Effects of physical activity on anthropometric variables and functional capacity of patients with type 2 diabetes
Teixeira, Robson Bonoto; Lima, Luciana Moreira; Xavier, Yuri Lucas; Lade, Carlos Gabriel de; Lopes, Gabriela Fernandes; Reis, Hamilton Henrique Teixeira; Marins, João Carlos Bouzas
Abstract
Introduction: Type 2 Diabetes Mellitus affects current society, and is associated with overweight and obesity. Physical exercise has been showing favorable results in the anthropometric parameters and in the gain of joint flexibility and body mobility in these individuals. Objective: The objective of this study was to analyze the interference of an exercise program in anthropometric measures, flexibility and body mobility in type 2 diabetics. Method: This is a longitudinal study, performed with 14 type 2 diabetic patients, with a mean age of 55± 9 years, both genders, separated in aerobic group (n=8) and resistance group (n=6). The body mass index, waist circumference, abdominal circumference, hip circumference, waist-hip ratio, fat percentage, limp-femoral flexibility and body mobility were assessed before and after a 10-week period of aerobic or resistance exercises with a weekly frequency of 3 days. Results: For the analysis of the results, it was applied the paired t test (pre x post exercise) and independent t test (aerobic group x resistance group) with significance level of 5%. No significant differences were found in the anthropometric variables in both groups after the 10-week period of supervised training. In relation to the body mobility test, we observed a significant difference in the total sample (p=0.02), in the aerobic group (p=0.02) and in the resistance group (p=0.04). The coxofemoral flexibility test showed significant improvement (p=0.02) in the total sample and clinical improvement in aerobic (p=0.12) and resistance (p=0.09) groups. Conclusion: Both aerobic and resistance training provided positive effects in the coxofemoral flexibility and body mobility tests. In contrast, there was no significant improvement in anthropometric variables after 10 weeks of physical exercise.
Keywords
References
1- Silva MBG, Skare TL. Manifestações musculoesqueléticas em diabetes mellitus. Revista Brasileira de Reumatologia. 2012. 52(4): 601-609.http://dx.doi.org/10.1590/S0482-50042012000400010.
2- Gomide NAC, Moreira OC, de Oliveira RAR, dos Santos APR, Marins JCB. Prevalência de glicemia sugestiva de diabetes mellitus e intolerância à glicemia de jejum em uma cidade do interior do Brasil. Arquivos de Ciências da Saúde da UNIPAR. 2013. 17(3): 147-152.
3- Naito R, Kasai T. Coronary artery disease in type 2 diabetes mellitus: Recent treatment strategies and future perspectives. World Journal of Cardiology. 2015. 7(3): 119-124. http://doi.org/10.4330/wjc.v7.i3.119.
4- Vila CP, Silva MEM, Simas JPN, Guimarães ACA, Parcias SR. Aptidão física funcional e nível de atenção em idosas praticantes de exercício físico. Revista Brasileira de Geriatria e Gerontologia. 2013. 16(2): 355-364. http://dx.doi.org/10.1590/S1809-98232013000200015.
5- Association AD. Standards of medical care in diabetes. Diabetes Care. 2015. 37 (Supplement1): S14-S80.
6- Gomes MDB, Neto DG, Eurico M, Tambascia MA, Fonseca RM, Rea RR, et al. Prevalência de sobrepeso e obesidade em pacientes com diabetes mellitus do tipo 2 no Brasil: estudo multicêntrico nacional. Arquivos Brasileiros de Endocrinologia & Metabologia. 2006. 50(1): 136-144.http://dx.doi.org/10.1590/S0004-27302006000100019.
7- Fett WCR, Fett CA, Marchini JS, Moriguti JC, Ferrioli E. Composição corporal de idosas diabéticas tipo 2: antropometria vs absorcimetria de raios-X de dupla energia. Revista de Nutrição. 2010. 23(5): 695-702.http://dx.doi.org/10.1590/S1415-52732010000500001.
8- Cristóvão MF, Sato APS, Fujimori E. Excesso de peso e obesidade abdominal em mulheres atendidas em Unidade da Estratégia Saúde da Família. A Revista da Escola de Enfermagem da USP. 2011. 45(spe2): 1667-1672. http://dx.doi.org/10.1590/S0080-62342011000800005.
9- Iampolsky MN, Souza FIS, Sarni ROS. Influência do índice de massa corporal e da circunferência abdominal na pressão arterial sistêmica de crianças. Revista Paulista de Pediatria. 2010. 28(2): 181-187. http://dx.doi.org/10.1590/S0103-05822010000200009.
10- Frainer DES, Vasconcelos FDA, Costa LCF, Grosseman S. Body fat distribution in schoolchildren: a study using the LMS method. Revista Brasileira de Medicina do Esporte. 2013. 19(5): 317-322. http://dx.doi.org/10.1590/S1517-86922013000500003.
11- Sá MA, Gomes TM, Bentes CM, Costa SG, Rodrigues NG, Novaes JS. Efeito agudo do alongamento estático e facilitação neuromuscular proprioceptiva sobre o desempenho do número de repetições máximas em uma sessão de treino de força. Revista Motricidade. 2013. 9(4): 73-81. http://dx.doi.org/10.6063/motricidade.9(4).1198.
12- World Medical Association. Proposed Revision of the Declaration of Helsinki. Tel Aviv: World Medical Association. (mimeo.). 2000.
13- Ghorayeb N, Costa RV, Castro I, Daher DJ, Filho OJA, Oliveira MA, et al. Guidelines on exercise and sports cardiology from the Brazilian Society of Cardiology and the Brazilian Society of Sports Medicine. Arquivos Brasileiros de Cardiologia. 2013. 100 (1 Suppl 2): 1-41. http://dx.doi.org/10.1590/S1517-86922003000200002.
14- WHO J, Consultation FE. (2003). Diet, nutrition and the prevention of chronic diseases. WHO Technical Report Series, (916): 1-60.
15- Freedman DS, Serdula MK, Srinivasan SR, Berenson GS. Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study. American Journal of Clinical Nutrition. (1999). 69(2): 308-317.
16- Chagas P, Caramori P, Barcellos C, Galdino TP, Gomes I, Schwanke CHA. Associação de diferentes medidas e índices antropométricos com a carga aterosclerótica coronariana. ArquivosBrasileiro de Cardiologia. 2011. 97(5): 397-401. http://dx.doi.org/10.1590/S0066-782X2011005000093.
17- Jackson AS, Pollock ML. Practical assessment of body-composition. Physician and sportsmedicine. 1985. 13: 76.
18- Jackson AS, Pollock ML, Ward A. Generalized equations for predicting body density of women. Medicine & Science in Sports & Exercise. 1980. 12: 175-182.
19- Siri WE. Body composition from fluid spaces and density: analysis of methods. Techniques for measuring body composition. 1961. 61: 223-244.
20- Alves RV, Mota J, Costa MDC, Alves JGB. Aptidão física relacionada à saúde de idosos: influência da hidroginástica. Revista Brasileira de Medicina do Esporte. 2004. 10(1): 31-37. http://dx.doi.org/10.1590/S1517-86922004000100003.
21- Moesch J, Mallmann JS, Tomé F, Vieira L, Ciqueleiro RT, Bertolini GRF. Effects of three protocols of hamstring muscle stretching and paravertebral lumbar. Revista Fisioterapia em Movimento. 2014 27(1): 85-92.http://dx.doi.org/10.1590/0103-5150.027.001.AO09.
22- Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR. et al. Exercise and type 2 diabetes the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes care. 2010. 33(12): e147-e67.http://dx.doi.org/10.2337/dc10-9990.
23- Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. Journal of the American College of Cardiology. 2001. 37(1): 153-156.http://dx.doi.org/10.1016/S0735-1097(00)01054-8.
24- Borg GA. Psychophysical bases of perceived exertion. Medicine & Science in Sports & Exercise. 1982. 14(5): 377- 381.
25- Krinski K, Elsangedy HM, Nardo JN, Soares IA. Efeito do exercício aeróbio e resistido no perfil antropométrico e respostas cardiovasculares de idosos portadores de hipertensão. Acta Scientiarum. Health Sciences. 2006. 28(1). http://dx.doi.org/10.4025/actascihealthsci.v28i1.1093
26- Tresierras MA, Balady GJ. Resistance training in the treatment of diabetes and obesity: mechanisms and outcomes. Journal of cardiopulmonary rehabilitation and prevention’s. 2009. 29(2): 67-75.http://dx.doi.org/10.1097/HCR.0b013e318199ff69.
27- Myers CA, Johnson WD, Earnest CP, Rood JC, Tudor-Locke C, Johannsen NM, et al.. Examination of mechanisms (E-MECHANIC) of exercise-induced weight compensation: study protocol for a randomized controlled trial. Trials. 2014. 15: 212.http://dx.doi.org /10.1186/1745-6215-15-212.
28- Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C, White RD. Physical activity/exercise and Type 2 diabetes A consensus statement from the American Diabetes Association. Diabetes care. 2006. 29(6): 1433-1438.http://dx.doi.org /10.2337/dc06-9910.
29- Foureaux G, Pinto KMC, Dâmaso A. Efeito do consumo excessivo de oxigênio após exercício e da taxa metabólica de repouso no gasto energético. Revista Brasileira de Medicina do Esporte. 2006. 12(6): 393-398.http://dx.doi.org/10.1590/S1517-86922006000600018.
30- De Sousa RAL, Santos NVS, Pardono E. Redução da glicemia através de exercício resistido de alta intensidade em indivíduos com Diabetes Mellitus tipo 2. Revista Brasileira de Prescrição e Fisiologia do Exercício. 2014. 8(50): 3.
31- Shephard RJ. Aging and Exercise. In: Encyclopedia of Sports Medicine and Science, T.D.Fahey (Editor). Internet Society for Sport Science: http://sportsci.org. 1998. 7 March.
32- Brasileiro JS, Faria AF, Queiroz LL. Influência do resfriamento e do aquecimento local na flexibilidade dos músculos isquiotibiais. Rev Bras Fisioter. 2007 janeiro;11(1): 57-61.
33- Albino ILR, Freitas CR, Teixeira AR, Gonçalves AK, Santos AMPV, Bós ÂJG. (2012). Influência do treinamento de força muscular e de flexibilidade articular sobre o equilíbrio corporal em idosas. Revista Brasileira de Geriatria e Gerontologia.15(1): 17-25. http://dx.doi.org/10.1590/S1809-98232012000100003.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email