Exercise as a Treatment in Type 2 Diabetes in Surin Hospital
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Abstract
Back ground: The Rehabilitation Department at Surin hospital has initiated a new program "Exercise as a treatment in chronic disease patients," Beginning with type 2 diabetes.
Objective:
1. To determine the effects of the 12 weeks exercise training in type 2 diabetes in 3 systems: cardiovascular, physical fitness, and metabolism
2. To compare the results between the hospital training program with the home self-training program as formerly advised.
Setting: Exercise center, Rehabilitation Department, Surin Hospital
Research design: Experimental research
Methods: 85 type 2 diabetic patients from the diabetic clinic of Surin Hospital were selected by the purposive sampling method, were studied between July 2004 and May 2005 and were divided into two groups on a volunteer basis. Group 1: 49 patients selected the in-hospital training program, agreed to attend at least once per week, were required to exercise 3 times/week for 12 weeks. Only 30 patients could attended the whole program. Group 2: 36 patients selected the home self-exercise training program 1 were required to exercise 3 times/week for 12 weeks. But 30 patients were followed up. Patients were recorded and evaluated before and after the program in 3 systems: 1) cardiovascular (systolic BP, diastolic BP, HR),2) physical fitness (VOn max, grip strength, BMI),3) metabolism (FBS,HbAlc, BUN, Cr, Cholesterol triglyceride, HDL, LDL).
Statistics: The paired sample T test was compared with dependent data, and the independent sample T test was compared with independent data, p value<0.05 was considered significant. The SPSS program for windows was used.
Results: Significant differences were found in cardiovascular systems : decreased systolic BP (136.83+19.10 vsl23.77±15.01mmHg), decrease diastolic BP (84.53±10.78vs80.33±7.87 mmHg), reduced HR (87.30±7.39 vs 83.67±6.03 beats/min) in the hospital program group. Increased vo 1 max (25.38±7.64 vs 28.59+7.82 ml/kg/min) in physical fitness in the hospital program group too. In metabolism, there was decreased HbAlc in both groups, hospital program group (9.06±2.31 vs 8.29+1.88%) the home self-exercise group (8.09±1.31 vs 6.36+1.00%) and also a decrease in FBS (135.32+27.461 vs 120.45+28.430 mmHg). When both groups were compared the data showed differences in all 3 systems with significance in systolic BP (13.07±13.07 mmHg vs -0.41 + 17.23 mmHg), V02 max (3.21+3.29 vs 0.19±6.52 ml/kg/min), HbAlc (0.72+1.01 vs 1.73+1.08%)
Conclusions: Exercise as a treatment in type 2 dibetes patients at Surin Hospital resulted better in significant changes. The in-hospital exercise group controlled by intensity, duration, frequency, mode showed increased function in the cardiovascular system improved physical fitness as well as the metabolism.
Key words: exercise, Physical activity, aerobic capacity, grip strength, body mass index
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References
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