Cardiorespiratory parameters and glycated hemoglobin of patients with type 2 diabetes after a rehabilitation program

Abstract

Introduction:Cardiovascular autonomic dysfunction reflex of the pathophysiology of diabetes mellitus (DM) favors an increase in morbidity and mortality related to cardiovascular events, and for this reason has been one of the most studied clinical entities.Method:An experimental study of a randomized clinical trial type was therefore proposed to analyze the hemodynamic and glycemic response after the practice of a rehabilitation program in patients with type 2 diabetes mellitus (T2DM). In this clinical trial the patients will initially be submitted to an evaluation protocol that consists of assessing blood pressure, heart rate, Borg scale, respiratory rate, oxygen saturation, distance traveled through the 6-minute walk test, quality of life questionnaire, Pittsburgh sleep quality questionnaire, and still glycated hemoglobin and heart rate variability through the cardiofrequency meter. After careful evaluation of the patients, they will be submitted to a metabolic rehabilitation program composed of aerobic and resisted exercises, performed for 12 weeks, in 3 weekly meetings of 60 minutes each. With such evaluations, it will be possible to construct with evidence that it is possible to work safer metabolic rehabilitation programs in patients with T2DM or other diseases that generate cardiovascular risks, guaranteeing them an improvement in cardiorespiratory fitness, hemodynamic and glycemic variables, allowing improvement of the quality of life.Ethics and Dissemination:The protocol is approved by the host institution's ethics committee under the number 1.616.721. Results will be disseminated via peer-reviewed journal articles and conferences. This clinical trial is registered at ClinicalTrials.gov identifier: NCT3094767.

Evaluation of autonomic cardiac modulation and body composition in elderly submitted to the protocol of exercise and the gametherapy: A clinical trial protocol (SPIRIT compliant)

“…The cardiac responses to the different phases of the exercise (i.e., 5-minutes warm-up, 30-minutes aerobic training, 20-minutes strength training of peripheral muscles, and 5-minutes relaxation) will be observed. EG will complete a physical exercise protocol validated by Raimundo et al, [ 8 ] and GG will perform gametherapy (Just Dance 2013) Marques et al [ 9 ]…”

“…The cardiac responses to the different phases of the exercise (i.e., 5-minutes warm-up, 30-minutes aerobic training, 20-minutes strength training of peripheral muscles, and 5-minutes relaxation) will be observed. EG will complete a physical exercise protocol validated by Raimundo et al, [8] and GG will perform gametherapy (Just Dance 2013) Marques et al [9] HRV will be measured at rest and during exercise using linear methods in the time and frequency domains, non-linear methods, and Poincaré graph. Data analysis will be based on the heart rate recorded during the protocol, and only time series with more than 95% of sinus beats will be used for analysis.…”

“…The distance covered in meters will be compared with reference values for the Brazilian population. [9] 2.7. Intervention 2.7.1.…”

Evaluation of the effects of aerobic training during hemodialysis on autonomic heart rate modulation in patients with chronic renal disease

“…Marques et al [18] used the Borg perceived effort scale in his program to measure exercise intensity. In our case, the patients will perform aerobic exercise consisting of cyclic movements of the lower limbs.…”

Exercise–Linked Irisin: Consequences on Mental and Cardiovascular Health in Type 2 Diabetes

“…There were no subjects that exhibited cardiac abnormalities or elevated blood pressure before reaching the THR. In order to prevent accidents, participants were asked to subjectively identify the intensity of exercise on the Borg scale of rate of perceived exertion [ 96 ]. The endurance exercise training was conducted for a total of 40–60 min per session, 3 sessions a week, for 12 weeks.…”