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2003, Number 1

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Rev Inst Nal Enf Resp Mex 2003; 16 (1)

Changes in the quality of life of diabetic patients after a physical excercise program.

González CMA, Domínguez FME, Robledo PJC, Fabián SMMG, Lezama CM

Language: Spanish
References: 31
Page: 25-30
PDF size: 57.89 Kb.


ABSTRACT

Objective: To evaluate changes in the quality of life of diabetic patients after a physical exercise program. Material and Methods: Two groups of 10 patients each were selected and evaluated with respect to blood pressure, blood analysis for electrolytes glucose level, lipid profile, spirometry based on the standards of the American Thoracic Society, six minute treadmill exercise standardized to evaluate exercise tolerance and maximun inspirator and expiratory muscle exertion (PImáx and PEmáx ) using the criteria reported by Black & Hyatt. In addition, a quality of life questionnaire (SF-36) was completed as an indication of cardiopulmonary exertion (PECP). Group I, the experimental group, was prescribed exercise thee times a week for twelve weeks, beginning with an intensity of 50% O2máx and reaching 70%. Group II, The control group, performed ad lib exercise without the requirement of group I. After twelve weeks of this regimen, all patients were asked to repeat the quality of life questionnaire (SF-36). Results: Measures of pulmonary function were reported within normal parameters for both groups. Blood glucose levels after exercise decreased significantly in group I from on initial mean of 196mg/dL and standard deviation of 59.2mg/dL to a final mean of 122mg/dL and standard deviation of 24.1mg/dL (statistically significant at 0.028). The improvement of O2 consumption in the final compared to the initial PECP predominated in group I from an initial mean of 15.3mL/kg and a standard deviation of 2mL/kg to a final mean of 19.3mL/kg with a standard deviation of 2mL/kg. In the quality of life questionnaire (SF-36), the experimental group showed statistically significant changes in eight scales while the control group showed significant changes in only three. Conclusions: Statistically significant changes in eight scales of a quality of life questionnaire (SF-36) were shown after a physical exercise program structured on the criteria of O2 consumptions. Supervised and increased physical exercise produced both clinical and quality of life improvements in diabetic patients without complications.


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