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2015 | 22 | 2 |

Tytuł artykułu

The effects of a 12-week combined strength and endurance training program on physical performance of patients with type 2 diabetes

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Introduction. Physical training is considered an effective means of preventing and treating diseases of affluence such as T2DM. The key benefits of this therapy include improvements in physical performance and in metabolic processes. Aim of Study. The aim of this study was to investigate the impact of a 12-week long supervised combined strength and endurance training program on physical performance of T2DM patients with various complications. Material and Methods. The study was carried out on patients stratified into Groups (levels) 2 and 3 according to the criteria from the 2007 Danish program “Forløbsprogram for Type 2 Diabetes” (see Table 1). A total of 83 patients (29 women, 54 men) participated in the study, aged 65.5 ± 10.62 years. The subjects were offered 60 minutes of supervised group exercise, twice a week for 12 weeks. Each session consisted of a 5-min warm-up, 35-min strength exercise, and 10-min aerobic bicycling, with a load between 12 and 15 on the Borg Scale. Physical performance was measured using a 30-second sit-to-stand test (STS) and 6-minute-walk test (6MWT). Results. A significant improvement in STS was noted in Group 2 (mean = 1.6 ± 2.39; 95% CI 0.92-2.3) and in Group 3 (mean = 1.46 ± 2.14; 95% CI 0.74-2.17). Statistically significant (p <0.0001) 6MWT results were obtained in Group 2 (mean = 46.7 ± 54.08; (95% CI 30-63) and in Group 3 (mean = 46.2 ± 79.51; 95% CI 12-79). Participation in training sessions played a paramount role in improving the effectiveness of combined strength and endurance training. Conclusion. Participation in a 12-week exercise program increased physical performance in patients with type 2 diabetes, regardless of their complication status.

Wydawca

-

Rocznik

Tom

22

Numer

2

Opis fizyczny

p.77-82,fig.,ref.

Twórcy

autor
  • Physiotherapy Department, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
autor
  • Department of Hygiene, University School of Physical Education, Poznan, Poland
autor
  • Institute of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, SEARCH (Research group  for synthesis of evidence and research), University of Southern Denmark, Odense M, Denmark
  • Department of Orthopedics, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
autor
  • Center for Diabetes Research, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
autor
  • Center for Diabetes Research, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
  • Department of Hygiene, University School of Physical Education, Poznan, Poland

Bibliografia

  • 1. IDF Diabetes Atlas Sixth Edition Update, International Diabetes Federation 2014.
  • 2.Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus. Geneva, World Health Organization, 1999 (WHO/NCD/NCS/99.2).
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  • 5.Green A, Emneus M, Christiansen T, et al. The social impact of diabetes mellitus and diabetes care. Report 3: Type 2 diabetes in Denmark year 2001. SDU Health Economic Papers. 2006; 2.
  • 6.Forl0bsprogram for Type 2 Diabetes, Region Hovedstaden; 2009.
  • 7.Sundhedsstyrelsen. Forl0bsprogrammer for kronisk sygdom - Generisk model og Forl0bsprogram for diabetes. K0benhavn; 2008.
  • 8.Region Hovedstaden: Forl0bsprogram for Type 2 diabetes: hospitaler, almen praksis og kommunerne Region Hovedstaden; 2009, version 130309.
  • 9.Qvist P, Glintborg D, Andries A, et al. Risikostratificering af patienter med diabetes mellitus. Ugeskr. Lsger 2008; 170(41): 3235-3238.
  • 10.Boulé NG, Haddad E, Kenny GP, et al. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001; 286: 1218-1227.
  • 11.Snowling NJ, Hopkins WG. 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): 2518-2527.
  • 12.Chudyk A, Petrella RJ. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care. 2011; 34(5): 1228-1237.
  • 13.Kodama S, Tanaka S, Heianza Y, et al. Association between physical activity and risk of all-cause mortality and cardiovascular disease in patients with diabetes: A meta-analysis. Diabetes Care. 2013; 36(2): 471-479.
  • 14.Umpierre D, Ribeiro PAB, Kramer CK, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes. A Systematic Review and Meta-analysis. JAMA 2011; 305(17): 1790-1799.
  • 15.Thomas DE, Elliott EJ, Naughton GA. Exercise for type diabetes mellitus. Cochrane Database Syst Rev. 2006; 19(3): CD002968.
  • 16.M0lsted S, Have Dall C, Hansen H, et al. Anbefalinger til superviseret fysisk trening af mennesker med type 2-diabetes, KOL og hjerte-kar-sygdom. Region Hovedstaden; 2013.
  • 17.Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5): 377-381.
  • 18.Borg G, et al. A category-ratio perceived exertion scale: relationship to blood and muscle lactates and heart rate. Med Sci Sports Exerc. 1983; 15(6): 523-528.
  • 19.Borg G. Perceived Exertion as an indicator of somatic stress. Scan J Rehab Med. 1970; 2(2): 92-98.
  • 20.Lambers S, Van Laethem C, Van Acker K, et al. Influence of combined exercise training on indices of obesity, diabetes and cardiovascular risk in type 2 diabetes patients. Clin Rehab. 2008; 22(6): 483-492.
  • 21.Wang Y, Simar D, Fiatarone-Singh MA. Adaptations to exercise training within skeletal muscle in adults with type 2 diabetes or impaired glucose tolerance: a systematic review. Diab Metab Res Rev. 2009; 25(1): 13-40.
  • 22.Balduci S, Leonetti F, Di Mario U, et al. Is a long term aerobic plus resistance training program feasible for and effective on metabolic profiles in type 2 diabetic patients? Diabetes Care. 2004; 27(3): 841-842.
  • 23.Wagner H, Degerblad M, Thorell A, et al. Combined treatment with exercise training and acarbose improves metabolic control and cardiovascular risk factor profile in subjects with mild type 2 diabetes. Diabetes Care. 2006; 29(7): 1471-1477.
  • 24.Maiorana A, O'Driscoll G, Goodmann C, et al. Combined aerobic and resistance exercise improves glycemic control and fitness in type 2 diabetes. Diab Res Clin Pract. 2002; 56(2): 115-123.
  • 25.Albright A, Franz M, Hornsby G, et al. American College of Sports Medicine position stand. Exercise and type 2 diabetes. Med Sci Sports Exerc. 2000; 32(7): 1345-1360.
  • 26.Cuff DJ, Meneilly GS, Marin A, et al. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diab Care. 2003; 26(11): 2977-2982.
  • 27.Sparks L, Johannsen N, Church T, et al. Nine months of combined training improves ex vivo skeletal muscle metabolism in individuals with type 2 diabetes. J Clin Endocrinol. 2013; 98(4): 1694-1702.
  • 28.Church TS, Blair SN, Cocreham S, et al. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes. A randomized controlled trial. JAMA 2010; 302(20): 2253-2262.
  • 29.Lithell H, Krotkiewski M, Kiens B, et al. Non-response of muscle capillary density and lipoprotein-lipase activity to regular training in diabetic patients. Diabetes Res. 1985; 2(1): 17-21.
  • 30.American Diabetes Association. Position statement: Diabetes mellitus and exercise. Diabetes Care. 2000; 23(1): 50-54.
  • 31.Colberg SR, Sigal RJ, Fernhall B, et al. Exercise and Type 2 Diabetes. The American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010; 33(12): 147-167.
  • 32.Hansen D, Peeters S, Zwaenepoel B, et al. Exercise Assessment and Prescription in Patients with Type 2 Diabetes in the Private and Home Care Settings: Clinical Recommendations From AXXON (Belgian Physical Therapy Association). Physical Therapy. 2013; 93(5): 597-610.
  • 33.ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1): 111-117.
  • 34.World Health Organization: Adherence to long-term therapies: evidence for action. Geneva 2003: World Health Organisation.

Typ dokumentu

Bibliografia

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