RT Journal Article
SR Electronic
T1 Impact of a community-based exercise program on pulmonary function in middle-age and older patients with type 2 diabetes
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA755
DO 10.1183/1393003.congress-2017.PA755
VO 50
IS suppl 61
A1 Joelma Clotilde Costa Da Silva
A1 Cláudia Pinto
A1 Carlos Vasconcelis
A1 António Almeida
A1 Paulo Subtil
A1 Romeu Mendes
YR 2017
UL http://erj.ersjournals.com/content/50/suppl_61/PA755.abstract
AB Introduction: Diabetes is associated with impaired pulmonary function due to its micro and macroangiopathic complications. Regular exercise is known to improve lung function.Objectives: This study aimed to analyze the impact of a long-term community-based exercise program on pulmonary function in patients with T2D.Methods: This was an observational longitudinal study. Participants were 40 middle-age and older patients (26 female; 63.58 ± 6.85 years) with type 2 diabetes (T2D) engaged in Diabetes em Movimento, a community-based exercise program developed in Portugal (NCT02631902). This 8-month program comprised 3-weekly 75-min supervised exercise sessions (with combined aerobic, resistance, agility/balance, and flexibility exercises).Pulmonary function was assessed through spirometry, with evaluations of PEF, FEV1, FVC, ratio FEV1/FVC and MEF 25/75, according with ATS/ERS criteria, before and after the exercise program.Results: A total of 98 exercise sessions were held, with an adherence of 64.82 ± 20.36 % and an exercise intensity of 12.68 ± 1.08 points in Borg’s rate of perceived exertion scale (6-20 points).Significant improvements were identified in PEF (10.70 %; p = 0.005). Other relevant changes were observed in FEV1 (2.58 %; p = 0.336), FEV1/FVC (1.80 %; p= 0.226), and in MEF25/75 (5.30 %; p = 0.221). Pulmonary function changes were independent of gender, age and changes in body mass index (evaluated through simple linear regression models).Conclusions: A long-term community-based exercise program led to important improvements on pulmonary function in type 2 Diabetes patients, suggesting to be a good rehabilitation tool for this population.