International Journal of Physiotherapy and Research



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Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 4 | Page No. 1099-1104

Date of Publication: 07-07-2015

DOI: 10.16965/ijpr.2015.150

A STUDY TO FIND THE CORRELATION BETWEEN SIX MINUTES WALK DISTANCE AND BLOOD GLUCOSE LEVEL IN DIABETIC PATIENTS

Swadita Dinakar *1, S. Sridevi 2.  

*1 MPT (Cardio Pulmonary Sciences), Faculty of Physiotherapy, Sri Ramachandra University, Chennai, India.
2 PhD, Assistant Professor, Faculty of Physiotherapy, Sri Ramachandra University, Chennai, India.

Corresponding author: Dr. Swadita Dinakar. PT, Plot No:75, Adhi Bhagwan Nagar, 1st street, Porur, Chennai-600116, Tamil Nadu, India.
E-Mail:
swadhitha@gmail.com

Abstract:

Introduction: Physical activity has been recommended for patients with Type 2 Diabetes Mellitus (T2DM ) as it  provides enormous physiological benefits  by reducing  the  risk factors for development of complications, improves blood glucose control, overall health and  quality of life. Formulation of an individualized exercise prescription based on exercise capacity and baseline plasma glucose levels is mandatory, as an exercise intensity which is considered moderate for one might turn out to be extremely rigorous for another patient with T2DM.
Materials and Methods: The relationship between 6 minute walk test (6MWT) & some correlates of T2DM was investigated in order to formulate an exercise prescription. This observational study of 102 T2DM patients from whom an informed consent was obtained, was conducted at the diabetic clinic of Sri Ramachandra medical college and research institute. The patients were instructed and made to perform a 6MWT according to ATS guidelines. The measurements included the 6-Minute Walk Distance (6MWD) for exercise capacity and the T2DM correlates including age, gender, fasting blood glucose, post prandial blood glucose, HbA1C, duration of diabetes, BMI and waist hip ratio (WHR).
Results: The relationships between the parameters were determined using Pearson’s correlation coefficient at a significance level of  0.05. The participants consisted of 55 males (53.1%) & 47 females (46.1%). The mean 6MWD for males was 353.73±53.750mts & females was 317.55±58.037mts.The 6MWD correlated significantly (P < 0.05) with  fasting blood glucose [r = -0.319] , post prandial blood glucose (r = -0.320), HbA1C(r = -0.381), BMI(r = -0.378), while the 6MWD didn’t show a correlation (P >0.05) with WHR (r = 0.191 (females),r=-0.058 (males),duration of diabetes (r = -0.020) and age( r = -0.112).
Conclusion: Thus low exercise capacity in patients with T2DM was associated with higher adiposity & poor glycaemic control. Therefore these factors should be given consideration when prescribing exercises for patients with T2DM in order to ensure safety and efficiency of the exercise session.
KEY WORDS:  Diabetes Mellitus, 6MWD, Fasting Blood Glucose, Waist Hip Ratio, HbA1C.

References

  1. Teslime Ayaz, Serap Baydur Sahin, Osman Zikrullah Sahin, Ozlem Bilir, and Halil Rakıcı, Factors Affecting Mortality in Elderly Patients Hospitalized for Nonmalignant Reasons. Journal of Aging Research, vol.2014; Article ID 584315, 7 pages, 2014. doi:10.1155/2014/584315
  2. Franse LV, Bari MD, Shorr RI. Type 2 Diabetes in older well-functioning people: who is undiagnosed? Data from the Health, Aging, and Body Composition Study. Diabetes Care .  2001;24(1):2065-2070.
  3. Kristina Jackson Behan, Justice Mbizo. The Relationship Between Waist Circumference and Biomarkers for Diabetes and CVD in Healthy Non-Obese Women. The Pensacola Study. Lab Med. 2007;38(7):422-427. DOI: 10.1309/VV1N2FGHNT84JKJF.
  4. Hulens M, Vansant G, Claessens AL, Lysens R, Muls E. Predictors of 6-minute walk test results in lean, obese and morbidly obese women. Scandinavian Journal of Medicine & Science in Sports. 2003;13(2):98-105.
  5. Daniel Umpierre, Paula A. B. Ribeiro, Caroline K. Kramer. Physical Activity Advice Only or Structured Exercise Training and Association With HbA1c Levels in Type 2 Diabetes. JAMA. 2011;305(17):1790-1799.
  6. Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C, White RD. (2006). Physical activity/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association. Diabetes Care. 2006;29:1433-1438.
  7. Albright A (2003). Diabetes and Clinical Exercise Physiology. Champaign(IL). Human Kinetics. P.no. 133
  8. American Thoracic Society. ATS Statement: Guidelines for the Six-Minute Walk Test. Am J Respir Crit Care Med.  2002;166:111-117.
  9. Gibbons WJ, Fruchter N, Sloan S, Levy RD. Reference Values for a Multiple Repetition 6-Minute Walk Test in Healthy Adults Older Than 20 Years. Journal of Cardiopulmonary Rehabilitation 2001;21(2):87-93.
  10. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes care. 2012;35(1):64-71.
  11. James S. Reitman, Barbara Vasquez, Iwar Klimes. Improvement of Glucose Homeostasis After Exercise Training in Non-insulin-dependent Diabetes. Diabetes care. 1984;7: 434-441.
  12. Moshe S. Physical Exercise Conditioning in the Absence of Weight Loss Reduces Fasting and Postprandial Triglyceride-Rich Lipoprotein Levels. Circulation . 1989;79(5):750-755.
  13. Demir I, Ermiş C, Altunbaş H, Balci MK. Serum HbA1c levels and exercise capacity in diabetic patients,Jpn Heart J. 2001;42(5):607-16.
  14. Casanova C, Celli BR, Barria P, Casas A, Cote C, de Torres JP, Jardim J, Lopez MV, Marin JM, Montes de Oca M, Pinto-Plata V, Aguirre-Jaime A; Six Minute Walk Distance Project (ALAT). The 6-min walk distance in healthy subjects: reference standards from seven countries. European respiratory journal. 2011;37(1):150-156.
  15. Atli Teslime, Kevan Kenan, Aslihan. Oxidative stress and anti-oxidant status in elderly diabetes mellitus &glucose intolerance patients. Archives of gerontology and geriatrics. 2004;39(3):269-275.
  16. Paul L. Enright,Mary Ann McBurnie, Vera Bittner. ATS Statement: Guidelines for the Six-Minute Walk Test. Am J Respir Crit Care Med. 2002;166(3):111-117.
  17. Adeniyi A.F, Uloko A.E, Sani-Suleiman. Relationship Between the 6-minute Walk Test and Correlates of Type 2 Diabetes: Indication for caution in exercise prescription. AJPARS. 2010;2(1):21-24.

 

Swadita Dinakar, S. Sridevi. A STUDY TO FIND THE CORRELATION BETWEEN SIX MINUTES WALK DISTANCE AND BLOOD GLUCOSE LEVEL IN DIABETIC PATIENTS. Int J Physiother Res 2015;3(4):1099-1104. DOI: 10.16965/ijpr.2015.150

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