kardiovaskular dan mortalitas. Program pendidikan/edukasi dan aktivitas fisik menjadi alternative dalam pilar penatalaksanaan Diabetes mellitus tipe 2 (DMT2). Tujuan: Mengevaluasi pengaruh intervensi tunggal atau gabungan program pendidikan dan aktivitas fisik pada nilai glukosa dan profil lipid pada pasien DMT2. Metode: Database yang digunakan dalam tinjauan sistematis ini adalah Scopus dan PubMed/Medline, dengan bahasa Inggris, Makalah yang dianalisis diterbitkan antara 2016 – 2020. Sebanyak 20 uji coba terkontrol secara acak dimasukkan yang berfokus pada intervensi program pendidikan dan aktivitas fisik pada pasien DMT2. Hasil: Artikel yang dipilih telah menunjukkan bahwa pelaksanaan program aktivitas fisik (aerobic, resistensi, gabungan aerobic dan resistensi, serta Passive Static Stretching (PSS)) dan program pendidikan yang diperoleh berdasarkan analisa artikel yaitu profesional Problem Based Learning (PBL), Conversation maps (CMs), edukasi manajemen diri yang dilakukan oleh perawat, pendidikan dengan media video, berbasis keluarga, berbasis edukasi kelompok, metode intervensi multimodal berbasis masyarakat, program Diabetes Self-Management Education (DSME), dukungan otonomi (keluarga dan teman sebaya). meningkatkan kontrol glikemik serta profil lipid pada pasien DMT2. Simpulan: program pendidikan mengenai pentingnya mengubah gaya hidup dan program aktivitas fisik secara ilmiah diungkapkan sebagai strategi terapi komplementer dalam pengobatan dan kontrol metabolic pada DMT2. Saran: Program pendidikan dan aktivitas fisik secara independen maupun dimodivikasi dapat dijadikan sebagai alternative terapi non-farmakologis / komplementer dengan memperhatikan tingkat pendidikan dan riwayat kesehatan pasien DMT2. Kata kunci: edukasi; aktivitas fisik; biokimia; diabetes mellitus tipe 2

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Impact of Underwater Treadmill Training on Glycemic Control, Blood Lipids, and Health-Related Fitness in Adults With Type 2 Diabetes

Cited by 15 publications

References 46 publications

Diabetic Foot Assessment of People With Diabetic Peripheral Neuropathy And Associated Factors To Plantar Pressure Changes.

Diabetic Foot Assessment of People With Diabetic Peripheral Neuropathy And Associated Factors To Plantar Pressure Changes.

Association between physical exercise interventions and functional capacity in individuals with type 2 diabetes: a systematic review and meta-analysis of controlled trials

Program Pendidikan dan Dampak Aktivitas Fisik pada Penanda Biokimia Pasien Diabetes Mellitus Tipe 2: A Systematic Review

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