EFFECTIVENESS OF HOME BASED RESISTANCE EXERCISE TRAINING ON METABOLIC CONTROL AS A PART OF MANAGEMENT AMONG TYPE II DIABETES MELLITUS PATIENTS

IN MEDICAL CLINIC OF UNIVERSITY MEDICAL UNIT, NATIONAL HOSPITAL, SRI LANKA

S.A.M.F Amnas UCP/AL/08/089

Type

II diabetes mellitus is a disorder that is characterized by high blood glucose in context of insulin resistance and relative insulin deficiency. Various types of exercises take part in the management of metabolic control in type II diabetes mellitus. Resistance training has been reported to enhance insulin sensitivity daily energy expenditure, and quality of life.

General Objective To identify effectiveness of resistance exercise training to improve metabolic control in patients with type II diabetes mellitus within 04 months in Medical Clinic of University Medical Unit, NHSL.

Specific objectives To identify whether resistance exercise training leads to an improvement of below parameters of patients with type II diabetes mellitus within 04 months.
I. II.

III.
IV. V.

HbA1c level Fasting blood sugar level Body mass index Body fat percentage Waist hip ratio

Study design; Prospective comparative interventional study. Study setting; University Medical Unit, University of Colombo, from April to September 2013. Study sample; Convenient sample, and then randomly divided into two groups. Study population; According to inclusion and exclusion criteria 60 patients were selected, and then they were randomly divided into two groups, each group consisted of 30 patients with the age group of 18-65years.

Data analysis; SPSS ver. 17.0, compare between groups using independence sample t test.
Method; informed consent get from patients.

HbA1c, fasting blood sugar- measured using blood test. BMI, BFP, WHR- measured using bioelectrical impedance analyzer. Control group received exercise counseling and diabetes care, as where resistance training group received both along with 04 months home based resistance exercise training.

Variable HbA1c

Significance in Training Group M=8.661.86 to 7.381.07 R=7.6 P=0.000

Significance in Control Group M=8.812.13 to 8.692.19 T=0.64 P=0.31 R=-0.9 P=0.37 M=26.99 2.37 to 27.22 2.57 T=-1.87 P=0.07 M=31.29 6.9 to 33.20 5.06 T=0.65 P=0.51

Fasting blood sugar

M= 132.06 34.94 to 131.7135.30 M=137.8544.67 to 138.6146.04 R=1.64 P=0.11

Body mass index

M=26.83 2.26 to 26.74 2.26 T=1.33 P=0.19

Body fat percentage

M=31.29 0.83 to 27.37 3.15 T=10.96 P=0.00

Waist hip ratio

M=0.94 0.08 to 0.94 0.37

T=1.10 P=0.27

M=0.95 0.06 to 0.95 0.35

T=-0.61 P=0.54

04 months of home based resistance exercise training when included with usual diabetic care is effective on

HbA1c and body fat percentage control in type II diabetic

patients.

Although there were reduction on fasting blood sugar and

body mass index level, they were not reach significance

in training group.

No changes on waist hip ratio were observed on both groups.