Impact of post-meal spot marching exercise in individuals with type 2 diabetes mellitus:A randomized clinical trial
พลลพัฏฐ์ ยงฤทธิปกรณ์*, Patcharin Kumsong, เสาวนีย์ นาคมะเร็ง, รวยริน ชนาวิรัตน์
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen Province, Thailand; E-mail address: [email protected]
 Background: For meaningful HbA1c reduction, improvement of cardiovascular risk profile, and weight loss, the current recommendation for people with type 2 diabetes mellitus (T2DM) is a minimum of 150 min/week of physical exercise. Post-meal exercise was both safe and effective in improving glycemic profiles in people with T2DM. However, the effects of post-meal spot marching exercise (PMSME) on glycemic control, exercise tolerance, leg muscle strength, and quality of life (QoL) in individuals with T2DM have not yet been investigated.
Objectives: Aim of this study was to investigate the effect of PMSME on glycemic control, exercise tolerance, leg muscle strength, and QoL in individuals with T2DM.
Materials and methods: Participants aged 50-70 were randomly allocated to the exercise or control groups (N=12 each). Participants in both groups received standard treatment following the Standards of Medical Care in Diabetes 2019. Only the exercise group performed moderate-intensity PMSME for 15 minutes per set, 3 sets per day, 4 days per week for 8 weeks. All participants underwent fasting plasma glucose (FPG), hemoglobin A1c (HbA1c), Three-Minute Step Test (TMST), Five Times Sit to Stand Test (FTSST), and the 36-item Short Form Survey (SF-36) at baseline and at the end of this study.
Results: At baseline, there were no differences in outcomes between the two groups. At post-intervention period, the exercise group showed significant improvements in HbA1c (7.99 vs. 9.16%), heart rate recovery in the first minute after completion of the TMST (99.83 vs 113.58 bpm), FTSST (8.44 vs 10.02 sec), and SF-36 (physical function [82.50 vs. 67.50 scores], physical role [75.00 vs. 50.00 scores], vitality [75.00 vs. 57.50 scores], and total score [76.19 vs 62.81 scores] domains) compared to the control group (p<0.05).
Conclusion: PMSME could be used as an alternative home-based exercise to improve glycemic control, exercise tolerance, functional leg muscle strength and QoL in T2DM patients.
Journal of Associated Medical Sciences ปี 2566, May-August ปีที่: 56 ฉบับที่ 2 หน้า 39-46
Type 2 diabetes mellitus, Physical activity, Glycemic control, post-meal exercise