The effect of combined resistance and home-based walking exercise in type 2 diabetes patients

Abstract

Aims:The aim of this study was to evaluate the effect of combined resistance and home-based walking exercise on glycemic and metabolic control, depression and quality of life in type-2 diabetes patients.Methods:This prospective study was conducted at a private hospital in Turkey. Thirty-six type-2 diabetic patients participated in the study. Subjects were randomly distributed in one 8 week exercise intervention or in one control group. Exercise program consisted of resistance training and home-based walking. Before and after the training program, muscular strength, fasting blood glucose, hemoglobin A1C, (HbA1C) and plasma lipid values, quality of life and symptoms of depression of the patients were assessed.Results:Exercise group's baseline HbA1C was significantly higher than the control groups (p< 0.05); other blood parameters were similar between the two groups (p>0.05). At the baseline no significant differences were observed in the depression and four subscales (physical function, physical role, bodily pain, and general health perceptions) of the SF-36 between the exercise and control groups (p>0.05). The exercise group had higher scores of emotional role, vitality and mental health subscales than the control groups after the training programs (p<0.05).Conclusion:Exercise training which included resistance training and home- based walking could be safe, effective and beneficial in diabetic patients.

Impact of an education program on patient anxiety, depression, glycemic control, and adherence to self-care and medication in Type 2 diabetes

“…[25] Despite these benefits, literature states that many patients with diabetes have stopped exercise programs. [30] However, in the present study, we found an increase in the proportion of patients who began to take adequate physical exercise (at least 30 min) after the education program.…”

“…[3031] Exercise increases insulin sensitivity (both short and long term), lowers blood sugar levels and reduces body weight. [25] Blood glucose levels can significantly drop during and after physical activities because of the increased utilization of glucose as a fuel during exercise and the up-regulation of glucose transport into the working muscles.…”

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?

“…Furthermore, these studies presented exercise interventions developed with exercise machines, such as ergometers for aerobic exercise (treadmills, stationary bikes, rowing machines, steppers, and ellipticals) and/or resistance machines for resistance exercise. Among the published literature, few studies [ 35 , 36 ] have developed combined exercise programs for people with T2D exclusively with low-cost exercise strategies and using different exercise protocols that combine free walking with resistance exercises performed with bodyweight, elastic bands, and free weights, as well as stretching exercises. However, the effects on glycemic control and cardiovascular risk factors were not consistent.…”

“…Aylin et al [ 36 ] observed a significant improvement in the HbA1c levels of a group of patients with T2D ( n = 18; 51.39 ± 2.02 years of age; HbA1c 7.7 ± 0.4 %; BMI 28.45 ± 0.95 kg/m 2 ; polymedicated; exercise adherence of 96 %) in comparison to a control group after an exercise program of only eight weeks comprising free walking (60–79% maximum heart rate) two days a week, and resistance exercises performed with bodyweight and free weights on two other days. However, no changes were observed in FPG, lipid profile, or BMI.…”

Effective factors in controlling diabetes progression among patients in the northwest of Iran

“…Several studies indicated that sports could increase body sensitivity to insulin and reduce FBS and control of the diabetes. [ 20 21 ] However, most of the patients conventionally are reducing their sport and exercises after disease[ 22 ] but in our study, 65% of the patients engaged themselves in a 2 h of exercise per week had controlled disease. We have to consider the destruction of red blood cells as one of the reasons for lower HbA1c measurement, which can lead to missing identification and control of the disease in diabetic patients.…”