Implementing Low-Cost, Community-Based Exercise Programs for Middle-Aged and Older Patients with Type 2 Diabetes: What Are the Benefits for Glycemic Control and Cardiovascular Risk?

Romeu Mendes, Nelson Sousa, Victor Machado Reis and Jose Luis Themudo-Barata
Additional contact information
Romeu Mendes: Public Health Unit, ACES Douro I-Marão e Douro Norte, Northern Region Health Administration, 5000-524 Vila Real, Portugal
Nelson Sousa: Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
Victor Machado Reis: Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
Jose Luis Themudo-Barata: Faculty of Health Sciences, University of Beira Interior, Cova da Beira Hospital Centre, 6200-506 Covilhã, Portugal

IJERPH, 2017, vol. 14, issue 9, 1-12

Abstract: Background: The purpose of this study was to analyze the effects of a long-term, community-based, combined exercise program developed with low-cost exercise strategies on glycemic control and cardiovascular risk factors in middle-aged and older patients with type 2 diabetes. Methods: Participants ( n = 124; 63.25 ± 7.20 years old) engaged in either a 9-month supervised exercise program ( n = 39; consisting of combined aerobic, resistance, agility/balance, and flexibility exercise; three sessions per week; 70 min per session) or a control group ( n = 85) who maintained their usual care. Glycemic control, lipid profile, blood pressure, anthropometric profile, and the 10-year risk of coronary artery disease were assessed before and after the 9-month intervention. Results: A significant time * group interaction effect ( p < 0.001) was identified in the values of the glycated hemoglobin, fasting plasma glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, systolic blood pressure, diastolic blood pressure, body mass index, waist circumference, and the 10-year risk of coronary artery disease. Conclusions: A long-term, community-based, combined exercise program developed with low-cost exercise strategies was effective in inducing significant benefits on glycemic control, lipid profile, blood pressure, anthropometric profile, and the 10-year risk of coronary artery disease in middle-aged and older patients with type 2 diabetes. Clinical Trial Identification Number: ISRCTN09240628.

Keywords: type 2 diabetes; exercise; physical activity; cardiovascular risk; community-based interventions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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