[Benefits of a Home-Based Physical Exercise Program in Elderly Subjects With Type 2 Diabetes Mellitus]

Endocrinol Nutr. 2011 Oct;58(8):387-94. doi: 10.1016/j.endonu.2011.05.010. Epub 2011 Aug 3.
[Article in Spanish]

Abstract

Objective: To analyze the effects of a home-based physical exercise program on quality of life, metabolic control, and anthropometric and biochemical parameters in people over 60 years of age with type 2 diabetes mellitus.

Methods: Eighty-four Spanish patients aged over 60 years were finally randomized to participate in a home-based, combined physical exercise program (aerobic and anaerobic exercises) or to receive conventional treatment for diabetes. At 6 months, effects on quality of life (EuroQoL questionnaire). HbA1c, fasting glucose, hypoglycemic events, weight, BMI, waist circumference, blood pressure, and biochemical parameters were assessed.

Results: Mean age of study participants was 66.7 (8.0) years. Patients in the exercise group showed an improved quality of life at six months based on EuroQol: 0.48 (0.38) vs 0.66 (0.35) and analogic scale 67.97 (18.92) vs 76.26 (20.14). An improved glycemic control was also seen: HbA1c 6.35 vs 6.0% and fasting glucose 151.2 (36.7) vs 137.6 (23.5) mg/dL, as well as a weight reduction by 1.7 kg. Hypoglycemic events did not increase. No benefits were seen in the control group. Ten subjects withdrew from the study before 6 months.

Conclusions: A home-based physical exercise program improves quality of life, glycemic control, and weight in type 2 diabetic patients older than 60 years.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Blood Glucose / analysis
  • Combined Modality Therapy
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diet therapy
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet, Diabetic
  • Electrocardiography
  • Exercise Therapy* / organization & administration
  • Female
  • Glycated Hemoglobin A / analysis
  • Home Care Services*
  • House Calls / statistics & numerical data
  • Humans
  • Hypoglycemia / epidemiology
  • Hypoglycemia / etiology
  • Hypoglycemic Agents / therapeutic use
  • Lipids / blood
  • Male
  • Middle Aged
  • Patient Dropouts / statistics & numerical data
  • Program Evaluation
  • Prospective Studies
  • Quality of Life
  • Waist Circumference
  • Weight Loss

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Lipids