Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes

A single blind, parallel group randomized controlled trial

Snehil Dixit, Arun G. Maiya, B. A. Shastry

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Objective To evaluate the effect of moderate intensity aerobic exercise (40%-60% of Heart Rate Reserve (HRR)) on diabetic peripheral neuropathy. Methods A parallel-group, randomized controlled trial was carried out in a tertiary health care setting, India. The study comprised of experimental (moderate intensity aerobic exercise and standard care) and control groups (standard care). Population with type 2 diabetes with clinical neuropathy, defined as a minimum score of seven on the Michigan Diabetic Neuropathy Score (MDNS), was randomly assigned to experimental and control groups by computer generated random number tables. RANOVA was used for data analysis (p < 0.05 was significant). Results A total of 87 patients with DPN were evaluated in the study. After randomization there were 47 patients in the control group and 40 patients in the experimental group. A comparison of two groups using RANOVA for anthropometric measures showed an insignificant change at eight weeks. For distal peroneal nerve's conduction velocity there was a significant difference in two groups at eight weeks (p < 0.05), Degrees of freedom (Df) = 1, 62, F = 5.14, and p = 0.03. Sural sensory nerve at eight weeks showed a significant difference in two groups for conduction velocity, Df = 1, 60, F = 10.16, and p = 0.00. Significant differences in mean scores of MDNS were also observed in the two groups at eight weeks (p value significant < 0.05). Conclusion Moderate intensity aerobic exercises can play a valuable role to disrupt the normal progression of DPN in type 2 diabetes.

Original languageEnglish
Pages (from-to)332-339
Number of pages8
JournalJournal of Diabetes and its Complications
Volume28
Issue number3
DOIs
Publication statusPublished - 01-01-2014

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Diabetic Neuropathies
Peripheral Nervous System Diseases
Peripheral Nerves
Type 2 Diabetes Mellitus
Randomized Controlled Trials
Exercise
NAD
Control Groups
Population
Sural Nerve
Peroneal Nerve
Neural Conduction
Tertiary Healthcare
Random Allocation
India
Heart Rate
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

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title = "Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes: A single blind, parallel group randomized controlled trial",
abstract = "Objective To evaluate the effect of moderate intensity aerobic exercise (40{\%}-60{\%} of Heart Rate Reserve (HRR)) on diabetic peripheral neuropathy. Methods A parallel-group, randomized controlled trial was carried out in a tertiary health care setting, India. The study comprised of experimental (moderate intensity aerobic exercise and standard care) and control groups (standard care). Population with type 2 diabetes with clinical neuropathy, defined as a minimum score of seven on the Michigan Diabetic Neuropathy Score (MDNS), was randomly assigned to experimental and control groups by computer generated random number tables. RANOVA was used for data analysis (p < 0.05 was significant). Results A total of 87 patients with DPN were evaluated in the study. After randomization there were 47 patients in the control group and 40 patients in the experimental group. A comparison of two groups using RANOVA for anthropometric measures showed an insignificant change at eight weeks. For distal peroneal nerve's conduction velocity there was a significant difference in two groups at eight weeks (p < 0.05), Degrees of freedom (Df) = 1, 62, F = 5.14, and p = 0.03. Sural sensory nerve at eight weeks showed a significant difference in two groups for conduction velocity, Df = 1, 60, F = 10.16, and p = 0.00. Significant differences in mean scores of MDNS were also observed in the two groups at eight weeks (p value significant < 0.05). Conclusion Moderate intensity aerobic exercises can play a valuable role to disrupt the normal progression of DPN in type 2 diabetes.",
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T1 - Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes

T2 - A single blind, parallel group randomized controlled trial

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AU - Maiya, Arun G.

AU - Shastry, B. A.

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N2 - Objective To evaluate the effect of moderate intensity aerobic exercise (40%-60% of Heart Rate Reserve (HRR)) on diabetic peripheral neuropathy. Methods A parallel-group, randomized controlled trial was carried out in a tertiary health care setting, India. The study comprised of experimental (moderate intensity aerobic exercise and standard care) and control groups (standard care). Population with type 2 diabetes with clinical neuropathy, defined as a minimum score of seven on the Michigan Diabetic Neuropathy Score (MDNS), was randomly assigned to experimental and control groups by computer generated random number tables. RANOVA was used for data analysis (p < 0.05 was significant). Results A total of 87 patients with DPN were evaluated in the study. After randomization there were 47 patients in the control group and 40 patients in the experimental group. A comparison of two groups using RANOVA for anthropometric measures showed an insignificant change at eight weeks. For distal peroneal nerve's conduction velocity there was a significant difference in two groups at eight weeks (p < 0.05), Degrees of freedom (Df) = 1, 62, F = 5.14, and p = 0.03. Sural sensory nerve at eight weeks showed a significant difference in two groups for conduction velocity, Df = 1, 60, F = 10.16, and p = 0.00. Significant differences in mean scores of MDNS were also observed in the two groups at eight weeks (p value significant < 0.05). Conclusion Moderate intensity aerobic exercises can play a valuable role to disrupt the normal progression of DPN in type 2 diabetes.

AB - Objective To evaluate the effect of moderate intensity aerobic exercise (40%-60% of Heart Rate Reserve (HRR)) on diabetic peripheral neuropathy. Methods A parallel-group, randomized controlled trial was carried out in a tertiary health care setting, India. The study comprised of experimental (moderate intensity aerobic exercise and standard care) and control groups (standard care). Population with type 2 diabetes with clinical neuropathy, defined as a minimum score of seven on the Michigan Diabetic Neuropathy Score (MDNS), was randomly assigned to experimental and control groups by computer generated random number tables. RANOVA was used for data analysis (p < 0.05 was significant). Results A total of 87 patients with DPN were evaluated in the study. After randomization there were 47 patients in the control group and 40 patients in the experimental group. A comparison of two groups using RANOVA for anthropometric measures showed an insignificant change at eight weeks. For distal peroneal nerve's conduction velocity there was a significant difference in two groups at eight weeks (p < 0.05), Degrees of freedom (Df) = 1, 62, F = 5.14, and p = 0.03. Sural sensory nerve at eight weeks showed a significant difference in two groups for conduction velocity, Df = 1, 60, F = 10.16, and p = 0.00. Significant differences in mean scores of MDNS were also observed in the two groups at eight weeks (p value significant < 0.05). Conclusion Moderate intensity aerobic exercises can play a valuable role to disrupt the normal progression of DPN in type 2 diabetes.

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