Document Detail


Change in cutaneous perfusion following 10 weeks of aerobic training in Type 2 diabetes.
MedLine Citation:
PMID:  16112503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A small, but positive, association between aerobic training status or prior maximal exercise and enhanced dorsal foot skin perfusion in active individuals with Type 2 diabetes has been shown. This study, therefore, was designed to examine whether an aerobic training intervention would positively affect cutaneous perfusion in sedentary Type 2 diabetic individuals as well. Nine sedentary participants with Type 2 diabetes (DS) and 10 obese nondiabetic controls (CS) were studied. Prior to the initiation of aerobic training, dorsal foot cutaneous perfusion was measured noninvasively by continuous laser Doppler assessment at baseline and during localized heating to 44 degrees C. These measurements were repeated 48-72 h following 10 weeks of moderate aerobic training performed 3 days per week. Interstitial nitric oxide (NO) levels were measured concurrently in the contralateral foot dorsum. Aerobic training did not significantly enhance baseline skin perfusion, nor were interstitial NO levels different under any condition. At baseline, groups differed only in glycated hemoglobin (HbA1c), fasting serum glucose, HDL-cholesterol, and insulin resistance. At rest, cutaneous perfusion during local heating to 44 degrees C was significantly lower in DS before training, but did not differ significantly from CS afterward. Neither group, however, experienced significant increases in dorsal foot perfusion during local responsiveness to heating to 44 degrees C following 10 weeks of moderate aerobic training, despite slightly lower perfusion in DS before training; these findings were independent of interstitial NO levels. Thus, moderate aerobic training for only 10 weeks does not appear to reverse the impairment in cutaneous perfusion of the foot dorsum in response local heating in a Type 2 diabetic population.
Authors:
Sheri R Colberg; Henri K Parson; Tanja Nunnold; D Robb Holton; David P Swain; Aaron I Vinik
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of diabetes and its complications     Volume:  19     ISSN:  1056-8727     ISO Abbreviation:  J. Diabetes Complicat.     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-08-22     Completed Date:  2006-09-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9204583     Medline TA:  J Diabetes Complications     Country:  United States    
Other Details:
Languages:  eng     Pagination:  276-83     Citation Subset:  IM    
Affiliation:
Old Dominion University, Norfolk, VA 23529, USA. scolberg@odu.edu
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MeSH Terms
Descriptor/Qualifier:
Blood Glucose
Cholesterol, HDL / blood
Diabetes Mellitus, Type 2 / blood,  physiopathology*
Exercise*
Female
Foot
Hemoglobin A, Glycosylated / analysis
Hot Temperature
Humans
Insulin / blood
Insulin Resistance
Male
Middle Aged
Regional Blood Flow
Skin / blood supply*,  ultrasonography
Time Factors
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Cholesterol, HDL; 0/Hemoglobin A, Glycosylated; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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