Effects of exercise training combined with psychological intervention compared to exercise training alone in prediabetes subjects.

Background Prior research has confirmed the efficacy of exercise training (ET) in patients with prediabetes. However, whether the effectiveness of a combination of exercise and psychological intervention (EP) is better than ET alone in prediabetes in terms of physiological function, psychological st...

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Publicado en:Journal of Public Health Vol. 42; no. 2; pp. 388 - 395
Autores principales: Siyu, Yu, Hong, Liu, Qun, Yan, Hua, Qiu, Kang, Wu, Yibiao, Ding, Wenping, Wang, Qian, She, Bo, Feng, Xiaonan, Ruan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Oxford University Press / USA Jun2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Effects of exercise training combined with psychological intervention compared to exercise training alone in prediabetes subjects.
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          Siyu, Yu
          Hong, Liu
          Qun, Yan
          Hua, Qiu
          Kang, Wu
          Yibiao, Ding
          Wenping, Wang
          Qian, She
          Bo, Feng
          Xiaonan, Ruan
        affil: Shanghai Pudong New Area Center for Disease Control and Prevention, Pudong Institute of Preventive Medicine, Fudan University, Shanghai 200136, China
      sug:
        subj:
          Training Effect (Physiology)
          Resistance Training
          Exercise
          Program Evaluation
          Prediabetic State Diagnosis
          Prediabetic State Psychosocial Factors
          Human
          Funding Source
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
          Descriptive Statistics
          Systolic Pressure
          Diastolic Pressure
          Heart Rate
          Lipoproteins, HDL
          Post Hoc Analysis
          Scales
          Blood Glucose Metabolism
          Glycated Hemoglobin
          Pretest-Posttest Design
          Research Subject Recruitment
          Diabetes Mellitus Risk Factors
          Questionnaires
          Middle Age
          Aged
          Aged, 80 and Over
          Body Mass Index
          Consent
          Data Analysis Software
          Repeated Measures
          Analysis of Variance
          Depression
          Anxiety
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Background Prior research has confirmed the efficacy of exercise training (ET) in patients with prediabetes. However, whether the effectiveness of a combination of exercise and psychological intervention (EP) is better than ET alone in prediabetes in terms of physiological function, psychological status and glycometabolism has rarely been investigated. Methods Forty newly diagnosed prediabetes patients (65.3 ± 8.1 years) took part in the study. Subjects were divided into a pure ET group and a combined EP group. Interventions were conducted in 40–50-min sessions twice weekly for 32 weeks. Physiological, psychological and biochemical indicator measurements were taken after pre-, mid- and post-interventions, respectively. Results The main finding confirmed a significant improvement in systolic blood pressure, diastolic blood pressure (DBP) and heart rate, high-density lipoprotein, fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c) from pre- to mid- and post-test differentially in both groups (P  < 0.05) by post hoc analyses. The EP group has a greater magnitude of improvement of DBP than the ET group. Significant differences were observed in FPG at mid-intervention and total cholesterol at post-intervention between the ET and EP groups. Self-Rating Anxiety Scale (SAS) scores of EP group were significantly less than ET group after post-intervention. Conclusion Our results suggest that EP might be a promising method lead to more apparent long-term effects on glycometabolism and psychological status for prediabetes patients. Other domains were improved by both interventions, but no typical pattern could be identified. Its underlying mechanisms need further study, and directions for future research are suggested.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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