THE IMPACT OF DIFFERENT CHARACTERISTICS AND MODALITIES OF PHYSICAL ACTIVITY ON HEALTH VARIABLES IN ELDERLY PEOPLE WITH TYPE 2 DIABETES

Authors

  • Karina Rodionova Latvian Academy of Sport Education
  • Aija Kļaviņa Latvian Academy of Sport Education

DOI:

https://doi.org/10.17770/sie2016vol3.1472

Keywords:

health, physical activity, type 2 diabetes

Abstract

Type 2 diabetes (T2D) comprises 90% of people with diabetes around the world, and is largely the result of excess body weight and physical inactivity (WHO, 2015).

Objective: To evaluate and analyze evidence based research studies exploring the impact of physical activity on health variables in elderly population age 50-70 years with T2D.

Data sources: Web of Science, CINAHL, SCOPUS, EMBASE, MEDLINE, PubMed and SPORTdiscus data bases were used for screening and selecting relevant research studies over the period 2005-2015.

Study Selections: Randomized controlled trials (RCTs). Population: older adults or elderly with T2D. Intervention: All types of physical activity such as interval walking, aquatics or free living activity were included. Outcomes: glycemic control, lipid profile, insulin sensitivity, BMI, blood pressure and VOmax. Methodological quality was assessed using the Delphi List.

Data Synthesis: While 1773 potentially relevant studies were found and 213 RCTs were relevant to the topic, only 16 studies (patients n= 946) accepted to the review.

Results: The circuit resistance training was associated with hemoglobin A1c (HbA1c) decrease (8.0 (.35) to 7.36 (.28)), body mass index (BMI) reduction from 22.0(.8) to 20.9 (.8) and body weight change from 53.3 (1.6) to 51.9 (1.7). Improvement of insulin sensitivity, VO2max and glycemic control were observable in 8 studies including 16-week aerobic exercise training, 16-week interval walking training, and combined aerobic and resistance training. Combination of aerobic and resistance exercises were associated with positive change in plasma fasting glucose and were 6.86 (1.40) and 6.19 (1.47).

Conclusions: The most effective and time consuming physical activity is interval walking, circuit training or combination of different intensity and/or physical activity modalities.

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Author Biographies

  • Karina Rodionova, Latvian Academy of Sport Education
    Sport Medicine, PhD student
  • Aija Kļaviņa, Latvian Academy of Sport Education
    Ph.D., Professor, Researcher at the Institute of Sports Medicine

References

Bacchi E., Negri C., Zanolin M.E., Milanese C., Faccioli N., Trombetta M.,… Moghetti P.(2012). Metabolic effects of aerobic training and resistance training in type 2 diabetic subjects. Diabetes Care, 35,676 - 682.

Barengo N.C., Misiņa D., Zariņa L., Kloviņš J., Ozola D., Dērveniece A.,…Pīrāgs V.(2009). Glucose metabolism disorders and risk factors of type 2 diabetes in 45-74 years-old population in Rīga, Latvia. Procedengs of the Latvian academy of Sciencee. Section B, 63,4/5 (663/664), 141-146.

Baum K., Votteler T., Schiab J.(2007). Efficacy of vibration exercise for glucemic control in type 2 diabetes patients.International Journal of Medical Science, 4(3),159-163.

Beck-Nielsen H., Soomon PJ T., Lauridsen J. Kartsoft K., Pedersen K.B., Johnsen P.S.,…Vaag A. (2012). The Danish Centre for Strategic Research in Type 2 Diabetes(DD2) study: expected outcome from the DD2 project and two intervention studies. Clinical Epidemiology,4:(1) 21-26.

Choi M.K., Han K.A., Ahn H.J., Hwang S.Y., Hong H.C., Choi H.Y.,…Min K.W.(2012). Effects of exercise on sRAGE levels and cardiometabolic risk factors in patients with type 2 diabetes: A randomized controlled trial. J Clin Endocrinol Metab, 97,3751-3758.

Dzerve V., Pahomova-Strautina J., Misina D., Pirags V., Erglis A.(2013).Diabetes, Obesity and Cardiovascular risk factors: The Latvian example. Diabetes & Obesity,21

Egger A.,, Niederseer D., Diem G., Finkenzeller T., Ledl-Kurkowski E., Forstner R.,…Niebauer J.(2012). Different types of resistance training in type 2 diabetes mellitus: effects on glycaemic control, muscle mass and strength. European Journal of Preventive Cardiology, 20(6), 1051-1060.

Gordon L., Morrison E.Y., McGrowder D.A., Young R., Garwood D., Zamora E.,… Sanz E.C.P.(2008). Changes in clinical and metabolic parameters after exercise therapy in patients with type 2 diabetes. Arch Med Sci, 4,427-437.

Han K.A., Ku Y.H., Ahn H., Known H., Koo B.K., Kim H.C.,…Min K.W.(2010). Resistance exercise did not alter intramuscular adipose tissue but reduced retinol-binding protein-4 concentration in individuals with type 2 diabetes mellitus.The Journal of International Medical Research, 38, 782-791.

Hegde V.S., Adhikari P., Subbalakshmi N.K., Nandini M., Rao G.M., D’Souza V.(2012). Diaphragmatic breathing exercise as a therapeutic intervention for control of oxidative stress in type 2 diaetes mellitus. Complementary Therapies in Clinical Practice, 18, 151-153.

Huffman K.M., Koves T.R., Hubal M.J., Abouassi H., Bergi N., Bateman A.L.,… Kraus W.E. (2014). Metabolic signature of exercise training in human skeletal muscle relate to mitohondrial remodeling and cardiometabolic fitness. Diabetologia, 57,2282-2295.

Kang S., Woo J.H., Shin K.O., Kim D., Lee H.J., Kim Y.J.,…Yeo N.H.(2009). Circuit resistance exercise improves glycemic control and adipokines in females with type 2 diabetes mellitus. Journal of Sport Science and Medicine, 8, 682-688.

Kartsoft K., Winding K., Knudsen S.H., Nielsen J.S., Thomsen C., Pedersen B.K., …Solomon T.P.G.(2013). The effect of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetes patients. Diabetes Care, 36, 228-236.

Kartsoft K., Wing K., Knudsen H.S., james G.N., Scheel M.M., Olsen.,…Solomon T.P.J.(2014). Mechanisms behind the superior effects of interval vs continuous training on glycaemic control in individuals with type 2 diabetes:a randomised controlled trial. Diabetologia, 57,2081-2093.

Kurban S., Mehmetolgu I., Yerlikaya H.F., Gonen S., Erdem S.(2011). Effects of Chronic Regular Exercise on Serum Ischemia-Modiefied Albumin Levels and Oxidative Stress in Type 2 diabetes miellitus. Endocrine Research, 36, 116-132.

Loimaala A., Groundstoem K., Rinne M., Nenonen A., Huthala H., Parkkari J., …Vuori I.(2009). Effect of Long-Term Endurance and Strength Training on Metabolic Control and Arterial Elasticity in Patients With Type 2 Diabetes Mellitus, The American Journal of Cardiology, 103,972-977.

Meex R.C.R., Schrauwen-Hinderling V.B.,Moonen-Kornips E., Schaart G., Mensink M.,…Hesselink K.C.(2010). Restoration of muscle mitochondrial function and metabolic flexibility in type 2 diabetes by exercise training is paralleled by increased myocellular fat storage and improved insulin sensitivity. Diabetes, 59, 572-579.

Mitranun W.,Deerochanawong C., Tanaka H.,Suksom D.(2014).Continuous vs Interval training on glucemic control and macro and microvascular reactivity in type 2 diabetic patients. Scandinavian Journal of Medicina and Science in Sport, 24, e69-e76.

Ng W.L.C.,Tai E.S., Goh S.,Wee H.L.(2011). Health Status of older adults with type 2 diabetes mellitus after aerobic or resistance training: A randomized trial. Health and Quality of Life Outcomes, 9, 59.

Schwingshackl L., Missbach B., Dias S., Konig J., Hoffman G. (2014). Impact of different training modalities on glycaemic control and blood lipids in patients with type 2 diabetes: a systematic review and network meta-analysis.Diabetologia, 57,1789-1797.

Sung K. &Bae S.(2012). Effects of a regular walking exercise program on behavioral and biochemical aspects in elderly people with type 2 diabetes. Nursing and Health Siences, 14, 438-445.

Tan S., Li W., Wang J.(2012). Effects of six months of combined aerobic and resistance training for elderly patients with a long history of type 2 diabetes.Jornal of Sport Science and medicine 11, 495-501.

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Published

2016-05-26

How to Cite

Rodionova, K., & Kļaviņa, A. (2016). THE IMPACT OF DIFFERENT CHARACTERISTICS AND MODALITIES OF PHYSICAL ACTIVITY ON HEALTH VARIABLES IN ELDERLY PEOPLE WITH TYPE 2 DIABETES. SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference, 3, 533-541. https://doi.org/10.17770/sie2016vol3.1472