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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?

Author

Listed:
  • Romeu Mendes

    (Public Health Unit, ACES Douro I-Marão e Douro Norte, Northern Region Health Administration, 5000-524 Vila Real, Portugal
    Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
    EPIUnit-Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal)

  • Nelson Sousa

    (Department of Sport Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
    CIDESD-Research Center in Sports Sciences, Health Sciences and Human Development, 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
    CIDESD-Research Center in Sports Sciences, Health Sciences and Human Development, 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)

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.

Suggested Citation

  • Romeu Mendes & Nelson Sousa & Victor Machado Reis & Jose Luis Themudo-Barata, 2017. "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?," IJERPH, MDPI, vol. 14(9), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1057-:d:111766
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    Citations

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    Cited by:

    1. Carlos Vasconcelos & António Almeida & Maria Cabral & Elisabete Ramos & Romeu Mendes, 2019. "The Impact of a Community-Based Food Education Program on Nutrition-Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 16(13), pages 1-16, July.
    2. Liam White & Morwenna Kirwan & Vita Christie & Lauren Hurst & Kylie Gwynne, 2024. "The Effectiveness of Clinician-Led Community-Based Group Exercise Interventions on Health Outcomes in Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 21(5), pages 1-14, May.
    3. Luis Leitão & Moacir Marocolo & Hiago L. R. de Souza & Rhai André Arriel & João Guilherme Vieira & Mauro Mazini & Teresa Figueiredo & Hugo Louro & Ana Pereira, 2021. "Multicomponent Exercise Program for Improvement of Functional Capacity and Lipidic Profile of Older Women with High Cholesterol and High Triglycerides," IJERPH, MDPI, vol. 18(20), pages 1-9, October.
    4. Romeu Mendes & Nelson Sousa & José Luís Themudo-Barata & Victor Machado Reis, 2019. "High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Middle-Aged and Older Patients with Type 2 Diabetes: A Randomized Controlled Crossover Trial of the Acute Effects of T," IJERPH, MDPI, vol. 16(21), pages 1-14, October.

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