Skip to main content

Effect of walking and aerobic exercise on physical performance and depression in cases of type 2 diabetes mellitus

Abstract

Aim

Investigate the effect of walking and aerobic exercise on physical performance and depression symptoms in patient with type 2 diabetes mellitus (T2DM).

Patients and methods

Forty patients with T2DM were divided into two groups. Group 1 was treated by walking 30 min three times per week. Group 2 was treated by aerobic exercise for 30 min for 3 months. Physical performance and depression were measured pretreatment and posttreatment.

Results

Walking improved BMI by 4.2%, waist circumference by 1.22%, blood glucose by 6.82%, timed up and go test by 24.34%, static balance by 74.63%, 6 min walk by 14.91%, muscle power by 15.97%, muscle endurance by 71.42%, 2 min stair climbing by 52.63%, squat test by 73.63%, and hospital scale of anxiety and depression by 46.79%.

Aerobic exercise improves by BMI 5.47%, waist circumference by 3.95%, blood glucose by 17.21%, time up and go test by 29.2%, static balance by 118.58%, 6 min walk 8.57%, muscle power by 31.93%, muscle endurance by 81.63%, 2 min stair climbing by 49.19%, squat test by 81.3%, and hospital scale of anxiety and depression by 50%.

Conclusion

Both walking and aerobic exercise improve physical performance and depression scale in T2DM.

References

  1. Park CY, Kim SY, Gil JW, Park MH, Park J-H., Kim Y. Depression among Korean adults with type 2 diabetes mellitus: Ansan-community-based epidemiological study. Osong Public Health Res Perspect 2015; 6:224–232.

    Article  Google Scholar 

  2. Shirey K, Manyara SM, Atwoli L, Tomlin R, Gakinya B, Cheng S, et al. Clinic in rural western Kenya. J Clin Transl Endocrin 2015; 2:51–54.

    Google Scholar 

  3. Andreassen CS, Jakobsen J, Andersen H. Muscle weakness a progressive late complication in diabetic distal symmetric polyneuropathy. Diabetes 2006; 55:806–812.

    Article  CAS  Google Scholar 

  4. de Rekeneier N, Resnick HE, Schwartz AV, Shorr RI, Kuller LH, Simonsick EM, et al. Diabetes is associated with subclinical functional limitation in nondisabled older individuals the health. aging, and body composition study. Diabetes Care 2003; 26:3257–3263.

    Google Scholar 

  5. Park M, Katon WJ, Wolf FM. Depression and risk of mortality in individuals with diabetes: a meta-analysis and systematic review. Gen Hosp Psychiatry 2013; 35:217–225.

    Article  Google Scholar 

  6. Madden PB. Diabetes and depression: challenges and some opportunities. Diabetes Spectr 2010; 23:7–9.

    Article  Google Scholar 

  7. Schuch FB, Deslandes AC, Stubbs B, Gosmann NP, Belem da Silva CT, de Almeida Fleck MP. Neurobiological effects of exercise on major depressive disorder: a systematic review. Neurosci Biobehav Rev 2016; 61:1–11.

    Article  Google Scholar 

  8. Helgadóttir B, Owen N, Dunstan DW, Ekblom O, Hallgren M, Forsell Y. Changes in physical activity and sedentary behavior associated with an exercise intervention in depressed adults. Psychol Sport Exerc 2017; 30:10–18.

    Article  Google Scholar 

  9. Rozanski A. Exercise as medical treatment for depression. JACC 2012; 0:1064–1066.

    Article  Google Scholar 

  10. Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, et al. Using pedometers to increase physical activity and improve health: a systematic review. JAMA 2007; 298:2296–2304.

    Article  CAS  Google Scholar 

  11. Bullani R, El Housseini Y, Giordano F, Larcinese A, Ciutto L, Bertrand PC, et al. Effect of intradialytic resistance band exercise on physical function in patients on maintenance hemodialysis: a pilot study. J Renal Nutr 2011; 21:61–65.

    Article  Google Scholar 

  12. Kosmadakis A, Bevington A, Smith E, Clapp J, Viana N, Feehally J. Physical exercise in patients with severe kidney disease. Nephron Clin Pract 2010; 115:c7–c16.

    Article  CAS  Google Scholar 

  13. Tig M, Inge E, Helle T, Sorensen J, Halkjaer K. Five months of physical exercise in hemodialysis patients: effects onaerobic capacity, physical function and self-rated health. Nephron Clin Pract 2004; 96:c76–c81.

    Article  Google Scholar 

  14. de Groot M, Kushnick M, Doyle T, Merrill J, McGlynn M, Shubrook J, et al. A model of community-based behavioral intervention for depression in diabetes. Program ACTIVE. Diabetes Spectr 2010; 23:18–25.

    Article  Google Scholar 

  15. Padilla VL, Rustad JK, Harvey PD, Wasserman B, Ziemer D, Musselman DL. Neurocognitive impairment in patients with comorbid diabetes mellitus and depression. Personalized Med Psych 2017; 1:2–10.

    Article  Google Scholar 

  16. Jenuma AK, Lorentzenb C, Anderssenb SA, Birkelandc KI, Holmeb I, Lund-Larsena PG, et al. Promoting physical activity in a multi-ethnic district – methods and baseline results of a pseudo-experimental intervention study. Eur J Cardiovas Prevent Rehab 2003; 10:387–396.

    Article  Google Scholar 

  17. Ji L, Bai J-J., Sun J, Ming Y, Chen L-R. Effect of combining music media therapy with lower extremity exercise on elderly patients with diabetes mellitus. Int J Nurs Sci 2015; 2:243–247.

    Google Scholar 

  18. Piette JD, Richardson C, Himle J, Duffy S, Torres T, Vogel M, et al. A randomized trial of telephone counseling plus walking for depressed diabetes patients. Med Care 2011; 49:641–648.

    Article  Google Scholar 

  19. Campayo A, Gómez-Biel CH, Lobo A. Diabetes is associated with subclinical functional limitation in non disabled older individuals, the health, aging, and body composition study. Diabetes Dep Curr Psychiatry Rep 2011; 13:26–30.

    Article  Google Scholar 

  20. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. The American College of Sports Medicine (ACSM) evidence category. A exercise and type 2 diabetes. The American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care 2010; 33:e147–e167.

    Google Scholar 

  21. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care 2016; 39: 2065–2079.

    Article  Google Scholar 

  22. Thorp AA, Owen N, Neuhaus M, Dunstan DW. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996–2011. Am J Prev Med 2011; 41:207–215.

    Article  Google Scholar 

  23. Lustman P, Clouse R. Depression in diabetic patients: the relationship between mood and glycemic control. J Diabetes 2005; 19:113–122.

    Google Scholar 

  24. Winkley K, Landau S, Eisler I, Ismail L. Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomized controlled trials. BMJ 2006; 333:65–68.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Manal K. Youssef PhD of Physical Therapy.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Youssef, M.K. Effect of walking and aerobic exercise on physical performance and depression in cases of type 2 diabetes mellitus. Egypt J Intern Med 31, 142–148 (2019). https://doi.org/10.4103/ejim.ejim_116_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejim.ejim_116_18

Keywords