Format

Send to

Choose Destination
Clin Rehabil. 2018 Jun;32(6):799-810. doi: 10.1177/0269215518757052. Epub 2018 Feb 8.

The effects of Internet-based exercise compared with supervised group exercise in people with type 2 diabetes: a randomized controlled study.

Author information

1
1 Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, Istanbul, Turkey.
2
2 Department of Physiotherapy and Rehabilitation, School of Health Sciences, Istanbul University, Istanbul, Turkey.
3
3 Division of Endocrinology and Metabolic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
4
4 Department of Biostatistics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Abstract

OBJECTIVES:

To compare the effects of Internet-based exercise on glycaemic control, blood lipids, body composition, physical activity level, functional capacity, and quality of life with supervised group exercise in patients with type 2 diabetes.

DESIGN:

Single-blind, randomized controlled study.

SETTING:

A Faculty of Health Sciences.

SUBJECTS:

A total of 65 patients with type 2 diabetes (47 women, 18 men).

INTERVENTION:

Group A ( n = 22), control group - physical activity counselling once with a brochure. Group B ( n = 22), supervised group-based exercise, three days per week for eight weeks. Group C ( n = 21), Internet-based exercise following the same programme via a website.

MAIN MEASURES:

Primary outcomes - glycosylated haemoglobin, fasting blood glucose, high-density and low-density lipoprotein, triglyceride, and cholesterol. Secondary outcomes - waist and hip circumferences, body mass index, number of steps, six-minute walking test, and Euro-Quality of Life-5 Dimension.

RESULTS:

After treatment, glycaemic control (mean change for Group B; Group C; -0.80%, -0.91%, P = 0.003), waist circumference (-4.23 cm, 5.64 cm, P = 0.006), and quality of life (0.26, 0.15, P = 0.013) significantly improved in both training groups compared with the control group. Fasting blood glucose (-46.86 mg/dL, P = 0.009) and hip circumference (-2.7 cm, P = 0.011) were significantly decreased in Group B and total cholesterol (-16.4 mg/dL, P = 0.028), six-minute walking distance (30.5 m, P = 0.01), and number of steps (1258.05, P = 0.023) significantly improved in Group C compared with control group. Group B and Group C changed with equal magnitude.

CONCLUSION:

In type 2 diabetes, supervised group-based and Internet-based exercise can improve equally glycaemic control, waist circumference, and quality of life, and both are better than simply counselling.

KEYWORDS:

Internet-based exercise; Type 2 diabetes; glycaemic control; group exercise; rehabilitation

PMID:
29417832
DOI:
10.1177/0269215518757052

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center