Exercise Training and Quality of Life in Individuals With Type 2 Diabetes
| Autor: | Meghan M. Brashear, Timothy S. Church, William D. Johnson, Megan A. McVay, Conrad P. Earnest, Valerie H. Myers, Kimberly Kramer, Neil M. Johannsen, Melissa Harris, Damon L. Swift |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Research design medicine.medical_specialty Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Type 2 diabetes law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Diabetes mellitus Internal Medicine Humans Medicine Aerobic exercise 030212 general & internal medicine Exercise physiology Exercise Original Research Aged Advanced and Specialized Nursing business.industry Clinical Care/Education/Nutrition/Psychosocial Research Resistance Training Middle Aged medicine.disease Mental health humanities 3. Good health Diabetes Mellitus Type 2 Quality of Life Physical therapy Female business |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| Popis: | OBJECTIVE To establish whether exercise improves quality of life (QOL) in individuals with type 2 diabetes and which exercise modalities are involved. RESEARCH DESIGN AND METHODS Health Benefits of Aerobic and Resistance Training in individuals with type 2 Diabetes (HART-D; n = 262) was a 9-month exercise study comparing the effects of aerobic training, resistance training, or a combination of resistance and aerobic training versus a nonexercise control group on hemoglobin A1c (HbA1c) in sedentary individuals with type 2 diabetes. This study is an ancillary analysis that examined changes in QOL after exercise training using the Short Form-36 Health Survey questionnaire compared across treatment groups and with U.S. national norms. RESULTS The ancillary sample (n = 173) had high baseline QOL compared with U.S. national norms. The QOL physical component subscale (PCS) and the general health (GH) subscale were improved by all three exercise training conditions compared with the control group condition (resistance: PCS, P = 0.005; GH, P = 0.003; aerobic: PCS, P = 0.001; GH, P = 0.024; combined: PCS, P = 0.015; GH, P = 0.024). The resistance training group had the most beneficial changes in bodily pain (P = 0.026), whereas physical functioning was most improved in the aerobic and combined condition groups (P = 0.025 and P = 0.03, respectively). The changes in the mental component score did not differ between the control group and any of the exercise groups (all P > 0.05). The combined training condition group had greater gains than the aerobic training condition group in the mental component score (P = 0.004), vitality (P = 0.031), and mental health (P = 0.008) and greater gains in vitality compared with the control group (P = 0.021). CONCLUSIONS Exercise improves QOL in individuals with type 2 diabetes. Combined aerobic/resistance exercise produces greater benefit in some QOL domains. |
| Databáze: | OpenAIRE |
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