Sex-Differences of Low to Moderate Leisure-Time Physical Activity on Metabolic Risk Factors in Type 2 Diabetes Mellitus Patients
Journal Title: Journal of Endocrinology and Diabetes - Year 2015, Vol 2, Issue 2
Abstract
Background: Exercise is an integral part of the diabetes management and prevention. However, it is hard to maintain and to reach current recommendation due to the unavoidable aging process. This cross-sectional study investigates our type 2 diabetes patients participating in our DM education program from January to December 2011 to find out if low to moderate physical activity could have benefits and to investigate if there were sex- differences of benefits. Results: In 3240 type 2 DM patients, 53.7% had Leisure Time Physical Activity (LTPA) but only 24.7% had adequate LTPA. Those who had adequate physical activity had lower BMI, longer DM duration (10.4 ± 7.6 vs 8.4 ± 6.8 years). Significantly less smoking, betel-nut chewing and alcohol drinking habits in male adequate LTPA group was found. The benefits of exercise in male subjects includes lower hemoglobulin A1C (7.4 ± 1.4 vs 7.9 ± 1.8%), lower diastolic blood pressure (80.0 ± 11.6 vs 82.9 ± 12.2 mmHg), triglyceride (136.8 ± 89.0 vs 152.3 ± 114.0), GPT (34.8 ± 29.0 vs 39.8 ± 37.3), Creatinine (1.20 ± 0.45 vs 1.28 ± 0.94). The benefit of exercise in female is lower GPT only (30.6 ± 27.5 vs 34.4 ± 31.2). The difference might be a result of less exercise intensity and volume in female subjects. The mean METs are 3.4 ± 1.1 in male and 3.1± 1.0 in female, P= 0.000, MET min/ week are 1303.7 ± 792.4 (38.5) in male group, 1188.6 ± 757.7 (39.01) in female group respectively, p=0.036. Correlation analysis showed exercise volume is the determinant of better glycemic control. Conclusion: Adequate low to moderate LTPA appears to help the achievement of metabolic risks reduction in male subjects only, who also demonstrated a healthier lifestyle. Exercise intensity and volume were higher in male subjects too. To enhance metabolic benefits from low intensity LTPA, increase of exercise volume is probably needed.
Authors and Affiliations
Yu Hui I
Keywords
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- EP ID EP333142
- DOI 10.15226/2374-6890/2/2/00118
- Views 86
- Downloads 0
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