Effect of mild physical activity in obese and elderly women with type 2 diabetes

Seshadri, Krishna G; Ananthakrishnan, Vidya; Tamilselvan, Bubblu; Rajendran, Amarabalan; Kumar, Ram Nagendra

doi:10.4103/2230-8210.104129

Cited by 7 publications

(1 citation statement)

References 3 publications

(3 reference statements)

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“…Dietary and physical activity interventions (duration of 3–12 months) appeared to generate a clinically relevant decrease in HbA1c levels (≥0.5%), which was accompanied by a significant weight loss, yet the short duration of the studies did not allow for an exploration of the impact on diabetes complications. Most physical activity interventions involving either aerobic or resistance training generated a mean decrease in HbA1c levels of ≥1% [ 40 , 41 , 43 , 44 , 45 ]. This level of reduction has been reported to be associated with a decrease in the risk of myocardial infarction (by 14%), microvascular complications (by 37%) and diabetes-related death (by 15%) [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Farhat

2023

Healthcare

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Glycaemic control is the basis of type 2 diabetes mellitus (T2DM) management and is crucial for preventing diabetes microvascular and macrovascular complications. The South Asian population is at higher risk of T2DM and resultant cardiovascular disease, peripheral vascular disease and death compared to Caucasians. Effective diabetes care has been deemed challenging in this population, but little is known about the usefulness of lifestyle interventions in improving glycaemic control and reducing complications. This narrative review aims to explore the efficacy of lifestyle interventions targeted to South Asians with T2DM in inducing clinically relevant improvements in HbA1c levels at such levels that reduce the risk of diabetes complications. A search of the literature using six databases (MEDLINE (EBSCOhost), PubMed, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials and Scopus) identified dietary-based, physical-activity-based and education-based interventions that aimed to manage T2DM in South Asians. Results showed that dietary and physical activity interventions (duration 3-12 months) have been effective in generating a clinically relevant decrease in HbA1c levels (≥0.5%) in South Asians with T2DM and could potentially assist in reducing diabetes complications. Education-based interventions produced small effects on glycaemic control. These outcomes support the development of comparable longer-term randomised clinical trials combining dietary and physical activity interventions with the aim to provide further evidence on specific interventions that can lower complications and ensure effective diabetes care in a high-risk population.

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Section: Discussionmentioning

confidence: 99%

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Farhat

2023

Healthcare

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Obesity in the Context of Aging: Quality of Life Considerations

et al. 2014

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The progressive increase in the prevalence of obesity and aging in the population is resulting in increased healthcare and disability spending. The burden of obesity is particularly relevant in old age, due to accumulating co-morbidities and changes in body composition. Sarcopenic obesity, a mix of over- and under-nutrition, causes frailty, disability, and problems in social and psychological areas, impacting overall health-related quality of life (HR-QOL). The relationship between obesity, aging, and HR-QOL is, however, much more complex than generally acknowledged and is difficult to disentangle. The impact of obesity on HR-QOL is particularly strong in young people, who are free of co-morbidities. It progressively attenuates, compared with the general population, with advancing age, when co-morbid conditions are diffusely present and reduce the perceived health status, independent of obesity. However, even this apparent 'obesity paradox' should not minimize the importance of obesity on HR-QOL, as other obesity-associated limitations and disabilities do impact HR-QOL in older age. A patient-centered approach aimed at reducing the disability and social isolation of advancing age is mandatory to improve HR-QOL in any class of obesity.

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Distribution of glycated haemoglobin and its determinants in Indian young adults

Nagarathna

Kaur

Anand

et al. 2020

Diabetes Research and Clinical Practice

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Effect of mild physical activity in obese and elderly women with type 2 diabetes

Cited by 7 publications

References 3 publications

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Obesity in the Context of Aging: Quality of Life Considerations

Distribution of glycated haemoglobin and its determinants in Indian young adults

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