Make your diabetic patients walk: long-term impact of different amounts of physical activity on type 2 diabetes
- PMID: 15920042
- DOI: 10.2337/diacare.28.6.1295
Make your diabetic patients walk: long-term impact of different amounts of physical activity on type 2 diabetes
Abstract
Objective: To establish the impact of different amounts of increased energy expenditure on type 2 diabetes care.
Research design and methods: Post hoc analysis of long-term effects of different amounts of increased energy expenditure (metabolic equivalents [METS] per hour per week) through voluntary aerobic physical activity was performed in 179 type 2 diabetic subjects (age 62 +/- 1 years [mean +/- SE]) randomized to a physical activity counseling intervention. Subjects were followed for 2 years and divided into six groups based on their increments in METs per hour per week: group 0 (no activity, n = 28), group 1-10 (6.8 +/- 0.3, n = 27), group 11-20 (17.1 +/- 0.4, n = 31), group 21-30 (27.0 +/- 0.5, n = 27), group 31-40 (37.5 +/- 0.5, n = 32), and group >40 (58.3 +/- 1.8, n = 34).
Results: At baseline, the six groups did not differ for energy expenditure, age, sex, diabetes duration, and all parameters measured. After 2 years, in group 0 and in group 1-10, no parameter changed; in groups 11-20, 21-30, 31-40, and >40, HbA(1c), blood pressure, total serum cholesterol, triglycerides, and estimated percent of 10-year coronary heart disease risk improved (P < 0.05). In group 21-30, 31-40, and >40, body weight, waist circumference, heart rate, fasting plasma glucose, serum LDL and HDL cholesterol also improved (P < 0.05). METs per hour per week correlated positively with changes of HDL cholesterol and negatively with those of other parameters (P < 0.001). After 2 years, per capita yearly costs of medications increased (P = 0.008) by USD393 in group 0, did not significantly change in group 1-10 (USD 206, P = 0.09), and decreased in group 11-20 (USD -196, P = 0.01), group 21-30 (USD -593, P = 0.009), group 31-40 (USD -660, P = 0.003), and group >40 (USD -579, P = 0.001).
Conclusions: Energy expenditure >10 METs . h(-1) . week(-1) obtained through aerobic leisure time physical activity is sufficient to achieve health and financial advantages, but full benefits are achieved with energy expenditure >20 METs . h(-1) . week(-1).
Comment in
-
Walking and type 2 diabetes.Diabetes Care. 2005 Jun;28(6):1524-5. doi: 10.2337/diacare.28.6.1524. Diabetes Care. 2005. PMID: 15920085 No abstract available.
Similar articles
-
Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by type 2 diabetic subjects.Diabetes Care. 2003 Feb;26(2):404-8. doi: 10.2337/diacare.26.2.404. Diabetes Care. 2003. PMID: 12547870 Clinical Trial.
-
Changes in physical fitness predict improvements in modifiable cardiovascular risk factors independently of body weight loss in subjects with type 2 diabetes participating in the Italian Diabetes and Exercise Study (IDES).Diabetes Care. 2012 Jun;35(6):1347-54. doi: 10.2337/dc11-1859. Epub 2012 Mar 7. Diabetes Care. 2012. PMID: 22399699 Free PMC article. Clinical Trial.
-
Effects of regular walking on cardiovascular risk factors and body composition in normoglycemic women and women with type 2 diabetes.Diabetes Care. 1999 Apr;22(4):555-61. doi: 10.2337/diacare.22.4.555. Diabetes Care. 1999. PMID: 10189531 Clinical Trial.
-
Resistance exercise versus aerobic exercise for type 2 diabetes: a systematic review and meta-analysis.Sports Med. 2014 Apr;44(4):487-99. doi: 10.1007/s40279-013-0128-8. Sports Med. 2014. PMID: 24297743 Review.
-
Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis.JAMA. 2011 May 4;305(17):1790-9. doi: 10.1001/jama.2011.576. JAMA. 2011. PMID: 21540423 Review.
Cited by
-
Physiological and psychological challenges of increasing physical activity and exercise in patients at risk of diabetic foot ulcers: a critical review.Diabetes Metab Res Rev. 2016 Nov;32(8):791-804. doi: 10.1002/dmrr.2817. Epub 2016 Jun 10. Diabetes Metab Res Rev. 2016. PMID: 27155091 Free PMC article. Review.
-
Physical inactivity and barriers to physical activity among Type-2 diabetics in Kumasi, Ghana.Afr Health Sci. 2023 Sep;23(3):318-327. doi: 10.4314/ahs.v23i3.38. Afr Health Sci. 2023. PMID: 38357182 Free PMC article.
-
Changing physical activity behavior in type 2 diabetes: a systematic review and meta-analysis of behavioral interventions.Diabetes Care. 2012 Dec;35(12):2681-9. doi: 10.2337/dc11-2452. Diabetes Care. 2012. PMID: 23173137 Free PMC article. Review.
-
Assessing the Efficacy of a 28-Day Comprehensive Online Prostate Cancer Patient Empowerment Program (PC-PEP) in Facilitating Engagement of Prostate Cancer Patients in Their Survivorship Care: A Qualitative Study.Curr Oncol. 2023 Sep 21;30(9):8633-8652. doi: 10.3390/curroncol30090626. Curr Oncol. 2023. PMID: 37754541 Free PMC article.
-
Stage of Change and Motivation to a Healthier Lifestyle before and after an Intensive Lifestyle Intervention.J Obes. 2016;2016:6421265. doi: 10.1155/2016/6421265. Epub 2016 Apr 28. J Obes. 2016. PMID: 27239339 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous