CARDIOPULMONARY AND QUALITY OF LIFE RESPONSES OF INDIVIDUALS WITH TYPE 2 DIABETES TO THERAPEUTIC EXCERCISES

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CARDIOPULMONARY AND QUALITY OF LIFE RESPONSES OF INDIVIDUALS WITH TYPE 2 DIABETES TO THERAPEUTIC EXCERCISES

ABSTRACT

BACKGROUND: Diabetes mellitus’s cardiopulmonary consequences significantly increase the risk of morbidity, death, and lower quality of life in patients with type diabetes (T2DM). 
Treatment for these consequences must be multifaceted and focus on issues such as hyperglycemia, obesity, hypertension, and impaired lung function, among others, which have been demonstrated to be difficult for those with T2DM. 
Therefore, it is crucial for people with diabetes to include an appropriate fitness regimen in their overall health care plan. 
OBJECTIVE: 
This study was made to look at how people with T2DM responded to therapeutic workouts in terms of their cardiopulmonary, biochemical, anthropometric, and quality of life. 
The timing of the therapeutic benefits of exercise therapies was another goal of the study. 
60 T2DM patients, both male and female, between the ages of 20 and 75, took part in the study.

this research. 
They were successively hired and then divided into two workout groups and control group by random allocation. 
The therapeutic exercise interventions for groups and II were pre-existing exercise regimens, which included resistance exercises paired with aerobic activities on treadmill and bicycle ergometer, respectively, at escalating moderate intensities of 60%, 70%, and 80% of heart rate reserve. 
The intervention period’s baseline, fourth, eighth, and twelfth weeks were used to collect the outcome measurement. 
These included pulmonary parameters (oxygen uptake (VO2max), forced vital capacity (FVC), and forced expiratory volume in one second (FEV1)), cardiovascular parameters (resting arterial systolic (RASBP) and diastolic blood pressure (RADBP), and resting rate pressure product (RRPP), and anthropometric parameters (body mass index).

BMI, waist-hip ratio, and waist-circumference measurements, as well as QoL indicators. 
Diabetes Quality of Life Clinical Trial Questionnaire-Revised was used to measure QoL. 
Glycosylated hemoglobin (HbA1C), biochemical marker, was measured in the individuals at baseline and at the conclusion of the 12th week. 
For data analysis, descriptive and inferential statistics were used. 
The significance level was set at 0.05. 
RESULTS: 
Cardiovascular, metabolic, and several anthropometric factors in Groups and II considerably decreased after intervention (p 0.05), although pulmonary and QoL indicators significantly improved. 
When compared to the control group, the two exercise groups considerably improved VO2max, FEV1, and QoL while significantly reducing RASBP, RADBP, RRPP, and HbA1c (P 0.05). 
FVC and WC, however, were only significant in group I (p=0.00 and 0.03). Furthermore, Group I recorded better improvement in pulmonary function (FEV1 and FVC) when compared to group II. Therapeutic effect of moderate intensity combined aerobic and resistance exercise on some cardiopulmonary variables occurred as early as four week post exercise intervention (RRPP, VO2max and FEV1), the trend of this effect continue to the eighth and twelfth week post intervention.
CONCLUSION: Weight bearing and non-weight bearing aerobic exercises when combined with resistance exercise both gave significant therapeutic benefits on the cardiopulmonary and QoL of people with T2DM. However, the choice of either should ultimately depend on the superior judgment of the clinicians; it should also depend on the outcome measures which the clinicians are aiming at improving on. In the absence of significant reduction of pulmonary variables, non-weight bearing exercises combined with resistance exercises will be suggested especially if there are contradicting foot pathologies which may be aggravated by weight bearing aerobic exercises combined with resistance exercises (WBARE). Otherwise, WBARE will be more beneficial in the absence of foot pathologies. In addition, assessment of RRPP, VO2max and FEV1 in people with T2DM should commence after four weeks post intervention.
CARDIOPULMONARY AND QUALITY OF LIFE RESPONSES OF INDIVIDUALS WITH TYPE 2 DIABETES TO THERAPEUTIC EXCERCISES. GET MORE CLINICAL SCIENCES RESEARCH PROJECT TOPICS & JOURNALS

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