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A Cross-Sectional Study on the Physical Activity of Selected Elderly Diabetics


Affiliations
1 Department of Nutrition and Dietetics, PSG College of Arts and Science, Coimbatore – 641014, Tamil Nadu, India
 

Regular exercise may prevent or delay the development of Type 2 Diabetes Mellitus (T2DM). In addition to moderate-to vigorous-intensity exercise, daily physical activity is also important for the prevention and management of T2D. Elderly diabetics (50-70 years) were selected from the PSG Hospitals - a multi-specialty hospital. A Diabetes Self-Management Questionnaire (DSMQ) was developed to be locally relevant. The validity and reliability was checked before administration of the questionnaire. Data on glycemic control, energy expenditure, and physical activity (MET) were recorded. Physical activity from age 50-60 and 60-70 years were similar as indicated by the 24hr physical activity pattern and MET values. We observed a progression of the metabolic disorder with age as shown by HbA1c values Physical activity and exercise recommendations, therefore, should be tailored to meet the specific needs of each individual.

Keywords

Elderly Diabetics, Metabolic Equivalent Task (MET), Physical Activity, Type 2 Diabetes.
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  • Dijk J and Loon LJC. Exercise strategies to optimize glycemic control in T2D: A continuing glucose monitoring perspective. Diabetes Spectr. Jan 2015; 28(1):24-31. https:// doi.org/10.2337/diaspect.28.1.24. PMid: 25717275, PMCid: PMC4334084.

  • Chen L, Pei JH, Kuang J, Chen HM, Chen Z, Li ZW and Yang HZ. Effect of lifestyle intervention in patients with T2D: A meta-analysis. Metabolism. 2015; 64:338–347. https://doi.org/10.1016/j.metabol.2014.10.018. PMid: 25467842.

  • Lin X, Zhang X, Guo J, Roberts CK, McKenzie S., Wu WC, Liu S and Song Y. Effects of exercise training on cardiorespiratory fitness and biomarkers of cardiometabolic health: A systematic review and meta-analysis of randomized controlled trials. J. Am. Heart Assoc. 2015; 4:4. https://doi.org/10.1161/JAHA.115.002014. PMid: 26116691, PMCid: PMC4608087.

  • Schellenberg ES, Dryden DM, Vandermeer B, Ha C and Korownyk C. Lifestyle interventions for patients with and at risk for T2D: a systematic review and metaanalysis. Ann. Intern. Med. 2013; 159:543-551. https://doi.org/10.7326/0003-4819-159-8-201310150-00007. PMid: 24126648.

  • Herriott MT, Colberg SR, Parson HK, Nunnold T and Vinik AI. Effects of 8 weeks of flexibility and resistance training in older adults with T2D. Diabetes Care. 2004; 27:29882989. https://doi.org/10.2337/diacare.27.12.2988. PMid: 15562222.

  • Morrison S, Colberg SR, Mariano M, Parson HK and Vinik AI. Balance training reduces falls risk in older individuals with T2D. Diabetes Care. 2010; 33:748-750. https:// doi.org/10.2337/dc09-1699. PMid:20097781, PMCid: PMC2845020.

  • World Health Organisation (WHO). Global Recommendations on Physical Activity for Health; 2010. p. 23-32.

  • Colagiuri S, Dickinson S, Girgis S and Colagiuri R. National Evidence Based Guideline for Blood Glucose Control in Type 2 Diabetes. Diabetes Australia and the NHMRC, Canberra; 2009.

  • Hu G, Qiao Q, Silventoinen K, Eriksson JG, Jousilahti P, Lindstrom J, Valle TT, Nissinen A and Tuomilehto J. Occupational, commuting, and leisure-time physical activity in relation to risk for type 2 diabetes in middle-aged Finnish men and women. Diabetologia. 2003; 46:322329. https://doi.org/10.1007/s00125-003-1031-x. PMid: 12687329.

  • Lakka TA and Laaksonen DE. Physical activity in prevention and treatment of the metabolic syndrome. Appl. Physiol. Nutr. Metab. 2007; 32:76-88. https://doi.org/10.1139/h06113. PMid: 17332786.

  • ICMR. Ethical Guidelines for Biomedical Research on Human Participants; 2006.

  • Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J and Haak T. The Diabetes Self-Management Questionnaire (DSMQ): Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health Qual. Life Outcomes, Aug 13 2013; 11:138. https://doi.org/10.1186/1477-7525-11-138. PMid: 23937988, PMCid: PMC3751743.

  • Balducci S, Sacchetti M, Haxhi J, Orlando G, D'Errico V, Fallucca S, Menini S and Pugliese G. Physical exercise as therapy for T2D mellitus. Diabetes Metab. Res. Rev. 2014; 30 Suppl 1:13-23. https://doi.org/10.1002/dmrr.2514. PMid: 24353273.

  • Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Tudor-Locke C, Greer JL, Vezina J, WhittGlover MC and Leon AS. Compendium of physical activities: A second update of codes and MET values. Med. Sci. Sports Exerc. 2011; 43:1575-1581. https://doi.org/10.1249/MSS.0b013e31821ece12. PMID: 21681120.

  • Bull FC, Maslin TS and Armstrong T. Global Physical Activity Questionnaire (GPAQ): Nine country reliability and validity study. J. Phys. Act Health. 2009; 6:790-804. https://doi.org/10.1123/jpah.6.6.790. PMid: 20101923.

  • Anjana RM, Pradeepa R, Das AK, Deepa M, Bhansali A, Joshi SR, Joshi PP, Dhandhania VK, Rao PV, Sudha V, Subashini R, Unnikrishnan R, Madhu SV, Kaur T, Mohan V and Shukla DK. ICMR- INDIAB collaborative study group. Physical activity and inactivity patterns in India - results from the ICMR-INDIAB study (Phase-1) [ICMRINDIAB-5]. Int. J. Behav. Nutr. Phys. Act. 2014; 26:11-26. https://doi.org/10.1186/1479-5868-11-26. PMid: 24571915, PMCid: PMC3974063.

  • Sigal RJ, Kenny GP, Boule' NG, Wells GA, Prud'homme D, Fortier M, Reid RD, Tulloch H, Coyle D, Phillips P, Jennings A and Jaffey J. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes a randomized trial. Annals of Internal Medicine. 2007; 147(6):357-369. https://doi.org/10.7326/0003-4819147-6-200709180-00005. PMid: 17876019.

  • Colberg SR. Key points from the updated guidelines on exercise and diabetes, Front Endocrinol (Lausanne). 2017; 8:33. Published online 2017 Feb 20. https://doi.org/10.3389/ fendo.2017.00033. PMid: 28265261, PMCid: PMC5317029.

  • Demakakos P. Hamer M. Stamatakis E and Steptoe A. Lowintensity physical activity is associated with reduced risk of incident type 2 diabetes in older adults: Evidence from the English Longitudinal Study. Ageing Diabetologia. 2010; 53:1877-1885 https://doi.org/10.1007/s00125-010-1785-x. PMid: 20495973.

  • Tuomilehto J, Lindstro¨m J, Eriksson JG, Valle TT, Ha¨ma¨la¨inen H, Ilanne-Parikka P, KeinanenKiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V and Uusitupa M. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N. Engl. J. Med. 2001; 344:13431350. https://doi.org/10.1056/NEJM200105033441801. PMID: 11333990.

  • Sheehan MT. and Jensen MD. Metabolic complications of obesity: Pathophysiologic considerations. Medical Clinics of North America. 2000; 48(2):363-385. https://doi.org/10.1016/S0025-7125(05)70226-1.

  • McGarry JD. Banting lecture 2001: Dysregulation of fatty acid metabolism in the etiology of type 2 diabetes. Diabetes. 2002; 51(1):7-18. https://doi.org/10.2337/diabetes.51.1.7. PMid: 11756317.

  • Stewart A. and Kristin M. CHAMPS Physical Activity Questionnaire for Older Adults: outcomes for interventions, Epidemiology, Medicine & Science. In: Sports and Exercise; 2000. p. 1126-1141. https://doi.org/10.1097/00005768200107000-00010. PMid: 11445760.

  • Mohan V, Shanthirani CS and Deepa R. Glucose intolerance (Diabetes and IGT) in a selected South Indian population with special reference to family history. Obesity and Lifestyle Factors--The Chennai Urban Population Study (CUPS 14). J. Assoc. Physicians India. 2003 Aug; 51:771777. PMID: 14651136.

  • Solomon TPJ and Thyfault JP. Type 2 diabetes sits in a chair. Review Diabetes Obes. Metab. 2013 Nov. https://doi.org/10.1111/dom.12105. PMid: 23551885.

  • De Feo P and Schwarz P. Is physical exercise a core therapeutical element for most patients with type 2 diabetes? Diabetes Care. 2013; 36 (Suppl. 2):S149-S154. https://doi.org/10.2337/dcS13-2024. PMid: 23882040, PMCid: PMC3920782.

  • Yates T, Henson J, Khunti K, Morris DH, Edwardson C, Brady E and Davies MJ. Effect of physical activity measurement type on the association between walking activity and glucose regulation in a high-risk population recruited from primary care. Int J. Epidemiol. 2013; 42:533540. https://doi.org/10.1093/ije/dyt015. PMid: 23421988.

  • DiPietro L, Gribok A, Stevens MS, Hamm LF and Rumpler W. Three 15-min bouts of moderate postmeal walking significantly improves 24-h glycemic control in older people at risk for impaired glucose tolerance. Diabetes Care. 2013; 36:3262-3268. https://doi.org/10.2337/dc13-0084. PMid: 23761134, PMCid: PMC3781561.

  • Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, Hu ZX, Lin J, Xiao JZ, Cao HB, Liu PA, Jiang XG, Jiang YY, Wang JP, Zheng H, Zhang H, Bennett PH and Howard BV. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: The Da Qing IGT and diabetes study. Diabetes Care. 1997 Apr; 20(4):537-544. https://doi.org/10.2337/diacare.20.4.537. PMid: 9096977.

  • Zachwieja JJ, Toffolo G, Cobelli C, Bier DM and Yarasheski KE. Resistance exercise and growth hormone administration in older men: effects on insulin sensitivity and secretion during a stable‐label intravenous glucose tolerance test. Metabolism. 1996; 45:254-260. https://doi.org/10.1016/S0026-0495(96)90063-3.

  • Sigal RJ, Armstrong MJ, Colby P, Kenny GP, Plotnikoff RC, Reichert SM and Riddell MC. Canadian diabetes association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada: Physical activity and diabetes. Can J Diabetes. 2013; 37(suppl 1):S40-S44. https:// doi.org/10.1016/j.jcjd.2013.01.018. PMid: 24070962.


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  • A Cross-Sectional Study on the Physical Activity of Selected Elderly Diabetics

Abstract Views: 594  |  PDF Views: 252

Authors

Jemima Beryl Mohankumar
Department of Nutrition and Dietetics, PSG College of Arts and Science, Coimbatore – 641014, Tamil Nadu, India
S. Bhavani
Department of Nutrition and Dietetics, PSG College of Arts and Science, Coimbatore – 641014, Tamil Nadu, India
G. Sowmiya
Department of Nutrition and Dietetics, PSG College of Arts and Science, Coimbatore – 641014, Tamil Nadu, India

Abstract


Regular exercise may prevent or delay the development of Type 2 Diabetes Mellitus (T2DM). In addition to moderate-to vigorous-intensity exercise, daily physical activity is also important for the prevention and management of T2D. Elderly diabetics (50-70 years) were selected from the PSG Hospitals - a multi-specialty hospital. A Diabetes Self-Management Questionnaire (DSMQ) was developed to be locally relevant. The validity and reliability was checked before administration of the questionnaire. Data on glycemic control, energy expenditure, and physical activity (MET) were recorded. Physical activity from age 50-60 and 60-70 years were similar as indicated by the 24hr physical activity pattern and MET values. We observed a progression of the metabolic disorder with age as shown by HbA1c values Physical activity and exercise recommendations, therefore, should be tailored to meet the specific needs of each individual.

Keywords


Elderly Diabetics, Metabolic Equivalent Task (MET), Physical Activity, Type 2 Diabetes.

References





DOI: https://doi.org/10.15613/fijrfn%2F2020%2Fv7i2%2F207178