Leisure time physical Activity is associated with better metabolic control in Chilean patients with type 1 and type 2 diabetes
ISPAH ePoster Library. Sadarangani K. Oct 15, 2018; 225266
Kabir Sadarangani
Kabir Sadarangani
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Abstract Introduction/BackgroundEvidence sustains, that diabetes mellitus (DM) treatment requires a concerned dietary intake, physical activity (PA) participation and pharmacological adherence to preserve an adequate metabolic control. MethodsA cross-sectional study was conducted at a complex care hospital (Santiago, Chile) with 101 Type-1 DM ( 34.4±12.3 years) and 100 Type-2 DM ( 57.8±5.2 years) outpatients adults. Fresh glycosylated hemoglobin level (HbA1c) was obtained, and PA levels was estimated through the GPAQ. Participants were classified according to WHO recommendations as: no Leisure Time Physical Activity (LTPA) (0 min/week of MVPA), insufficient LTPA (<150 min/week MVPA) and active LTPA (≥150 min/week MVPA). Age, sex, educational level, body mass index, blood pressure, waist circumference, travel and occupational PA were also assessed. Multiple linear regression models were fitted to evaluate the independent effect of LTPA and covariates on metabolic control. Results41.6% and 69.0% participants reported no LTPA (HbA1c 8.8±1.5% and HbA1c 9.2±1.4%), while 35.6% and 8% were classified as active (HbA1c: 8.0±1.6% and HbA1c 8.1±1.4%) for Type-1 DM and Type-2 DM, respectively. Regression analysis showed that HbA1c levels were negatively associated with Type-1 DM (p=0.04, 95%CI: -1.38 to -0.03, b=-0.23) and Type-2 DM active participants (p<0.04, 95%CI: -2.58 to -0.08, b=-0.23).ConclusionThe present study shows that Type-1 DM and Type-2 DM active participants exhibit an 8.8% and 15.4% decrease in their HbA1c indexes, respectively, in comparison with those who do not engage into any LTPA. In this context, LTPA may be considered as an efficient and inexpensive non-pharmacological tool for DM treatment.
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