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Supervised Walking Groups to Increase Physical Activity in Type 2 Diabetic Patients

OBJECTIVE: To evaluate the impact of an exercise program organized into supervised walking groups in subjects with type 2 diabetes. RESEARCH DESIGN AND METHODS: Fifty-nine diabetic subjects were randomized to a control group receiving standard lifestyle recommendations or an intervention group assig...

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Detalles Bibliográficos
Autores principales: Negri, Carlo, Bacchi, Elisabetta, Morgante, Susanna, Soave, Diego, Marques, Alessandra, Menghini, Elisabetta, Muggeo, Michele, Bonora, Enzo, Moghetti, Paolo
Formato: Texto
Lenguaje:English
Publicado: American Diabetes Association 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2963489/
https://www.ncbi.nlm.nih.gov/pubmed/20980426
http://dx.doi.org/10.2337/dc10-0877
Descripción
Sumario:OBJECTIVE: To evaluate the impact of an exercise program organized into supervised walking groups in subjects with type 2 diabetes. RESEARCH DESIGN AND METHODS: Fifty-nine diabetic subjects were randomized to a control group receiving standard lifestyle recommendations or an intervention group assigned to three supervised walking sessions per week and counseling. Changes in metabolic features, weight, 6-min walk test, prescription of antidiabetic medications, and overall physical activity were assessed. RESULTS: Functional capacity and overall physical activity were higher in the intervention group, whereas metabolic changes were not different between groups after 4 months. However, in subjects who attended at least 50% of scheduled walking sessions, changes in A1C and fasting glucose were greater than in control subjects. Discontinuation or reduction of antidiabetic drugs occurred in 33% of these patients versus 5% of control subjects (P < 0.05). CONCLUSIONS: Supervised walking may be beneficial in diabetic subjects, but metabolic improvement requires adequate compliance.