Top

Health and Quality of Life Outcomes

Published in:

Open Access 01-12-2011 | Short report

Health status of older adults with Type 2 diabetes mellitus after aerobic or resistance training: A randomised trial

Authors: Cindy Li Whye Ng, E Shyong Tai, Su-Yen Goh, Hwee-Lin Wee

Published in: Health and Quality of Life Outcomes | Issue 1/2011

Abstract

Background

A prior study showed positive effects of resistance training on health status in individuals with diabetes compared to aerobic or no exercise, the exercise regimens were either different in volume, duration or rate of progression. We aimed to compare the effects of progressive resistance training (PRT) or aerobic training (AT) of similar volume over an 8-week period on health status (measured using the Short-form 36 Questionnaire) in middle aged adults with type 2 diabetes mellitus (T2DM).

Findings

Sixty subjects aged 58 (7) years were randomised to PRT (n = 30) or AT (n = 30). General health and vitality were significantly improved in both groups (mean (SD) change scores for PRT were 12.2(11.5) and 10.5(18.2), and for AT, 13.3(19.6) and 10.0(13.1), respectively) and exceeded the minimally important difference of 5 points. The PRT group also had improved physical function and mental health status (mean (SD) change scores: 9.0(22.6), p < 0.05 and 5.3(12.3), p < 0.05, respectively), which was not observed in the AT group. However, the between group differences were not statistically significant.

Conclusions

Both exercise regimens have positive impact on health status that correlated well with clinical improvement in patients with T2DM. PRT may have some additional benefits as there were significant changes in more domains of the SF-36 than that observed for the AT group.

Trial Registration

ClinicalTrials.gov NCT01000519

Available only for authorised users

Chan JCN, Malik V, Jia W, Kadowaki T, Yajnik-Chittaranjan S, Yoon K-H, Hu FB: Diabetes in Asia. Epidemiology, risk factors, and pathophysiology. JAMA 2009, 301: 2129–2140. 10.1001/jama.2009.726PubMedCrossRef

Lim JG, Kang HJ, Stewart KJ: Type 2 diabetes in Singapore: The role of exercise training for its prevention and management. Singapore Medical Journal 2004, 45: 62–68.PubMed

Sundaram M, Kavookjian J, Patrick JH, Miller L-A, Suresh Madhavan S, Scott V: Quality of life, health status and clinical outcomes in Type 2 diabetes patients. Quality of Life Research 2007, 16: 165–177. 10.1007/s11136-006-9105-0PubMedCrossRef

Association American Diabetes: Physical activity/exercise and diabetes mellitus. Diabetes Care 2003, 26: S73-S77.CrossRef

Sigal RJ, Kenny GP: Combined aerobic and resistance exercise for patients with type 2 diabetes. JAMA: The Journal of the American Medical Association 2010, 304: 2298–2299. 10.1001/jama.2010.1719PubMedCrossRef

Park Y-H, Song M, Cho B-L, Lim J-Y, Song W, Kim S-H: The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: a randomized controlled trial. Patient Education & Counseling 2011, 82: 133–137. 10.1016/j.pec.2010.04.002CrossRef

Tsai J-C, Yang H-Y, Wang W-H, Hsieh M-H, Chen P-T, Kao C-C, Kao P-F, Wang C-H, Chan P: The beneficial effect of regular endurance exercise training on blood pressure and quality of life in patients with hypertension. Clinical & Experimental Hypertension (New York) 2004, 26: 255–265.

Ng CLW, Goh S-Y, Malhotra R, Ostbye T, Tai ES: Minimal difference between aerobic and progressive resistance exercise on metabolic profile and fitness in older adults with diabetes mellitus: a randomised trial. Journal of Physiotherapy 2010, 56: 163–70. 10.1016/S1836-9553(10)70021-7PubMedCrossRef

Reid RD, Tulloch HE, Sigal RJ, Kenny GP, Fortier M, McDonnell L, Wells GA, Boule NG, Phillips P, Coyle D: Effects of aerobic exercise, resistance exercise or both, on patient-reported health status and well-being in type 2 diabetes mellitus: a randomised trial. Diabetologia: Clinical and Experimental Diabetes and Metabolism 2010, 53: 632–640.CrossRef

10.

Ware JEJ, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 1992, 30: 473–483. 10.1097/00005650-199206000-00002PubMedCrossRef

11.

Thumboo J, Fong KY, Machin D, Chan SP, Soh CH, Leong KH, Feng PH, Thio ST, Boey ML: Does being bilingual in English and Chinese influence responses to Quality-of-Life scales? Medical Care 2002, 40: 105–112. 10.1097/00005650-200202000-00005PubMedCrossRef

12.

Thumboo J, Chan SP, Machin D, Soh CH, Feng PH, Boey ML, Leong KH, Thio ST, Fong KY: Measuring health-related quality of life in Singapore: Normal values for the English and Chinese SF-36 health survey. Annals Academy of Medicine Singapore 2002, 31: 366–374.

13.

Thumboo J, Fong KY, Chan SP, Machin D, Feng PH, Thio ST, Boey ML: The equivalence of English and Chinese SF-36 versions in bilingual Singapore Chinese. Quality of Life Research 2002, 11: 495–503. 10.1023/A:1015680029998PubMedCrossRef

14.

Thumboo J, Fong KY, MacHin D, Chan SP, Leong KH, Feng PH, Thio ST, Boey ML: A community-based study of scaling assumptions and construct validity of the English (UK) and Chinese (HK) SF-36 in Singapore. Quality of Life Research 2001, 10: 175–188. 10.1023/A:1016701514299PubMedCrossRef

15.

Thumboo J, Fong KY, Machin D, Chan SP, Soh CH, Leong KH, Feng PH, Thio S, Boey ML: Quality of life in an urban Asian population: the impact of ethnicity and socio-economic status. Social Science & Medicine 2003, 56: 1761–1772. 10.1016/S0277-9536(02)00171-5CrossRef

16.

Ware J, Kosinki M, Bjorner J, Turner-Bowker D, Gandek B, Maruish M: User's manual for the sf-36v2 health survey. 2nd edition. Lincoln, RI: QualityMetric Incorporated; 2007.

17.

Hill-Briggs F, Gary TL, Baptiste-Roberts K, Brancati FL: Thirty-Six-Item Short-Form outcomes following a randomized controlled trial in Type 2 Diabetes. Diabetes Care 2005, 28: 443–444. 10.2337/diacare.28.2.443PubMedCrossRef

18.

Holton DR, Colberg SR, Nunnold T, Parson HK, Vinik AI: The effect of an aerobic exercise training program on quality of life in type 2 diabetes. The Diabetes Educator 2003, 29: 837–846. 10.1177/014572170302900513PubMedCrossRef

Title: Health status of older adults with Type 2 diabetes mellitus after aerobic or resistance training: A randomised trial
Authors: Cindy Li Whye Ng
E Shyong Tai
Su-Yen Goh
Hwee-Lin Wee
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/1477-7525-9-59

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health status of older adults with Type 2 diabetes mellitus after aerobic or resistance training: A randomised trial

Abstract

Background

Findings

Conclusions

Trial Registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Findings

Conclusions

Trial Registration

Please log in to get access to this content

Other articles of this Issue 1/2011

Determinants of agreement between self-reported and parent-assessed quality of life for children in Germany-results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)

Relationships between changes in pain severity and other patient-reported outcomes: an analysis in patients with posttraumatic peripheral neuropathic pain

Measuring health-related quality of life in children with cancer living in mainland China: feasibility, reliability and validity of the Chinese mandarin version of PedsQL 4.0 Generic Core Scales and 3.0 Cancer Module

Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults

Assessment of psychosocial functioning and its risk factors in children with pectus excavatum

Quality of life of patients after retropubic prostatectomy - Pre- and postoperative scores of the EORTC QLQ-C30 and QLQ-PR25