Article

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.

Langue : ANGLAIS