A 16-Week Home-Based Progressive Resistance Tube Training Among Older Adults With Type-2 Diabetes Mellitus: Effect on Glycemic Control

Ooi, Theng Choon; Ludin, Arimi Fitri Mat; Loke, Seng Cheong; Singh, Maria A. Fiatarone; Wong, Teck Wee; Vytialingam, Nathan; Abdullah, Muhammad; Ng, Ooi Chuan; Bahar, Norhaniza; Zainudin, N; Lew, Leong Chen

doi:10.1177/23337214211038789

Cited by 9 publications

(9 citation statements)

References 38 publications

(45 reference statements)

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“…EBRE twice a day, 5 days a week, for 12 weeks reduced FBS, HbA1c, postprandial glucose, and fasting insulin in T2DM patients ( Park et al, 2016 ). In older persons with T2DM, significant reductions in FBS and HbA1c were reported following 16 weeks of home-based progressive resistance tube training ( Ooi et al, 2021 ). Numerous studies have demonstrated that resistance training causes alterations in specific molecular signaling as well as physiological responses.…”

Section: Discussionmentioning

confidence: 99%

Elastic band resistance combined with modified Thai yoga exercise to alleviate oxidative stress and airway inflammation in type 2 diabetes mellitus

Promsrisuk¹,

Kongsui²,

Sriraksa³

et al. 2023

J Exerc Rehabil

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The objective of this study was to investigate the effects of the combi-nation of elastic band resistance exercise (EBRE) with modified Thai yoga on the alleviation of blood glucose and oxidative stress in type 2 diabetes mellitus (T2DM). Forty-two patients with T2DM were enrolled and allocated to an exercise or control group (n=21/group). The exer-cise group participated in EBRE combination with modified Thai yoga for 40 min, 5 days/wk, for 12 consecutive weeks. Blood glucose, oxida-tive stress markers, antioxidants, pulmonary function, respiratory mus-cle strength, and airway inflammation were measured before and after the 12 weeks. The results showed that the exercise group had a signifi-cant reduction in fasting blood glucose and glycated hemoglobin. More-over, T2DM patients in the exercise group showed a significant reduc-tion in plasma malondialdehyde, while superoxide dismutase and cata-lase were significantly increased. The exercise group also observed a significant improvement in pulmonary function; forced expiratory volume in the first second (FEV<sub>1</sub>), forced vital capacity (FVC), FEV<sub>1</sub>/FVC, peak ex-piratory flow, and forced midexpiratory flow as well as respiratory mus-cle strength. Interestingly, the combination of EBRE with modified Thai yoga markedly improved airway inflammation through the reduction in fractional exhaled nitric oxide. In conclusion, these findings suggest that the combination of EBRE with modified Thai yoga improves blood glu-cose, oxidative stress, antioxidants, pulmonary function, respiratory mus-cle strength, and airway inflammation in T2DM patients. Hence, it could be considered as a possible exercise program for T2DM patients.

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Section: Discussionmentioning

confidence: 99%

Elastic band resistance combined with modified Thai yoga exercise to alleviate oxidative stress and airway inflammation in type 2 diabetes mellitus

Promsrisuk¹,

Kongsui²,

Sriraksa³

et al. 2023

J Exerc Rehabil

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“…A major beneficial effect is observed when older adults performed multicomponent (balance, strength-resistance and functional exercises) home-based exercise which resulted in improved QoL, reduced rate of falls [ 87 ], mobility and walking speed in older after fractures [ 88 ]. Aerobic and strength-resistance home-based programs [ 91 , 92 ] had beneficial effects on insulin sensitivity and glycemic control in type 2 diabetes. Lastly, structured strength-resistance and aerobic PA programs seem to be effective in reducing the detrimental effects of sarcopenia and osteoarticular disorders during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Aerobic and strength-resistance home-based programs (2–3 times per week) focusing on warm-up, upper and lower limbs strength exercises and cool-down, improved physical fitness in older people with type 2 diabetes [ 91 ]. Similarly, long-term (16 weeks) strength-resistance home-based program including chest press, shoulder press, overhead pull-down, lateral shoulder raise, biceps curl, triceps extension, hip flexion, hip extension, calf raise, legs extension, squats and seated rows (8–10 repetitions) led to significant improvements in glucose homeostasis and systolic blood pressure of the older adults [ 92 ]. Therefore, for older adults living with chronic conditions, the promotion and the implementation of home-based exercise programs during the COVID-19 outbreak to increase PA levels and counteract the detrimental effects of diseases is fundamental.…”

Section: Home-based Programs During Covid-19mentioning

confidence: 99%

Home-Based Physical Activity as a Healthy Aging Booster before and during COVID-19 Outbreak

Maio

Bratta

Iannaccone

et al. 2022

IJERPH

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The role of physical activity in improving overall aspects of health regardless of age is well documented. Due to the coronavirus disease 2019 outbreak, preventive measures to limit airborne infection have been introduced, with people, especially older adults, advised to stay at home, thus increasing sedentary lifestyle and the risk of chronic diseases. As one of the few possible ways to stay active is home-based training, this review aims to provide evidence on alternative and feasible home-based activity programs as a tool to improve the fitness level in older adults, especially when preventive measures are needed to ensure isolation and limit interpersonal contacts. During quarantine, older adults, especially those with chronic diseases, are recommended to regularly exercise. Combined balance and muscle-strengthening training has proven to be particularly useful in limiting falls and mobility limitations. In addition, the use of virtual reality systems seems to be a potential strategy in remaining physically active, reducing physical inactivity time and significantly increasing the compliance of the older adults with physical activity programs. In conclusion, home-based programs induce improvements in physical functions in general and quality of life in older people with or without co-morbidities, and it can be considered in the future as one of the feasible and economic ways to increase physical well-being. This may be of unique importance in the setting of coronavirus disease 2019 enforced limitations in out-of-home activity.

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“…If a participant reached a band color with the max resistance, an additional band was added, allowing them to use up to all 5 bands at once. Each exercise session consisted of exercises targeting four essential components (dynamic balance, strength, core stability and postural control) [ 27 ]. If a participant was unable to complete the exercises as planned, the exercise trainer provided alternative options and exercise modifications.…”

Section: Methods and Analysismentioning

confidence: 99%

Feasibility of implementing a supervised telehealth exercise intervention in frail survivors of hematopoietic cell transplantation: a pilot randomized trial

et al. 2023

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Background Patients undergoing hematopoietic cell transplantation (HCT) are at high risk of chronic health complications, including frailty and physical dysfunction. Conventional exercise programs have been shown to improve frailty in other cancer populations, but these have largely been based out of rehabilitation facilities that may act as geographic and logistical barriers. There is a paucity of information on the feasibility of implementing telehealth exercise interventions in long-term HCT survivors. Methods We conducted a pilot randomized trial to assess the feasibility of an 8-week telehealth exercise intervention in 20 pre-frail or frail HCT survivors. Participants were randomized to either a telehealth exercise (N = 10) or delayed control (N = 10). We administered a remote physical function assessment at baseline, followed by an 8-week telehealth exercise intervention (30-60 min/session, 3 sessions/week), and post-intervention. The primary endpoint was feasibility as determined by 1) > 70% of participants completing all remote physical functional assessments, and 2) > 70% of participants in the exercise group completing > 70% (17/24) of the prescribed exercise sessions. Exploratory outcomes included changes in gait speed, handgrip strength, and short physical performance battery. Results The mean [standard deviation] age at study enrollment was 64.7 [9.1] years old. Twelve had undergone allogenic and 8 had undergone autologous HCT at an average of 17 years from study enrollment. Both feasibility criteria were achieved. Nineteen patients (95%) completed all remote study outcome assessments at baseline and post-intervention, and nine participants in the exercise group completed > 70% of prescribed exercise sessions. Overall, no significant group x time interaction was observed on handgrip strength, fatigue, body mass index, and short physical performance battery test (P < 0.05). However, there were significant within-group improvements in four-meter gait speed (+ 13.9%; P = 0.004) and 5-minute gait speed (+ 25.4%; P = 0.04) in the exercise group whereas non-significant changes in four-meter gait speed (-3.8%) and 5-minute gait speed (-5.8%) were observed after 8 weeks. Conclusion Implementing an 8-week telehealth exercise intervention for long-term HCT survivors was feasible. Our findings set the stage for innovative delivery of supervised exercise intervention that reduces the burden of frailty in HCT survivors as well as other at-risk cancer survivors. Trial registration The protocol and informed consent were approved by the institutional IRB (IRB#20731) and registered (ClinicalTrials.gov NCT04968119; date of registration: 20/07/2021).

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A 16-Week Home-Based Progressive Resistance Tube Training Among Older Adults With Type-2 Diabetes Mellitus: Effect on Glycemic Control

Cited by 9 publications

References 38 publications

Elastic band resistance combined with modified Thai yoga exercise to alleviate oxidative stress and airway inflammation in type 2 diabetes mellitus

Elastic band resistance combined with modified Thai yoga exercise to alleviate oxidative stress and airway inflammation in type 2 diabetes mellitus

Home-Based Physical Activity as a Healthy Aging Booster before and during COVID-19 Outbreak

Feasibility of implementing a supervised telehealth exercise intervention in frail survivors of hematopoietic cell transplantation: a pilot randomized trial

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