Aerobic Fitness and Adherence to Guideline-Recommended Minimum Physical Activity Among Ambulatory Patients With Type 2 Diabetes Mellitus

Autor: Martin Sénéchal, Kershaw V. Patel, Ambarish Pandey, Colby Ayers, Jarett D. Berry, Darren K. McGuire, Jennifer L. Jarvie, Jonathan McGavock
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Cardiovascular and Metabolic Risk
Cross-sectional study
Endocrinology
Diabetes and Metabolism
Population
030209 endocrinology & metabolism
Cardiovascular System
law.invention
Rosiglitazone
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Risk Factors
Internal medicine
Internal Medicine
Ambulatory Care
Medicine
Outpatient clinic
Aerobic exercise
Humans
030212 general & internal medicine
education
Exercise
Life Style
Aged
Advanced and Specialized Nursing
education.field_of_study
business.industry
Cardiorespiratory fitness
Middle Aged
Atherosclerosis
Combined Modality Therapy
Cross-Sectional Studies
Cardiorespiratory Fitness
Diabetes Mellitus
Type 2
Physical Fitness
Cohort
Ambulatory
Exercise Test
Patient Compliance
Female
Guideline Adherence
business
Diabetic Angiopathies
Zdroj: Diabetes Care
ISSN: 1935-5548
Popis: OBJECTIVE Lifestyle intervention remains the cornerstone of management of type 2 diabetes mellitus (T2DM). However, adherence to physical activity (PA) recommendations and the impact of that adherence on cardiorespiratory fitness in this population have been poorly described. We sought to investigate adherence to PA recommendations and its association with cardiorespiratory fitness in a population of patients with T2DM. RESEARCH DESIGN AND METHODS A cross-sectional analysis of baseline data from a randomized clinical trial (NCT00424762) was performed. A total of 150 individuals with medically treated T2DM and atherosclerotic cardiovascular disease (ASCVD) or risk factors for ASCVD were recruited from outpatient clinics at a single academic medical center. All individuals underwent a graded maximal exercise treadmill test to exhaustion with breath-by-breath gas exchange analysis to determine VO2peak. PA was estimated using a structured 7-Day Physical Activity Recall interview. RESULTS Participants had a mean ± SD age of 54.9 ± 9.0 years; 41% were women, 40% were black, and 21% were Hispanic. The mean HbA1c was 7.7 ± 1.8% and the mean BMI, 34.5 ± 7.2 kg/m2. A total of 72% had hypertension, 73% had hyperlipidemia, and 35% had prevalent ASCVD. The mean ± SD reported daily PA was 34.3 ± 4 kcal/kg, only 7% above a sedentary state; 47% of the cohort failed to achieve the minimum recommended PA. Mean ± SD VO2peak was 27.4 ± 6.5 mL/kg fat-free mass/min (18.8 ± 5.0 mL/kg/min). CONCLUSIONS On average, patients with T2DM who have or are at risk for ASCVD report low levels of PA and have low measured cardiopulmonary fitness. This underscores the importance of continued efforts to close this therapeutic gap.
Databáze: OpenAIRE
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