Effects of a home-based rehabilitation program in obese type 2 diabetics

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Serval ID
serval:BIB_48083458A420
Type
Article: article from journal or magazin.
Collection
Publications
Title
Effects of a home-based rehabilitation program in obese type 2 diabetics
Journal
Ann Phys Rehabil Med
Author(s)
Labrunee M., Antoine D., Verges B., Robin I., Casillas J. M., Gremeaux V.
ISSN
1877-0665 (Electronic)
ISSN-L
1877-0657
Publication state
Published
Issued date
09/2012
Volume
55
Number
6
Pages
415-29
Language
english
Notes
Labrunee, M
Antoine, D
Verges, B
Robin, I
Casillas, J-M
Gremeaux, V
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
Ann Phys Rehabil Med. 2012 Sep;55(6):415-29. doi: 10.1016/j.rehab.2012.06.001. Epub 2012 Jul 13.
Abstract
OBJECTIVE: To assess, in obese type 2 diabetics (T2D), the impact of a home-based effort training program and the barriers to physical activity (PA) practice. METHOD: Twenty-three obese T2D patients (52.7 +/- 8.2 years, BMI = 38.5 +/- 7.6 kg/m(2)) were randomized to either a control group (CG), or an intervention group (IG) performing home-based cyclergometer training during 3 months, 30 min/day, with a monthly-supervised session. The initial and final measurements included: maximal graded effort test on cyclergometer, 6-minute walk test (6MWT) and 200-meter fast walk test (200mFWT), quadriceps maximal isometric strength, blood tests and quality of life assessment (SF- 36). A long-term assessment of the amount of physical activity (PA) and the barriers to PA practice was conducted using a questionnaire by phone call. RESULTS: Patients in the CG significantly improved the maximal power developed at the peak of the cyclergometer effort test (P < 0.05) as well as the quadriceps strength (P < 0.01). There were no significant changes in the other physical and biological parameters, neither in quality of life. At a mean distance of 17 +/- 6.4 months, the PA score remained low in the two groups. The main barriers to PA practice identified in both groups were the perception of a low exercise capacity and a poor tolerance to effort, lack of motivation, and the existence of pain associated to PA. CONCLUSION: This home-based intervention had a positive impact on biometrics and physical ability in the short term in obese T2D patients, but limited effects in the long term. The questionnaires completed at a distance suggest considering educational strategies to increase the motivation and compliance of these patients.
Keywords
Adult, Aged, Diabetes Mellitus, Type 2/*rehabilitation, *Exercise, Exercise Test, Female, Humans, Male, Middle Aged, Muscle Strength, Obesity/*rehabilitation, Prospective Studies
Pubmed
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26/11/2019 12:35
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06/05/2020 6:26
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