Impact of Structured Lifestyle Intervention Program with Antigravity Exercise on Glycemic Control in People with T2DM
Introduction: Diabetes mellitus (DM) is a common endocrinopathy and assumes significance for its ability to adversely affect the various internal organs. It can also derail the immune system of the affected. Abnormal insulin secretion and/or utilization, leads to hyperglycemia which has adverse effects on the heart, blood vessels, kidney, nervous system, eye and skin. To assess the effectiveness of structured vs unstructured lifestyle modification therapy in glycemic control (change in HbA1c value from baseline to the end of the intervention) in people with T2DM.
Methods: This study is a randomized, controlled, parallel-group study with lifestyle modifications as intervention. Study was conducted for between Feb 2019 to Dec 2019 in the Department of General Medicine, Government Headquarters hospital, Tirupur.
Results: A total of 70 participants, 30 to 60-year-old, diagnosed with T2DM for more than a year with HbA1c levels > 6.5 %, on a background of oral antidiabetic agents were enrolled after obtaining the informed consent. Mean age of Group A and Group B found 49.17±7.42 and 51.92±9.1. Male were predominant in the study. Mean weight, Mean FBS, Mean PPBS and Mean HbA1c are statistically significant between groups (p<0.05) at baseline. Group B with unstructured physical activity with walking, was beneficial (HbA1c reduction 0.30 %; p = 0.024), but no significant decline in HbA1c, whereas, in Group A with structured antigravity exercise, is associated with a significant HbA1c decline of 1.2 %. (p = 0.07865).
Conclusion: Structured antigravity exercise training was more efficacious than unstructured physical activity in achieving controlled HbA1c levels. Although both structured and unstructured training provide benefits, only the former was associated with significant reductions in HbA1c levels. Hence, T2DM patients should be advised to follow structured antigravity exercise training & focused dietary intervention program.
Sahay BK. Diabetes mellitus-basic considerations. In: Saha SN, editor. API Text of Medicine, 8 the ed. Mumbai: The Association Of Physicians of India. 2008: 1042-1043.
Amany Ali Sayed Abd El Nasser. Cutaneous Manifestations Among Diabetic Children. Egyptian Paediatric Association Gazette. 2012;2:12-5.
IDF DIABETES ATLAS. Ninth edition 2019 [Internet]. International diabetes federation; Available from: https://www.diabetesatlas.org/en/resources/.
Thibault V, Bélanger M, LeBlanc E, Babin L, Halpine S, Greene B, et al. Factors that could explain the increasing prevalence of type 2 diabetes among adults in a Canadian province: a critical review and analysis. DiabetolMetabSyndr. 2016 Dec;8(1):71.
Marín-Peñalver JJ, Martín-Timón I, Sevillano-Collantes C, Cañizo-Gómez FJ del. Update on the treatment of type 2 diabetes mellitus. WJD. 2016;7(17):354.
Chawla R, Madhu SV, Makkar BM, Ghosh S, Saboo B, Kalra S. RSSDI-ESI clinical practice recommendations for the management of type 2 diabetes mellitus 2020. Indian J EndocrMetab2020 24:1-122.
Standards of Medical Care in Diabetes - 2020. Diabetes Care 2020;43(Suppl. 1) care.diabetesjournals.org/content/43/Supplement_1
International Diabetes Federation. Recommendations for Managing Type 2 Diabetes In Primary Care, 2017. www.idf.org/managing-type2-diabetes.
Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. American College of Sports Medicine; American Diabetes Association. Exercise and type 2 diabetes: The American College of Sports Medicine and the American Diabetes Association: Joint position statement. Diabetes Care 2010; 33:147-67.
De Micheli A. Italian standards for diabetes mellitus 2007: Executive summary. Acta Diabetol 2008; 45:107-27.
Plotnikoff RC, Johnson ST, Loucaides CA, Bauman AE, Karunamuni ND, Pickering MA. Population-based estimates of physical activity for adults with type 2 diabetes: A cautionary tale of potential confounding by weight status. J Obes2011; 1:1-5.
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