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Supervised Group-Exercise Therapy Versus Home-Based Exercise Therapy: Their Effects on Quality of Life and Cardiovascular Risk Factors in Women With Type 2 Diabetes Publisher Pubmed



Dadgostar H1, 2 ; Firouzinezhad S2 ; Ansari M3, 4 ; Younespour S5 ; Mahmoudpour A6 ; Khamseh ME7
Authors
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Authors Affiliations
  1. 1. Minimally Invasive Surgery Research Center, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Sports Medicine Department, Rasoul-e-Akram University Hospital, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Head of Rehabilitation Medicine, Noorafshar Sports Medicine and Rehabilitation Hospital, Tehran, Iran
  5. 5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Sc Corrective Exercise & Sports Injuries: Energy Sports & Medicine Group, Iran
  7. 7. Endocrine Research Center (Firouzgar Hospital), Iran University of Medical Sciences, Tehran, Iran

Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews Published:2016


Abstract

Objectives: Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group exercise therapy with the effects of home-based exercise therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. Materials and methods: One hundred and two diabetic women were randomised to supervised and home-based groups. Methods: Over 12 weeks, participants received supervised group-exercise therapy or a home-based exercise-therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of exercise-therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Results: Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p = 0.01). Their reduction in mean body-fat mass from baseline to week 6 (p = 0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p < 0.05). From baseline to the twelfth week, the HbA1c level fell significantly (p < 0.05) in both groups. Conclusions: Supervised group-exercise therapy was more effective than home-based exercise therapy in improving HRQOL and body composition in diabetic women. However, home-based exercise therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the exercise intervention can therefore be effective in improving health outcomes in diabetic patients. © 2016 Diabetes India
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