Impact of Postural Corrective Training (TCP®) on overall glycemic control in diabetic middle-aged women

Abstract

Introduction: Diabetes mellitus (DM) is a disease manifested by chronic hyperglycemia resulting from changes in the secretion and / or action of insulin, which can cause tissue damage. The practice of physical exercise is often recommended in the treatment of this disease because it improves glucose uptake due to increased insulin sensitivity. Objective: to evaluate the effect of Corrective Postural Training (TCP®) on the glycemic metabolism of patients with type 2 diabetes. Methods: Twenty-one women between 44 and 55 years old were divided into four groups: sedentary diabetics (SD); exercised diabetics (ED); non-diabetic exercised (NE); and non-diabetic sedentary (NS). TCP® was performed 3 times / week, for 1 hour / day, for a period of 20 weeks. Blood samples were collected pre- and post-intervention to determine cholesterol, triglycerides, HDL, fasting glycemia, glycated hemoglobin, estimated mean glycemia and cortisol. The Wilcoxon and Friedman tests were used to compare the results before and after intervention. Results: there was no significant difference in the anthropometric, biochemical and hormonal variables of all groups; however, glycated hemoglobin showed a significant difference (p <0.05) in the ED group after 20 weeks. Important intragroup clinical changes were observed with return to the reference values of some of the analyzed parameters. Conclusion: The TCP® method may have contributed to the improvement of plasma levels of glycated hemoglobin in the ED group in addition to the clinical improvement of patients.

Effect of Lifestyle Modification Intervention on Diabetes Mellitus Treatment Outcomes in Tuberculosis Patients with Diabetes Mellitus in Southwest Nigeria

“…One study measured the HBA1c levels of some middle-aged women that were involved in postural corrective exercise for about 20 weeks with a significant HBA1c reduction [33]. Another study showed that exercise and diet reduced blood glucose significantly and found out that there were cellular and molecular mechanism responsible for the effect of exercise on target organs leading to blood glucose reduction, in line with this study design and results [34]. In a study by Yang et al, a new hormone Irisin was discovered to be responsible for the conversion of the white fat to brown fat which can be metabolized and can only be secreted during exercise, and this was in line with the result in this study [35].…”

Impact of Lifestyle Change Intervention on Tuberculosis Treatment Outcome in Tuberculosis Patients with Diabetes Mellitus Comorbidity in South West Nigeria

“…Although the treatment of TB in the world through the Directly Observed Treatment Short course (DOTs) is either free or heavily subsidized, but the treatment of DM is not subsidized and in developing countries with poor health care facilities, controlling blood glucose with insulin in TB patients will be an uphill task [6]. The patients pay out-of-pocket due to poor health care financing where only five percent of the population has health insurance cover [12]. Although insulin is the preferred drug for achieving strict blood glucose control, it is expensive or unavailable especially in the low resource communities [6].…”