Document Detail


Home-based exercise for middle-aged Chinese at diabetic risk: a randomized controlled trial.
MedLine Citation:
PMID:  21371496     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate short- (3 months) and long-term (9 months) effects of home-based exercise on adiponectin, exercise behavior and metabolic risk factors in middle-aged adults at diabetic risk.
METHODS: One hundred and thirty-five middle-aged adults (38 men, 97 women) with at least one diabetic risk factor were randomly assigned to either a home-based exercise group (Ex-group) or a usual care group (C-group). Outcome measures included plasma adiponectin, exercise self-efficacy, physical activity, and metabolic risk factors, as follows: insulin levels, insulin resistance by homeostasis model assessment (HOMA-IR), physical fitness, and components of metabolic syndrome. This study was conducted in metropolitan Taipei from 2004 to 2005.
RESULTS: The Ex-group had improvements in exercise self-efficacy (+2.5, p = 0.01), body mass index (BMI) (-0.6 kg/m2, p < 0.001) and flexibility (+2.4 cm, p < 0.001) at 3-month follow-up and maintained BMI and flexibility at 9-month follow-up. The Ex-group exhibited significantly increased physical activity while the C-group exhibited decreased physical activity at 9-month follow-up (p < 0.001). No intervention effect was found on adiponectin (p = 0.64) or other outcome measures over time.
CONCLUSIONS: Home-based exercise did not improve adiponectin levels, but significantly improved exercise behavior, and certain metabolic risk factors, with the effects maintained for 9-months in subjects with type 2 diabetic risk.
Authors:
Ying-Tai Wu; Chueh-Lung Hwang; Chiao-Nan Chen; Lee-Ming Chuang
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2011-03-01
Journal Detail:
Title:  Preventive medicine     Volume:  52     ISSN:  1096-0260     ISO Abbreviation:  Prev Med     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-18     Completed Date:  2011-08-22     Revised Date:  2012-05-08    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  337-43     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adiponectin / blood
Diabetes Mellitus / prevention & control*
Exercise / physiology*
Female
Home Care Services*
Humans
Male
Middle Aged
Physical Fitness
Prospective Studies
Risk Reduction Behavior
Self Efficacy
Taiwan
Chemical
Reg. No./Substance:
0/Adiponectin

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


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