Moderate-Vigorous Physical Activity and Clinical Parameters in Adults with Type 2 Diabetes Mellitus: A Report from the Walking with Diabetes Study

Arovah, Novita Intan; Kushartanti, Bernadeta Maria Wara

doi:10.2478/rjdnmd-2019-0012

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…The increase of erythrocyte sedimentation rate (ESR), one of the systemic inflammation markers, among individuals with T2DM population has been reported [19], thus, the high baseline ESR values in this present study were expected. This present study, however, failed to demonstrate an improvement of ESR after a short-term moderate-intensity exercise.…”

Section: Discussionmentioning

confidence: 65%

The acute effect of a moderate intensity ergocycle exercise on the coagulation parameters in type 2 diabetes mellitus patients: a feasibility study

Arovah

Kushartanti

2020

Clinical Diabetology

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Background. Type 2 diabetes mellitus (T2DM) patients experience higher atherothrombotic risks that could lead to cardiovascular diseases, due to increases in coagulation activities. The role of exercise in altering coagulation activities among T2DM patients is still inconclusive. This feasibility study aimed to evaluate the immediate effect of a moderate intensity ergocycle exercise, primary on the coagulation parameters and secondary on the systemic inflammation and blood glucose, in otherwise healthy T2DM patients. Methods. Ten T2DM patients (64 ± 7 year, 40% female) performed a 30-minute moderate-intensity ergocycle exercise at 50-60% of heart rate reserved. Coagulation parameters (activated partial thromboplastin time [aPTT], prothrombin time [PT] and platelet count), erythrocyte sedimentation rate, and blood glucose were assessed before the exercise (T0), immediately after the exercise (T1), and 30 minutes post exercise (T2). One-way repeated measured ANOVA was used to assess the outcomes over time. Results. All participants completed and adhered to the exercise protocol. There were increases in aPTT and PT but decreases in platelet count at T1 and T2 compared to at T0 (P < 0.05), indicating reduction in the coagula-tion activities. Those values, however, were still within normal ranges. The erythrocyte sedimentation rates were unaffected, while blood glucose decreased from 202 ± 35 mg/dL at T0 to 173 ± 33 mg/dL and 158 ± 30 mg/dL at T1 and T2 (P < 0.01). Conclusion. The 30-minute moderate-intensity ergocycle decreases coagulation activities and blood glucose but does not affect erythrocyte sedimentation rates in T2DM patients. Future studies should focus on the chronic adaptation of the coagulation parameters after ergocycle training among a T2DM patients with coagulation impairments.

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Section: Discussionmentioning

confidence: 65%

The acute effect of a moderate intensity ergocycle exercise on the coagulation parameters in type 2 diabetes mellitus patients: a feasibility study

Arovah

Kushartanti

2020

Clinical Diabetology

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“…[ 16 17 ] Thus, MVPA increases the body's resistance to bacterial and viral infections. [ 16 ] In addition, it also reduces cortisol, a stress hormone that can suppress immune cell function,[ 18 ] improves metabolic parameters,[ 19 ] improves bioenergetics,[ 20 ] and reduces systemic inflammations. [ 21 22 ] All of which play an important role in boosting the immune system[ 23 ] which further plays significant roles in controlling COVID-19 transmission.…”

Section: Introductionmentioning

confidence: 99%

The correlates of physical activity during COVID-19 pandemic among Indonesian young adults

Arovah

2022

Journal of Education and Health Promotion

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BACKGROUND: Social distancing policy during the COVID-19 pandemic may affect physical activity levels. This study aimed to compare physical activity levels before and during the pandemic and to explore physical activity correlates among Indonesian young adults. MATERIALS AND METHODS: This longitudinal study was conducted before the pandemic (n = 141) in September 2019 and was followed by an online follow-up survey during the pandemic (79% response rate) in September 2020. Physical activity was measured using the global physical activity questionnaire and was classified into “sufficient” and “insufficient.” The potential correlates of physical activity were constructs from social-cognitive theory and health belief model. Those were measured using a validated questionnaire in the follow-up survey. Physical activity levels before and during pandemics were compared using the Wilcoxon signed-rank test. Simple logistic regressions were used to assess the relationships between each potential correlate and physical activity status during the pandemic. RESULTS: Physical activity levels decreased significantly during the pandemic, mostly in the work-related domain. Participants with favorable physical activity-related constructs were more likely to be physically active. The odds ratio ranged from 3.41 (95% confidence interval [CI] = 1.15–10.11) in participants with higher self-efficacy to 4.50 (95% CI = 1.44–14.06) in those with higher outcome expectations of physical activity. CONCLUSION: A significant decline in physical activity during the COVID-19 pandemic among Indonesian young adults was confirmed. The application of behavioral change theories for explaining physical activity status during the pandemic in this population is also supported. It is recommended to incorporate these constructs to develop physical activity interventions in this target population.

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“…Physical activity might also prevent the risk of COVID-19 complications and sequelae and improve patients' quality of life. Regular physical activity reduces systemic inflammations (Arovah & Kushartanti, 2020), improves metabolic profiles (Arovah & Heesch, 2021;Arovah & Kushartanti, 2019) and glycaemic control (Ferreira et al, 2021), which optimizes the immune system (Zheng et al, 2015), thus playing important roles in preventing and managing COVID-19 and post-COVID-19 symptoms.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity and Post-COVID-19 Syndrome in Older Adults: A Systematic Review

Rahayu¹,

Pertiwi²,

Kushartanti³

et al. 2023

IJKSS

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Background: Physical activity (PA) may play a significant role in managing post-Coronavirus Disease (COVID)-19 syndrome, a significant public health concern among older adults. This study aimed to systematically review the evidence on post-COVID-19 symptoms, signs, risk factors, and the effects of PA programs in managing post-COVID-19 syndrome among older adults. Method: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendation. The systematic search was conducted in August 2022 using Scopus and MEDLINE (via PubMed) databases. Results: There were 51 documents screened, among which 10 (7 observational and 3 experimental studies) met the selection criteria. The reported post-COVID-19 symptoms and signs associated with physical health included dyspnea, fatigue, diarrhea, and sarcopenia, abnormal lung function, cardiac pathology, immunological changes, reduced physical performance, respectively, while those associated with mental health included depression, poor concentration and memory, and anxiety. Patients with higher body mass indexes were more likely to experience more symptoms. Older patients had greater difficulties in performing daily activities and mobility. A multidisciplinary-based PA program is suggested to be feasible and effective in improving fatigue, ability to walk, balance, and cognitive function. For patients with sarcopenia, a low-intensity aerobic training exercise appears to improve muscle strength, kinesiophobia, and quality of life. Conclusion: Various post-COVID-19 symptoms have been reported along with their risk factors, and PA programs are potentially used for managing these symptoms. More research, however, is recommended to explore the PA program for specific post-COVID-19 symptoms.

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Moderate-Vigorous Physical Activity and Clinical Parameters in Adults with Type 2 Diabetes Mellitus: A Report from the Walking with Diabetes Study

Cited by 5 publications

References 20 publications

The acute effect of a moderate intensity ergocycle exercise on the coagulation parameters in type 2 diabetes mellitus patients: a feasibility study

The acute effect of a moderate intensity ergocycle exercise on the coagulation parameters in type 2 diabetes mellitus patients: a feasibility study

The correlates of physical activity during COVID-19 pandemic among Indonesian young adults

Physical Activity and Post-COVID-19 Syndrome in Older Adults: A Systematic Review

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