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[Evaluation of a supervised physical exercise program in sedentary patients over 65 years with type 2 diabetes mellitus].


ABSTRACT:

Objective

To analyze whether an exercise program can modify glycated hemoglobin (HbA1c), blood pressure (BP), body mass index (BMI), lipids, cardiovascular risk profile (CVR), self-perceived health status (SHS), and pharmaceutical expenditure (PE).

Design

A randomized, single blind, controlled trial.

Intervention

program of supervised aerobic physical exercise. Analysis by intention to treat.

Location

Primary Care: 2 rural health areas. Health Area of Navalmoral. Cáceres. Extremadura. Spain.

Participants

100 type 2 diabetic patients, aged 65 to 80 years, sedentary. Distribution: 50% control group (CG) and 50% intervention group (IG). Abandoned 12%.

Intervention

monitored aerobic exercise: 40minutes, 2 days/week, 3 months.

Key measures

HbA1c, BP, BMI, lipid, CVR, SHS, PE. Complications during exercise.

Results

There were post-intervention differences between groups in HbA1c, BP, BMI, cholesterol and SHS. In the IG, there was a significant decrease in; HbA1c: 0.2±0.4% (95% CI: 0.1 to 0.3), systolic BP: 11.8±8.5mmHg (95% CI: 5.1 to 11.9), BMI: 0.5±1 (95% CI: 0.2 to 0.8), total cholesterol: 14±28.2mg/dl (95% CI: 5.9 to 22.2), LDL: 18.3±28.2mg/dl 95% CI: 10.2 to 26.3), CVR: 6.7±7.7% (95% CI: 4.5 to 8.9), PE: 3.9±10.2 € (95% CI: 0.9 to 6.8), and an increase in SHS; 4.7±5.7 (95% CI: 3 to 6.3).

Conclusions

In diabetics over 65 years, a program of monitored aerobic exercise, of easy implementation, improves HbA1c, BP, cholesterol, CVR, PE, and SHS.

SUBMITTER: Parra-Sanchez J 

PROVIDER: S-EPMC6983777 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature

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Publications

[Evaluation of a supervised physical exercise program in sedentary patients over 65 years with type 2 diabetes mellitus].

Parra-Sánchez Javier J   Moreno-Jiménez María M   Nicola Carla M CM   Nocua-Rodríguez Ileana I II   Amegló-Parejo María R MR   Del Carmen-Peña Marlen M   Cordero-Prieto Carlos C   Gajardo-Barrena María J MJ  

Atencion primaria 20150311 9


<h4>Objective</h4>To analyze whether an exercise program can modify glycated hemoglobin (HbA1c), blood pressure (BP), body mass index (BMI), lipids, cardiovascular risk profile (CVR), self-perceived health status (SHS), and pharmaceutical expenditure (PE).<h4>Design</h4>A randomized, single blind, controlled trial.<h4>Intervention</h4>program of supervised aerobic physical exercise. Analysis by intention to treat.<h4>Location</h4>Primary Care: 2 rural health areas. Health Area of Navalmoral. Các  ...[more]

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