Document Detail


Effects of nordic walking and exercise in type 2 diabetes mellitus: a randomized controlled trial.
MedLine Citation:
PMID:  20818193     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Both Nordic walking and Exercise on Prescription have potential as elements in the management of type 2 diabetes mellitus. These programs are recommended, but their effectiveness has not yet been established. The aim was to evaluate the efficacy of these 2 interventions compared with standard information on physical activity.
DESIGN: Single-blinded, randomized, controlled intervention study.
SETTING: Sixty-eight patients (37 men and 31 women) were randomized into 3 groups: Nordic walking (NW; n = 22), Exercise on Prescription (EP; n = 24), and control (CG; n = 22).
PATIENTS: : Patients were recruited from a diabetes outpatient clinic and via newspaper advertisement.
INTERVENTIONS: Consisted of a 4-month intervention period followed by an 8-month follow-up, during which the participants were recommended to train on their own.
MAIN OUTCOME MEASURES: : HbA1c.
RESULTS: : There was no difference in HbA1c when comparing the intervention groups relative to the control group: DeltaNW = -0.4% [95% confidence intervals (CI), -0.9% to 0.1%] and DeltaEP = -0.2% (95% CI, -0.6% to 0.2%) after 4 months; DeltaNW = 0.0% (95% CI, -0.6% to 0.5%) and DeltaEP = 0.3% (95% CI, -0.3% to 0.9%) after 12 months. However, fat mass assessed by dual energy X-ray absorptiometry (DXA) decreased significantly in the NW group after 4 months [-1.0 kg (95% CI, -1.7 to 0.1)] and after 12 months in both NW [-1.8 kg (95% CI, -3.2 to -0.4)] and EP [-1.5 kg (95% CI, -2.9 to -0.05)] groups. No significant changes in other variables.
CONCLUSIONS: Four-month exercise programs at moderate intensity of either Nordic walking or Exercise on Prescription did not significantly improve HbA1c in patients with type 2 diabetes either at the end of the program or at the follow-up.
Authors:
Bibi Gram; Robin Christensen; Christian Christiansen; Jeppe Gram
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  20     ISSN:  1536-3724     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  355-61     Citation Subset:  IM    
Affiliation:
Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. bgram@health.sdu.dk
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon
Adult
Aged
Aged, 80 and over
Confidence Intervals
Diabetes Mellitus, Type 2 / blood,  rehabilitation,  therapy*
Exercise / physiology*
Female
Hemoglobin A, Glycosylated / analysis*
Humans
Male
Middle Aged
Outpatients
Oxygen Consumption
Program Development
Program Evaluation
Questionnaires
Walking / physiology*
Chemical
Reg. No./Substance:
0/Hemoglobin A, Glycosylated
Comments/Corrections
Comment In:
Clin J Sport Med. 2010 Sep;20(5):338-9   [PMID:  20818189 ]

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


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