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Órgano Oficial del Hospital Angeles Health System

2004, Number 4

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Acta Med 2004; 2 (4)

Effects of sub-maximum aerobic exercise in patients suffering from diabetes mellitus type 2 and obesity and overweight

Domínguez CLG, Arellano AG

Language: Spanish
References: 40
Page: 227-233
PDF size: 106.37 Kb.


ABSTRACT

Objective: To determine the metabolic modifications in diabetes mellitus type 2 patients (DM) with overweight (OW) or obesity (O), under an aerobic submaximal exercise program of 6 months duration. Design: Prospective and autocontrolled study. Material and Methods: Patients: DM patients with hypoglycemic drugs treatment and diet, distributed in 2 groups: Overweight (OW) and Obese (O). Measurements: Weight, stature, body mass index and ideal weight calculation; initial and final determination of: glucose, cholesterol, triglycerides; glycosilated hemoglobin; changes in AT and CF. Intervention: An aerobic exercise program realized on bicycle ergometer with 10 minutes of initial time and increment of 5 minutes/week with 50 watts like work charge. Results: There was between 5 to 10% of weight diminish in both groups; decrement significative (p = 0.01) of cholesterol, triglycerides, glucose, and glycosilated hemoglobin, those were more important at OW group than O group; there were changes in AT, and CF (p = 0.05) like prove of fitness in both groups; caloric waste was upper in Obesity group. Conclusions: Aerobic submaximal exercise realized at median and long time, like part of treatment of DM, is more beneficial, over metabolic parameters, in overweight than on obese patients, but fitness changes are similar on both groups.


REFERENCES

  1. Zárate A. Un programa nacional para la atención y tratamiento de la diabetes mellitus. Gac Med Mex 1987; 123: 203.

  2. Wallace S. A new technique for identifying risk for type 2 diabetes. Lancet 2001; 9315: 208.

  3. Hu FB, Leitzmann MF, Stapfer MJ, Colditz GA, Willet WC, Rimm EB. Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 2001; 161: 1542-1548.

  4. Golay A. Treatment of obesity: mission possible. Lancet 2001; (356) suplement 1: 124.

  5. Larkin M. Diet and exercise delay onset of type 2 diabetes, say US experts. Lancet 2001; 9281: 318.

  6. Mayer EJ, D’ Agostino R, Karter AJ et al. Intensity and amount of physical activity in relation to insulin sensitivity. JAMA 1998; 279: 669-674.

  7. Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. JAMA 2001; 286: 1218-1227.

  8. American Diabetes Association Council on Nutrition. Glycemic effects of carbohydrates. Diabetes Care 1984; 7: 607-608.

  9. American College of Sports Medicine: Guidelines for exercise testing and prescription. Ed 4. Lea & Febiger, Philadelphia, 1991: 126.

  10. Joslin EP, Root HF, White P Marble A. The treatment of diabetes mellitus. Philadelpia: Lea & Febiger. 1935.

  11. American College of Sports Medicine and American Diabetes Association joint position statement. Diabetes mellitus and excercise. Med Sci sports Exerc 1997; 29: i- vi.

  12. Arky RA. Principios de la dietoterapia en la diabetes sacarina. Clin Med North Am 1978; 4: 673-696.

  13. Woo R, Pi-Sunyer FX. Effect of increased physical activity on voluntary intake in lean women. Metabolism 1985; 34: 836-841.

  14. Ekoe JM. Overview of diabetes mellitus and exercise. Clinical Sciences 1989; 21: 352-355.

  15. Kang J, Robertson RJ, Hagberg JM et al. Effect of exercise intensity on glucose and insulin metabolism in obese individuals and obese NIDDM patients. Diabetes Care 1996; 19:341-349.

  16. Poirier P, Tremblay A, Broderick T, Catellier C, Tancrede G, Nadeau A. Impact of moderate aerobic exercise training on insulin sensitivity in type 2 diabetic men treated with oral hypoglycemic agents. Is insulin sensitivity enhanced only in nonobese subjects? Med Sci Monit 2002; 2: 59-65.

  17. Ishii T, Yamakita T Sato T et al: Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake. Diabetes Care 1998; 21: 1353-1355.

  18. Schneider SH, Wood R, Ruderman NB. Exercise and NIDDM. Technical review. Diabetes Care 1990; 13: 785-789.

  19. Erikssen G, Liestol K, Bjormholt J, Thaulow E, Sandvik L, Erikssen J. Changes in physical fitness and changes in mortality. Lancet 1998; 9130: 352-357.

  20. Kelley DE, Mintun MA, Watkins SC et all. The effect of non-insulin-dependent diabetes mellitus and obesity on glucose transport and phosphorylation in skeletal muscle. J Clin Invest 1996; 97: 2705-2713.

  21. Zárate A. Un programa nacional para la atención y tratamiento de la diabetes mellitus. Gac Med Mex 1987; 123: 203.

  22. Wallace S. A new technique for identifying risk for type 2 diabetes. Lancet 2001; 9315: 208.

  23. Hu FB, Leitzmann MF, Stapfer MJ, Colditz GA, Willet WC, Rimm EB. Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 2001; 161: 1542-1548.

  24. Golay A. Treatment of obesity: mission possible. Lancet 2001; (356) suplement 1: 124.

  25. Larkin M. Diet and exercise delay onset of type 2 diabetes, say US experts. Lancet 2001; 9281: 318.

  26. Mayer EJ, D’ Agostino R, Karter AJ et al. Intensity and amount of physical activity in relation to insulin sensitivity. JAMA 1998; 279: 669-674.

  27. Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. JAMA 2001; 286: 1218-1227.

  28. American Diabetes Association Council on Nutrition. Glycemic effects of carbohydrates. Diabetes Care 1984; 7: 607-608.

  29. American College of Sports Medicine: Guidelines for exercise testing and prescription. Ed 4. Lea & Febiger, Philadelphia, 1991: 126.

  30. Joslin EP, Root HF, White P Marble A. The treatment of diabetes mellitus. Philadelpia: Lea & Febiger. 1935.

  31. American College of Sports Medicine and American Diabetes Association joint position statement. Diabetes mellitus and excercise. Med Sci sports Exerc 1997; 29: i- vi.

  32. Arky RA. Principios de la dietoterapia en la diabetes sacarina. Clin Med North Am 1978; 4: 673-696.

  33. Woo R, Pi-Sunyer FX. Effect of increased physical activity on voluntary intake in lean women. Metabolism 1985; 34: 836-841.

  34. Ekoe JM. Overview of diabetes mellitus and exercise. Clinical Sciences 1989; 21: 352-355.

  35. Kang J, Robertson RJ, Hagberg JM et al. Effect of exercise intensity on glucose and insulin metabolism in obese individuals and obese NIDDM patients. Diabetes Care 1996; 19:341-349.

  36. Poirier P, Tremblay A, Broderick T, Catellier C, Tancrede G, Nadeau A. Impact of moderate aerobic exercise training on insulin sensitivity in type 2 diabetic men treated with oral hypoglycemic agents. Is insulin sensitivity enhanced only in nonobese subjects? Med Sci Monit 2002; 2: 59-65.

  37. Ishii T, Yamakita T Sato T et al: Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake. Diabetes Care 1998; 21: 1353-1355.

  38. Schneider SH, Wood R, Ruderman NB. Exercise and NIDDM. Technical review. Diabetes Care 1990; 13: 785-789.

  39. Erikssen G, Liestol K, Bjormholt J, Thaulow E, Sandvik L, Erikssen J. Changes in physical fitness and changes in mortality. Lancet 1998; 9130: 352-357.

  40. Kelley DE, Mintun MA, Watkins SC et all. The effect of non-insulin-dependent diabetes mellitus and obesity on glucose transport and phosphorylation in skeletal muscle. J Clin Invest 1996; 97: 2705-2713.




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