Dixit Snehil, Maiya Arun, Shastry Barkur
Department of Physiotherapy, Manipal College of Allied Health Sciences (MCOAHS), Manipal University, 2nd Floor, Manipal, 576104, Karnataka, India,
Qual Life Res. 2014 Jun;23(5):1629-40. doi: 10.1007/s11136-013-0602-7. Epub 2013 Dec 11.
To evaluate the effect of 8-week moderate intensity aerobic (heart-rate reserve 40-60%) exercise on neuropathy quality of life in type 2 diabetes.
A single blind, parallel-group, randomized controlled trial was carried out in a tertiary setting. People with type 2 diabetes were eligible for the study if they had clinical neuropathy which was defined by a minimum score of seven on the Michigan diabetic neuropathy score. Following which, the patients were randomly assigned to an 8-week program by a computer-generated random number tables to intervention or control group. Repeated measure analysis of variance was used for data analysis (p < 0.05 was considered significant).
There were 47 participants in the control group and 40 participants in the study group after randomization but 37 from the control group and 29 from the intervention group completed the final analysis. The two groups had a significant difference, pre-post intervention in scores of pain (F = 7, p = 0.01), sensory symptoms (F = 4.60, p = 0.04), restricted activities of daily living (F = 4.97, p = 0.03), disruptions in social relationships (F = 5.43, p = 0.02), specific impact on quality of life (F = 9.28, p < 0.001) overall quality of life (F = 28.72, p < 0.001), and total score (F = 31.10, p < 0.001). Degrees of freedom for all the components were 1, 62.
Moderate intensity aerobic exercise is cornerstone in improving the quality of life of individuals with peripheral neuropathy in type 2 diabetes.
评估为期8周的中等强度有氧运动(心率储备40 - 60%)对2型糖尿病患者神经病变生活质量的影响。
在三级医疗机构开展一项单盲、平行组、随机对照试验。2型糖尿病患者若临床诊断为神经病变(密歇根糖尿病神经病变评分至少为7分),则符合本研究条件。之后,通过计算机生成随机数字表将患者随机分配至为期8周的干预组或对照组。采用重复测量方差分析进行数据分析(p < 0.05被认为具有统计学意义)。
随机分组后,对照组有47名参与者,研究组有40名参与者,但最终分析时,对照组有37名、干预组有29名完成。两组在干预前后的疼痛评分(F = 7,p = 0.01)、感觉症状评分(F = 4.60,p = 0.04)、日常生活活动受限评分(F = 4.97,p = 0.03)、社会关系干扰评分(F = 5.43,p = 0.02)、对生活质量的特定影响评分(F = 9.28,p < 0.001)、总体生活质量评分(F = 28.72,p < 0.001)及总分(F = 31.10,p < 0.001)方面存在显著差异。所有指标的自由度均为1, 62。
中等强度有氧运动是改善2型糖尿病伴周围神经病变患者生活质量的基石。