Psychophysiological effects of a supervised home-based resistance band exercise program in pre-frail older patients with type 2 diabetes mellitus: a randomized controlled trial.

IF 2.8 3区 医学 Q1 REHABILITATION BMC Sports Science Medicine and Rehabilitation Pub Date : 2025-03-22 DOI:10.1186/s13102-025-01105-6
Lin Hu, Haixia Feng, Jing Han, Qing Han, Yumin Zhang
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Abstract

Background: Frailty is a syndrome as with aging in the population of type 2 diabetes mellitus (T2DM) and exercise has become an essential non-pharmacological tool especially in the pre-frail stage. Notably, the form of supervised home-based exercise program has been strongly recommended in recent years. This study aimed to verify the potential effects of the supervised home-based elastic band exercise in pre-frail older T2DM patients in China.

Methods: A total of 100 participants were included and randomly divided into intervention group (IG) (n = 50) and control group (CG) (n = 50). The CG received a routine care, while the IG received an extra home-based elastic band training under online and offline supervisions sustaining 12-weeks. The glycosylated hemoglobin (HbA1c), blood lipids, body composition, physical function, scales of Diabetes specificity quality of life scale (DSQL), Pittsburgh sleep quality index (PSQI) and short form geriatric depression scale (GDS-15) of the participants were evaluated before and after intervention.

Results: The average age of the participants were 66.01 ± 4.76 with 55% male and average BMI 24.75 ± 3.51 kg/m2. The clinical characteristics of the two groups were comparable. After 12 weeks' training, muscle mass of the limbs (P < 0.05), physical function indicators including grip strength, chair stands (both P < 0.05), walking time (P < 0.01), HbA1c (P < 0.05), frailty score (P < 0.05), subjective sleep quality (P < 0.05), total DSQL scores (P < 0.01) and the depressive status (P < 0.01) improved significantly in IG when compared with CG.

Conclusion: Supervised home-based elastic band exercise could improve limb muscle mass, physical fitness, glucose and lipid control and quality of life in pre-frail older T2DM patients.

Trial registration number: ChiCTR2300070726; Registration date: 21/04/2023.

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对患有 2 型糖尿病、身体虚弱的老年患者进行家庭督导阻力带锻炼计划的心理生理效应:随机对照试验。
背景:虚弱是2型糖尿病(T2DM)人群中随着年龄增长而出现的一种综合征,运动已成为一种重要的非药物治疗手段,尤其是在虚弱前期。值得注意的是,近年来,有监督的家庭锻炼项目一直受到强烈推荐。本研究旨在验证有监督的家庭弹力带运动对中国老年体弱前T2DM患者的潜在影响。方法:共纳入100例受试者,随机分为干预组(IG) 50例和对照组(CG) 50例。儿童监护组接受了常规护理,儿童监护组则接受了额外的在家弹力带训练,并接受了为期12周的线上和线下监督。评估干预前后受试者的糖化血红蛋白(HbA1c)、血脂、体成分、身体机能、糖尿病特异性生活质量量表(DSQL)、匹兹堡睡眠质量指数(PSQI)、短格式老年抑郁量表(GDS-15)。结果:参与者的平均年龄为66.01±4.76,男性占55%,平均BMI为24.75±3.51 kg/m2。两组临床特征具有可比性。结论:有监督的家庭弹性带运动可改善老年体弱前T2DM患者的肢体肌肉质量、体质、血糖和血脂控制及生活质量。试验注册号:ChiCTR2300070726;报名日期:2023年4月21日。
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来源期刊
BMC Sports Science Medicine and Rehabilitation
BMC Sports Science Medicine and Rehabilitation Medicine-Orthopedics and Sports Medicine
CiteScore
3.00
自引率
5.30%
发文量
196
审稿时长
26 weeks
期刊介绍: BMC Sports Science, Medicine and Rehabilitation is an open access, peer reviewed journal that considers articles on all aspects of sports medicine and the exercise sciences, including rehabilitation, traumatology, cardiology, physiology, and nutrition.
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