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Community exercise program improves blood pressure and activity level for those with and at‐risk for diabetes
Author(s) -
Turner Carol W.
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.974.7
Subject(s) - blood pressure , medicine , diabetes mellitus , physical activity , physical therapy , endocrinology
Methods The On the Road: Keep Moving Keep Healthy (KMKH) program targets people with diabetes (PWD), plus family and concerned loved ones to attend, thus attracting high‐risk individuals socially and biologically related to PWD. Results Among 300 participants at baseline, 66.0% had income <$25,000, 79.3% were Hispanic, 39.1% had no health insurance, and 28.7% were PWD. Of the 203 people without diabetes, 98 (48.3%) had baseline A1C>=5.7, or ‘people with pre‐diabetes' (PWPD). Mean systolic blood pressure (SBP) was 142.2±20.9 in PWD, and 129.3±19.1 in PWPD. 200 (66.7%) participants returned for the three month follow‐up, of which 180 had complete data for analysis. Those who did not follow‐up were generally younger with no significant difference in baseline A1C or SBP compared to those who returned. Returning PWD and PWPD showed significant improvement in days of self‐reported exercise (2.5 to 3.6 days, p<0.001) and SBP (140.6 to 131.1 in PWD, p<0.001; 130.6 to 125.6 in PWPD, p<0.017). PWD and PWPD who reported increased days exercised had a mean SBP change of −10.4 versus −3.7 in those who reported no change or fewer days exercised, p<0.031. Conclusion KMKH demonstrates that an exercise program can successfully target both people with and at‐risk for diabetes and result in improvement in both physical activity and SBP.