Effect of supervised versus self-directed exercise and dietary practices on body weight and glycaemic control with individuals having type 2 diabetes

Yıl 2019, Cilt: 5 Sayı: 4, 148 - 155, 31.12.2019

Alemmebrat Kiflu Adane

https://doi.org/10.31459/turkjkin.634193

Cited By: 1

Öz

Similar
to a highly developed country, these days the rapid and parallel increase in
sedentary lifestyle and type 2 diabetes (T2DM) is becoming one of the major public health concerns of
Ethiopia. Despite the fact that pharmacological medicines are mostly ordered by
physicians as a treatment modality to T2DM, regular physical exercise and healthy diet habits
are not well understood and practiced throughout society. Previous studies also
documented that the latter two approaches are the two key management tools for
diabetes and it assists in preventing diabetes-related health complications,
insulin resistance, and T2DM. The present study examined the difference in body
weight and fasting
plasma glucose (FPG) improvement in 16 moderately overweight male individuals having
T2DM
for 10wks intervention,
to this end experimental with retrospective cohort study design was used. After qualified, the recruitment criteria subjects
were randomly
categorized into two groups, i.e. experimental (n = 8) and control (n = 8).  Individuals who have received a supervised exercise
program and close dietary advice were compared with those who were engaged in self-directed
exercise and also have their own eating habits over the study program.   To analysis, the data, dependent t-test and Pearson’s correlation were used. In
all cases, the statistical significance threshold was P < 0.05. At the end
of the intervention, significant bodyweight reduction and FPG improvement were
observed in the experimental group as compared to their counterparts. Therefore,
it was concluded that professionally supervised regular exercise with a close dietary
practice should be the main choice of individuals having T2DM in order to manage and achieve sustainable body weight
control and FPG for better health and treatment modalities. 

Anahtar Kelimeler

Body weight, glycaemic control, self-directed exercise, type II diabetes

Kaynakça

• Abebe N, Kebede T, Addise D. Diabetes in Ethiopia 2000-2016 prevalence and related acute and chronic complications; a systematic review. African Journal of Diabetes Medicine, 2017; 25(2): 7-11.
• Admassu G, Gaym A.Outcome of pregnancy complicated by diabetes at Tikur Anbessa Hospital, Addis Ababa Ethiopia ÐA five-year review. Ethiopian Journal of Reproductive Health, 2009; 3(3): 34-40.
• American Diabetes Association. National Institute of Diabetes and Digestive and Kidney Diseases. Xylitol.org. News release, FDA, 2019.
• Ehrman RD JK, Liguori G, Magal M. ACSM's guidelines for exercise testing and prescription. 10th Edition, Philadelphia: Wolters Kluwer, 2018.
• Feinglos MN, Bethel MA. Type 2 Diabetes Mellitus: An evidence-based approach to practical management. USA: Human Press, 2008.
• Gallagher EJ, LeRoith D. Prevention of Type 2 Diabetes from science to therapy. New York: Springer, 2012.
• Hall V, Thomsen R, Henriksen O, Lohse N. Diabetes in Sub Saharan Africa 1999±011: Epidemiology and public health implications. A systematic review. BMC Public Health, 2011; 11(564).
• Hawley JA, Zierath JR. Physical activity and type 2 diabetes: Therapeutic effects and mechanisms of action. United Sated of America: Human Kinetics, 2008.
• International Diabetes Federation (2013). IDF Diabetes Atlas. 6th ed. Brussels, Belgium: IDF, http://www.idf.org/diabetesatlas Accessed May 11 2019.
• International Diabetes Federation. Diabetes Atlas. IDF. 7th edition, 2015.
• Jeon CY, Lokken R, Hu FB, van Dam RM. Physical activity of moderate intensity and risk of type 2 diabetes. A systematic review. Diabetes Care, 2007; 30: 744-752.
• Metzger BE. American medical association guide to living with Diabetes. New Jersey: John Wiley & Sons, Inc., 2006.
• Potteiger JA. ACSM’s introduction to exercise science. 3rd Edition, Philadelphia: Wolters Kluwer, 2018.
• Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice, 2010; 87: 4–14.