Korean Diabetes J.  2008 Feb;32(1):60-67. 10.4093/kdj.2008.32.1.60.

Effects of Walking and Physical Activity on Glucose Regulation among Type 2 Diabetics

Affiliations
  • 1Department of Physical Education and Leisure Studies, Yonsei University College of Education, Korea.
  • 2Department of Internal Medicine, Yonsei University College of Medicine, Korea.
  • 3Inha University Hospital, Department of Internal Medicine, Division of Endocrinology and Metabolism, Korea.

Abstract

BACKGROUND: Physical activity, especially walking is strongly recommended to control blood glucose among type 2 diabetic patients. Furthermore, physical activity is one of the most important tools to prevent secondary diabetes complications among type 2 diabetic patients such as retinopathy, nephropathy, neuropathy etc. The purpose of the study was to examine the association between the level of walking and physical activity and glucose control among Korean adults with type 2 diabetes.
METHODS
A total of 250 patients with type 2 diabetes (98 males and 152 females) were recruited (mean age = 62.1 +/- 10.2 years) in the current study. The height, weight, waist and hip circumference were measured, and the level of physical activity and total walking hour were measured by physical activity scale for elderly (PASE). High density lipoprotein cholesterol (HDL-C), total cholesterol, triglyceride, fasting glucose and oral glucose tolerance test, creatinine, uric acid, total protein, albumin, hemoglobin A1c were measured.
RESULTS
After adjusting for potential covariates such as age, education, occupation income, smoking, and drinking, male patients who spent least time in walking were more likely to have 2 hour serum glucose level in oral glucose tolerance above 200 mg/dL than counterparts who spent most time in walking with age adjusted (Relative Risk (RR) = 11.75, 95% Confidence Interval (CI) = 1.94-71.00). Male patients who were in the least active group were 5.92 time (95% CI = 1.39-25.28) more likely to have 2 hour serum glucose level in oral glucose tolerance over 200 mg/dL than counterparts in the most active group. However, there was no significant finding in females.
CONCLUSIONS
The current study showed that physical activity and walking are effective method to maintain glucose tolerance among type 2 diabetic male patients.

Keyword

Physical activity; Type 2 diabetes; Walking

MeSH Terms

Adult
Aged
Blood Glucose
Cholesterol
Cholesterol, HDL
Creatinine
Diabetes Complications
Drinking
Fasting
Glucose
Glucose Tolerance Test
Hemoglobins
Hip
Humans
Lipoproteins
Male
Motor Activity
Occupations
Smoke
Smoking
Uric Acid
Walking
Blood Glucose
Cholesterol
Cholesterol, HDL
Creatinine
Glucose
Hemoglobins
Lipoproteins
Smoke
Uric Acid

Reference

1. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care. 1998. 21:1414–1431.
2. Kim SM, Lee JS, Lee J, Na JK, Han JH, Yoon DK, Baik SH, Choi DS, Choi KM. Prevalence of diabetes and impaired fasting glucose in Korea: Korean National Health and Nutrition Survey 2001. Diabetes Care. 2006. 29:226–231.
5. Kriska AM, Hanson RL, de Courten MP, Zimmet PZ, Alberti KGMM, Chitson P, Bennett PH, Narayan KMV, Knowler WC. Association of physical activity and serum insulin concentrations in two populations at high risk for type 2 diabetes but differing by BMI. Diabete Care. 2001. 24:1175–1180.
6. Lee CD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. American Journal of Clinical Nutrition. 1999. 69:373–380.
7. Gregg EW, Gerzoff RB, Caspersen CJ, Williamson DF, Narayan KMV. Relationship of walking to mortality among US adults with diabetes. Archives of Internal Medicine. 2003. 163:1440–1447.
9. American Diabetes Association. Handbook of exercise in diabetes. 2001.
12. Pereira MA, FitzGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM. A collection of physical activity questionnaire for health-related research: Physical activity scale for the elderly. Medicine & Science in Sports & Exercise. 1997. 29:S122–S129.
13. Boule NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. JAMA. 2001. 286:1218–1227.
15. Warning WS, McKnight JA, Webb DJ, Maxwell SRJ. Lowering serum urate does not improve endothelial function in patients with type 2 diabetes. Diabetologia. 2007. (In press, online).
16. Elosua R, Bartali B, Ordovas JM, Corsi AM, Lauretani F, Ferrucci L. Association between physical activity, physical performance, and inflammatory biomarkers in an elderly population: the InCHIANTI study. Journals of Gerontology Series A-Biological Sciences & Medical Sciences. 2005. 60:760–767.
17. Corech J, Astor BC, Greene T, Eknoyan G, Levey AS. Prevalence of chronic kidney disease and decreases kidney function in the adults US population: Third National Health and Nutrition Examination Survey. American Journal of Kidney Disease. 2003. 41:1–12.
18. Kwon J, Suzuki T, Yoshida H, Kim H, Yoshida Y, Iwasa H. Concomitant lower serum albumin and vitamin D levels are associated with decreased objective physical performance among Japanese community-dwelling elderly. Gerontology. 2007. 53:322–328.
19. Donnelly JE, Smith BK. Is exercise effective for weight loss with ad libitum diet? Energy balance, compensation, and gender differences. Exercise and Sport Sciences Reviews. 2005. 33:169–174.
20. Horton TJ, Pagliassotti MJ, Hobbs K, Hill JO. Fuel metabolism in men and women during and after long-duration exercise. The Journal of Applied Physiology. 1998. 85:1823–1832.
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