Supervised vs. self-selected physical activity for individuals with diabetes and obesity: the Lifestyle Gym program
| Autor: | Maria Maddalena Micheli, Silvia Piergiovanni, Valeria Pazzini, G. Forlani, Paolo Mazzuca, Giovanni Grazzi, Pasqualino Maietta Latessa, Gianni Mazzoni, Luca Montesi, Giulio Marchesini |
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| Přispěvatelé: | Mazzuca, Paolo, Montesi, Luca, Mazzoni, Gianni, Grazzi, Giovanni, Micheli, Maria Maddalena, Piergiovanni, Silvia, Pazzini, Valeria, Forlani, Giulia, Maietta Latessa, Pasqualino, Marchesini, Giulio |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Physical fitness 030209 endocrinology & metabolism Logistic regression Lower risk Diabete NO Body Mass Index Cohort Studies 03 medical and health sciences 0302 clinical medicine Weight loss Weight Loss Internal Medicine Medicine Humans 030212 general & internal medicine Obesity Aged Chi-Square Distribution business.industry Physical activity Diabetes Odds ratio Physical fitne Body weight Middle Aged Weight Lo Self Care Diabetes Mellitus Type 2 Cohort Physical therapy Emergency Medicine Female medicine.symptom Cohort Studie business Body mass index Cohort study Human |
| Popis: | The effectiveness of different programs of physical activity outside randomized studies is difficult to determine. We carried out an audit in two different units where either a supervised physical activity (PA) program or a self-selected PA program was in use in individuals with type 2 diabetes or obesity. The supervised PA cohort (n = 101) received progressive gym training (120 min, twice a week for 13 weeks) by a dedicated team, with nutritional counseling during resting periods. The self-selected PA cohort (n = 69) was enrolled in a 13-week cognitive-behavioral program (120 min/week, in groups of 12â15 individuals), chaired by an expert team. Body weight and physical fitness (6-min walk test) were measured at baseline and after 6 and 12 months. Outcome measures were attrition, weight loss â¥10 % initial body weight, 10 % increase in 6-min walk test; their association with a PA program was tested by logistic regression analysis. Attrition rate was lower in the supervised PA group (28 vs. 45 % than in the self-selected cohort, P = 0.023). After adjustment for confounders, the supervised PA program was associated with a lower risk of attrition at 1 year (odds ratio 0.45; 95 % confidence interval, 0.21â0.98) at logistic regression analysis. Body weight similarly decreased in both groups (more rapidly in the supervised PA cohort); also physical fitness improved in a similar way, and no differences in achieved targets of body weight (supervised, 31 %; self-selected, 18 %; P = 0.118) or fitness (supervised, 62 %; self-selected, 49 %; P = 0.312) were demonstrated. Different PA programs produce very similar health benefits, but an initially supervised program has lower attrition rates, which might translate into better outcomes in the long term. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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