Key result
Aquatic aerobic exercises significantly improved fasting blood sugar (P=0/007), HbA1c (p=0/012), 6-minute walk test (P=0/000), and quality of life in diabetic women with heart failure.
Why the study?
Diabetes mellitus impairs quality of life and carries severe cardiovascular complications, leading to a need to investigate the effect of 12 weeks of aquatic aerobic exercises on motor performance and quality of life in diabetic women with heart failure.
Does 12 weeks of aquatic aerobic exercises improve motor performance, quality of life, and glycemic control in diabetic women with heart failure?
RCT (n=36)
Randomized
No
Does 12 weeks of aquatic aerobic exercises improve motor performance, quality of life, and glycemic control in diabetic women with heart failure?
p-value: P=0/007 for FBS, p=0/012 for HbA1c, P=0/000 for 6MWT
A 12-week aquatic aerobic exercise program significantly improves functional capacity, quality of life, and glycemic control in diabetic women with heart failure.
May support aquatic exercise for glycemic control and capacity in diabetic women with HF; hypothesis-generating, needs larger trials.
Background: Diabetes mellitus (DM), as an increasing health problem worldwide, can be associated with severe cardiovascular complications. The quality of life is adversely affected by type 2 diabetes and there were proposed different methods for prevention and treatment of diabetic induced problem. The aim of this study was to investigate effect of 12 weeks of aquatic aerobic exercises on motor performance and quality of life in diabetic female patients with heart failure. Methods: In this randomized clinical trial, 36 diabetic women with heart failure referring to Tabriz Madani hospital voluntarily participated in this study and assigned to one of two groups: control(n=18) and experimental (n=18) group. Aquatic exercises were carried out under the supervision of an aquatic expert three sessions a week for 12 weeks, each session lasting 60 minutes with intensity of 4-6 in RPE Borg classification. Patients in the control group continued their normal daily living activities. Quality of life and motor performance were assessed using SF-36 questionnaire and 6 min walking test (6MWT). Blood sampling was gathered 48 h before and after training protocol for analyzing diabetic indexes such as fasting blood sugar (FBS), insulin resistance, Glycosylated hemoglobin (HbA1c). The obtained data were analyzed using SPSS-18, ANOVA 2*2 and independent T tests at the significant level α <0.05. Results: After intervention, there were significant differences in FBS (P=0/007), HbA1c (p=0/012), 6MWT (P=0/000) and subscales of quality of life such as role limitations due to emotional problems (0/01), energy/fatigue (p=0/04), subtitle of physical health (p=0/036) and subtitle of psychological health (p=0/002) between experiment and control group. Conclusion: The aquatic exercises, as a safe and effective exercise Method, could be helpful in improving the motor functions and quality of life of diabetic females with heart failures.
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Salehi et al. (2019) conducted an RCT in Diabetic women with heart failure (n=36). Aquatic aerobic exercises vs. Normal daily living activities was evaluated on Motor performance (6MWT), quality of life (SF-36), and diabetic indexes (FBS, insulin resistance, HbA1c) (p=P=0/007 for FBS, p=0/012 for HbA1c, P=0/000 for 6MWT). Aquatic aerobic exercises significantly improved fasting blood sugar (P=0/007), HbA1c (p=0/012), 6-minute walk test (P=0/000), and quality of life in diabetic women with heart failure.
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