Unit:
Κατεύθυνση Εργοσπιρομετρία και Καρδιοαναπνευστική ΑποκατάστασηLibrary of the School of Health Sciences
Author:
Koutroumpi Anna-Maria
Supervisors info:
Σεραφείμ Νανάς, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Αναστάσιος Φιλίππου, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ιωάννης Βασιλειάδης, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Οι επιδράσεις των διαφορετικών τύπων άσκησης στο σακχαρώδη διαβήτη
Translated title:
The effects of different types of exercise in Diabetes Mellitus
Summary:
Aims: Exercise training plays a major role in prevention and treatment programs in patients with type 2 diabetes mellitus (T2D). The aim of this systematic review was to investigate the effectiveness of high intensity interval training (ΗΙΙΤ) compared with moderate intensity continuous training (MICT) or no training in patients T2D.
Methods: All randomized controlled clinical (RCT) trials that fullfiled prespecifed criteria were obtained through a computerized search from several databases, such as PubMed and Cohcrane Library. The search included all the articles published until December 2018. Methodological quality was assessed using the PEDro scale. The primary endpoint of the study was the exercise capacity and the secondary points were the glycemic and lipidemic profile, the endothelial function, the blood pressure and the oxidative stress.
Results: Sixteen RCTs met the inclusion and exclusion criteria set for the systematic review. ΗΙΙΤ was found to have greater increase in peak oxygen intake compared to MICT in the majority of the articles assessed. From the 12 trials, which assessed the exercise capacity, 7 trials have shown an improvement in exercise capacity. Seven trials improved significant the glycemic profile after HIIT exercise. From the 4 trials which assessed the endothelium function, 3 trials improved the endothelium function after HIIT compared with MICT. Two trials improved the blood pressure after both interventions (HIIT, MICT), whereas 1 trial improved it after HIIT. No significant improvement was noted in blood lipid profile in HIIT compared to MICT. From the 3 trials which assessed the oxidative stress, it was resulted that HIIT intervention has some positive outcome in oxidative stress, whereas more research needs to discover further information about the effect of exercise programs.
Conclusions: We conclude that HIIT is an effective type of exercise in patients with T2D. HIIT improves more exercise capacity, with a trend to a greater improvement in endothelium function and glycemic profile compared with MICT.
Main subject category:
Health Sciences
Keywords:
Diabetes mellitus, High intensity interval training, Moderate intensity continuous training, Exercise
