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Effectiveness of Home Based Resistance Exercise Training On

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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
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Page 1: Effectiveness of Home Based Resistance Exercise Training On

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 AmnasUCP/AL/08/089

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LITERATURE REVIEW & BACKGROUNDType 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.

Resistance Training

Increase muscle strength, muscle mass, bone mineral density, reduction of adipose tissues

Glycemic control and body fat control

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OBJECTIVES

General ObjectiveTo 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. HbA1c levelII. Fasting blood sugar levelIII. Body mass indexIV. Body fat percentageV. Waist hip ratio

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METHODOLOGY 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.

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RESULTS

Variable Significance in Training Group Significance in Control Group

HbA1c M=8.66±1.86 to 7.38±1.07 M=8.81±2.13 to 8.69±2.19

R=7.6 T=0.64P=0.000 P=0.31

Fasting blood sugar M= 132.06± 34.94 to 131.71±35.30 M=137.85±44.67 to 138.61±46.04R=1.64 R=-0.9P=0.11 P=0.37

Body mass index M=26.83 ±2.26 to 26.74 ±2.26 M=26.99± 2.37 to 27.22± 2.57T=1.33 T=-1.87P=0.19 P=0.07

Body fat percentage M=31.29 ±0.83 to 27.37 ±3.15 M=31.29 ±6.9 to 33.20 ±5.06T=10.96 T=0.65P=0.00 P=0.51

Waist hip ratio M=0.94± 0.08 to 0.94± 0.37 M=0.95± 0.06 to 0.95± 0.35T=1.10 T=-0.61P=0.27 P=0.54

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SIGNIFICANT FINDINGS

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.

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