Cardiorespiratory health and body composition of type 2 diabetics’ patients: effect of a program of adapted physical activity

Year 2018, Volume: 4 Issue: 4, 118 - 124, 30.12.2018

Teddy Bofosa Eric Kam Betty Miangindula Donnell Muela Constant Nkiama François Njimbu

https://doi.org/10.31459/turkjkin.439129

Cited By: 2

Abstract

The Aim of this study is to verify the effects
of adapted physical activity on the cardiorespiratory health and body
composition of obese diabetic patients. 
Thirty-two type 2 diabetes (T2D) patients (11
men, 21 women), aged 39-70 years, were randomly divided into two groups  
according to body mass index, group 1: 20 overweight subjects (BMI
<30) and group 2:  12 obese subjects
(BMI> 30) undergoing a program Adapted physical activity of moderate
intensity to severe during 3 months at the rate of 3 sessions of one hour per
week. The paired student's t-test was used to evaluate the effect of the intervention
program on the 6-minute walk test, arterial blood pressure, heart rate, weight,
waist circumference, total fat, and visceral and lean mass. After 3 months of
the practice of adapted physical activities, we observed significant changes in
their resting heart rate of -6.06 bpm (p<0.05), systolic blood pressure of
-7.8 mmHg (p<0.05), fasting blood glucose of -86.68mg/dl (p<0.05),
maximum oxygen consumption of +6.13ml / kg / min (p<0.05), total fat of
-5.89% (p<0.05), weight of -8.27kg (p<0.05), body mass index of -5.17
kg/m2 (p<0.05) and waist circumference of -5.66 cm (p<0.05) and their muscular percentage increased significantly by + 9.17%. Regular
physical activity allows type 2 diabetics patients to improve their
cardiorespiratory fitness and change their body composition.

Keywords

Adapted physical activities, body composition, cardiorespiratory health, type 2 diabetic patient

References

• Albright A, Franz M, Hornsby G, Kiriska A, Marrero D, Urlich I, Verity LS. Exercise and type diabetes. Med Sci Sports Exerc, 2000; 32: 1345-1360.
• Aljasir B, Bryson M, Al-Shehri B. Yoga practice for the management of type II diabetes mellitus in adults: a systematic review. J Evid Based Complementary Altern Med, 2010; 7:399-408.
• Balducci S, Iacobellis G, Parisi L, Di Biase N, Calandriello E, Leonetti F, Fallucca F. Exercise training can modify the natural history of diabetic peripheral neuropathy. J Diabetes Complications, 2006; 20: 216-223.
• Balducci S, Zanuso S, Nicolucci A, De Feo P, Cavallo S, Cardelli P, Fallucca S, Alessi E, Fallucca F, Pugliese G. Effect of an intensive exercise intervention strategy on modifiable cardiovascular risk factors in subjects with type 2 diabetes mellitus: a randomized controlled trial: the Italian Diabetes and Exercise Study (IDES). Arch Intern Med, 2010; 170: 1794-1803.
• Barr E, Magliano D, Zimmet P, Polkinghorne KR, Atkins RC, Dunstan DW, Murray SG, Shaw JE. AusDiab 2005: The Australian Diabetes, Obesity and Lifestyle Study, 2006. http://www.diabetes.com.au/pdf/AUSDIAB_Report_Final.pdf (accessed April 7, 2011).
• Baum K, Votteler T, Schiab J. Efficiency of vibration exercise for glycemic control in type 2 diabetes patients. Int J Med Med Sci, 2007; 4: 159-163.
• Bellet RN, Adams L, Morris NR. The 6-minute walk test in outpatient cardiac rehabilitation: Validity, reliability and responsiveness a systemic review. Physiotherapy, 2012; 98: 277-286.
• Bieleli E, Moswa JL, Ditu mpandamadi S, Kandjungu K, Mulumba M. Prévalence du diabète sucré au sein de la population de Kinshasa. Congo Médical, 2000; 2(15): 1055-1061.
• Chudyk A, Petrella RJ. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care, 2011; 34: 1228-1237.
• Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, Chasan-Taber L, Albright AL, Braun B. Exercise and type 2 diabetes: The American College of Sports Medicine and the American Diabetes Association: Joint Position Statement. Diabetes Care, 2010; 33: 147-167.
• Gaede P, Lund-Andersen H, Parving HH, Pedersen O. Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med, 2008; 358: 580-591.
• Fahey AJ, Paramalingam N, Davey RJ, Davis EA, Jones TW, Fournier PA. The effect of a short sprint on post-exercise whole body glucose production and utilization rates in individuals with type 1 diabetes mellitus. J Clin Endocrinol Metab, 2012; 97: 4193-4200.
• Gordon BA, Benson AC, Bird SR, Fraser SF. Resistance training improves metabolic health in type 2 diabetes: A systematic review. Diabetes Res Clin Pract, 2009; 83: 157-175.
• Gordon LA, Morrison EY, McGrowder DA, Young R, Fraser YTP, Zamora EM, Alexander-Lindo RL, Irving RR. Effect of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes. BMC Complement Altern Med, 2008; 8: 21.
• Grassi G, Servalle G, Calhoun D, Bolla GB, Mancia G. Physical exercise in essential hypertension. Chest, 1992; 101: 312.
• Guelfi KJ, Ratnam N, Smythe GA, Jones TW, Fournier PA. Effect of intermittent high-intensity compared with continuous moderate exercise on glucose production and utilization in individuals with type 1 diabetes. Am J Physiol Endocrinol Metab, 2007; 292: E865-70.
• Hu G, Jousilahti P, Barengo NC, Qiao Q, Lakka TA, Tuomilehto J. Physical activity, cardiovascular risk factors, and mortality among Finnish adults with diabetes. Diabetes Care, 2005; 28: 799-805.
• Inserm. Activité physique: Contextes et effets sur la santé, 2008.
• Kusuayi MG, Bofosa LT,Kiana NN,Muela MD, Miangindula MB, Nkiama EC. Effets des execices physiques de l’endurance aérobie et de renforcement musculaire sur la composition corporelle des femmes obèses. Annales Africaine de Medédecine, 2015; 8(4): 2142-2148.
• Lipscombe LL, Hux JE. Trends in diabetes prevalence, incidence, and mortality in Ontario, Canada 1995–2005: a population-based study. Lancet, 2007; 369: 750-756.
• Longo-Mbenza B, Tonduangu K, Muyeno K, Phanzu M, Kebolo Baku A, Muvova D, Lelo T, Odio W, Lukoki L, Bikangi Nkiabungu F, Kilembe M, Tshiamala P, Katalay L, Mwema M, Muyembe T. Predictors of stroke-associated mortality in Africans. Revue d’ Epidemiologie et Santé Publique, 2000; 48: 31-39.
• Marwick TH, Hordern MD, Miller T, Chyun DA, Bertoni AG, Blumenthal RS, Philippides G, Rocchini A. Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American heart association. Circulation, 2009; 119: 3244-3262.
• Ng CLW, Goh SY, Malhotra R, Ostbye T, Tai ES. Minimal difference between aerobic and progressive resistance exercise on metabolic profile and fitness in older adults with diabetes mellitus: a randomized trial. J Physiother, 2010; 56: 163-170.
• Perkins BA, Riddell MC. Type 1 diabetes and exercise: Using the insulin pump to maximum advantage. Can J Diabetes, 2006; 30: 72-79.
• Ryan AS, Hurlbut DE, Lott ME, Ivey FM, Fleg J, Hurley BF, Goldberg AP. Insulin action after resistive training in insulin resistant older men and women. J Am Geriatr Soc, 2001; 49: 247-253.
• Sato Y. A Teaching Guide for Therapeutic Exercise in Diabetes Mellitus (Revised 2nd edition), Nankodo, 2001 (in Japanese).
• Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes Care, 2006; 29: 2518-2527.
• UN General Assembly. Resolution 61/225 World Diabetes Day. Jan 18, 2007. http://www.worlddiabetesday. org/files/docs/U4D/UN_Resolution.pdf (accessed April 7, 2011).
• Véronique P. Angiotensin receptor blockers and risk of myocardial infarction: meta-analyses and trial sequential analyses of 147 020 patients from randomised trials. BMJ, 2011; 342: 2234.
• Webber J. Changing epidemiology of obesity—implications for diabetes. In: Obesity and diabetes (Barnett A, Kumar S, eds.) 2nd edition, Oxford: John Wiley and Sons, 2009: 1–12.
• WHO. Global status report on noncommunicable diseases 2010. April, 2011. http://www.who.int /nmh/publications/ncd_report2010/en (accessed April 7, 2011).
• WHO. Use of glycated haemoglobin (HbA1C) in the diagnosis of diabetes mellitus. 2011. http://www.who.int/diabetes/publications/reporthba1c_2011.pdf (accessed April 7, 2011).