Open AccessImpact of Structured Lifestyle Intervention Program with Antigravity Exercise on Glycemic Control in People with T2DM
Author(s) -
Thirumugam Muthuvel,
Savita Karthikeyan
Publication year - 2021
Publication title -
international journal of medical research and review
Language(s) - English
Resource type - Journals
eISSN - 2321-127X
pISSN - 2320-8686
DOI - 10.17511/ijmrr.2021.i02.04
Subject(s) - medicine , glycemic , diabetes mellitus , weight loss , randomized controlled trial , physical therapy , intervention (counseling) , type 2 diabetes , type 2 diabetes mellitus , obesity , endocrinology , nursing
Diabetes mellitus (DM) is a common endocrinopathy and assumes significance for itsability to adversely affect the various internal organs. It can also derail the immune system of theaffected. Abnormal insulin secretion and/or utilization, leads to hyperglycemia which has adverseeffects on the heart, blood vessels, kidney, nervous system, eye and skin. To assess theeffectiveness of structured vs unstructured lifestyle modification therapy in glycemic control (changein HbA1c value from baseline to the end of the intervention) in people with T2DM. Methods: Thisstudy is a randomized, controlled, parallel-group study with lifestyle modifications as intervention.Study was conducted for between Feb 2019 to Dec 2019 in the Department of General Medicine,Government Headquarters hospital, Tirupur. Results: A total of 70 participants, 30 to 60-year-old,diagnosed with T2DM for more than a year with HbA1c levels > 6.5 %, on a background of oralantidiabetic agents were enrolled after obtaining the informed consent. Mean age of Group A andGroup B found 49.17±7.42 and 51.92±9.1. Male were predominant in the study. Mean weight, MeanFBS, Mean PPBS and Mean HbA1c are statistically significant between groups (p<0.05) at baseline.Group B with unstructured physical activity with walking, was beneficial (HbA1c reduction 0.30 %; p= 0.024), but no significant decline in HbA1c, whereas, in Group A with structured antigravityexercise, is associated with a significant HbA1c decline of 1.2 %. (p = 0.07865). Conclusion:Structured antigravity exercise training was more efficacious than unstructured physical activity inachieving controlled HbA1c levels. Although both structured and unstructured training providebenefits, only the former was associated with significant reductions in HbA1c levels. Hence, T2DMpatients should be advised to follow structured antigravity exercise training & focused dietaryintervention program.