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ABSTRACT
Background: Diabetes mellitus and its complications continue to be one of the highest
causes of morbidity and premature mortality in recent times. Aerobic exercise is part of
lifestyle modification that leads to positive health in general and advised to be used
consistently in the management of diabetes mellitus in particular. In this connection, exercise
is underutilized in the management of type 2 diabetes mellitus in Ethiopia. Management of
diabetes needs continuous monitoring of hemoglobin A1c which indicates how effective
glycemic control over a period of 2-3 months is.
Objective: This study was intended to assess the effects of supervised aerobic exercise on
glycemic control and body composition in type -2 diabetes patients attending outpatient care
unit in Goba Referral Hospital, Ethiopia, 2020.
Methods: Thirty physically active adult men, 35-65 years of age with type 2 diabetes
mellitus living in Goba town were assigned to 12 weeks of supervised aerobic exercise. The
subjects were selected using convenient sampling technique. Fasting blood glucose,
Hemoglobin A1c, Body mass index, Blood Pressure and Waist to hip ratio were used as the
main outcome variables. Epi-data (3.1 version) and SPSS (21 version) were used for data
entry and statistical analysis, respectively. The paired sample T-test was used to test if there
was a significant change in parameters.
Results: The mean age was 52.89 years, with response rate of 90%. Mean hemoglobin A1c
level at twelfth week decreased significantly from baseline (8.7% vs 7.6 % with 12.64%
decrease, p =0.013). The interventional exercise reduced body weight (1.54%), body mass
index (1.55%) and waist to hip ratio (1.98%) significantly (p<0.05). Reduction in fasting
blood glucose (12.33%), resting systolic blood pressure (0.31%) and resting diastolic blood
pressure (1.43%) were not significant (p > 0.05).
Conclusion: A 12 weeks of moderate intensity aerobic exercise improved hemoglobinA1c,
body weight, body mass index, Waist circumference and waist to hip ratio significantly, but
the reduction in the blood pressure and fasting blood glucose were not statistically
significant. So, health professionals should recognize and prescribe individualized exercise. |
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