Impact of a community-based exercise programme on physical fitness in middle-aged and older patients with type 2 diabetes

Impact of a community-based exercise programme on physical fitness in middle-aged and older patients with type 2 diabetes
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DOI:
10.1016/j.gaceta.2016.01.007
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发表时间:
2016-06-01
期刊:
影响因子:
1.9
通讯作者:
Reis, Victor
Reis, Victor
中科院分区:
医学4区
文献类型:
--
作者:
Mendes, Romeu;Sousa, Nelson;Reis, Victor

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目的:体能与2型糖尿病患者的全因死亡率、生活质量和跌倒风险有关。本研究旨在分析以最少及低成本物力资源发展的长期社区综合运动计划(有氧+抵抗+敏捷/平衡+柔韧)对中老年2型糖尿病患者体质的影响。方法:本研究为非实验性的事前后评估研究。参与者(N=43;62.92+/-5.92岁)参加了为期9个月的社区监督锻炼计划(包括有氧、抵抗、敏捷/平衡和柔韧综合练习;每周3次;每次70分钟)。结果:6分钟步行测试(Delta=8.20%,P<0.001)、30秒椅子站立测试(Delta=28.84%,p<0.001)、定时Up和Go测试(Timed Up and Go Test,Delta=14.31%,P<;在基线运动干预时间点和结束运动干预时间点之间,确定了坐姿和坐姿测试(Delta=102.90%,p<0.001)。结论:基于社区的长期联合运动计划,结合低成本的运动策略,对中老年2型糖尿病患者的身体健康产生了显著的好处。这一受监督的集体锻炼方案显著改善了有氧体能、肌肉力量、敏捷性/平衡性和柔韧性,通过在社区环境中的实地测试进行了评估。(C)2016年战略和预算问题国际会议。由洛杉矶大学埃尔塞维尔·埃斯帕纳出版。这是CC By-NC-ND许可证(http://creativecommons.org/licenses/by-nc-nd/4.0/).下的一篇开放获取文章
Objectives: Physical fitness is related to all-cause mortality, quality of life and risk of falls in patients with type 2 diabetes. This study aimed to analyse the impact of a long-term community-based combined exercise program (aerobic + resistance + agility/balance + flexibility) developed with minimum and low-cost material resources on physical fitness in middle-aged and older patients with type 2 diabetes.Methods: This was a non-experimental pre-post evaluation study. Participants (N=43; 62.92 +/- 5.92 years old) were engaged in a community-based supervised exercise programme (consisting of combined aerobic, resistance, agility/balance and flexibility exercises; three sessions per week; 70 min per session) of 9 months' duration. Aerobic fitness (6-Minute Walk Test), muscle strength (30-Second Chair Stand Test), agility/balance (Timed Up and Go Test) and flexibility (Chair Sit and Reach Test) were assessed before (baseline) and after the exercise intervention.Results: Significant improvements in the performance of the 6-Minute Walk Test (Delta = 8.20%, p < 0.001), 30-Second Chair Stand Test (Delta = 28.84%, p < 0.001), Timed Up and Go Test (Delta = 14.31%, p < 0.001), and Chair Sit and Reach Test (Delta = 102.90%, p < 0.001) were identified between baseline and end-exercise intervention time points.Conclusions: A long-term community-based combined exercise programme, developed with low-cost exercise strategies, produced significant benefits in physical fitness in middle-aged and older patients with type 2 diabetes. This supervised group exercise programme significantly improved aerobic fitness, muscle strength, agility/balance and flexibility, assessed with field tests in community settings. (C) 2016 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).