Effects of aerobic exercise and whole body vibration on glycaemia control in type 2 diabetic males

Lale Behboudi, Mohammad-Ali Azarbayjani, Hamid Aghaalinejad, Mahyar Salavati, Lale Behboudi, Mohammad-Ali Azarbayjani, Hamid Aghaalinejad, Mahyar Salavati

Abstract

Purpose: Aerobic exercise has been identified as the main treatment for type 2 diabetic patients. Such an exercise, however, is usually repined by some of patients who suffer from lack of stamina. Therefore, whole body vibration has recently been introduced as a passive intervention. The present study aimed at comparing how aerobic exercise and whole body vibration affect glycaemia control in type 2 diabetic males.

Methods: Thirty diabetic males were divided into three groups, namely aerobic exercise (AE), whole body vibration (WBV), and control. Aerobic exercise schedule consisted of three walking sessions a week, each for 30-60 minutes and in 60-70% of maximum stock heartbeat. Vibration exercise was composed of 8-12-min stand-up and semi-squat positioning in frequency of 30 Hz and amplitude of 2 mm. Concentrations of fasting glycosylated hemoglobin, fasting glucose, and insulin were measured in the beginning of the trial, after the fourth week, and after the eighth week.

Results: After 8 weeks of exercise, no significant difference was detected in concentrations of fasting glycosylated hemoglobin and insulin between the groups (P=0.83, P=0.12). There were no significant differences in any of the variables between AE and WBV (P>0.05). But a more significant decrease in fasting glucose was observed in exercise groups (AE and WBV) compared with control group (P=0.02).

Conclusion: The present study showed that AE and WBV identically stimulate metabolic system. Thus, it can be concluded that type 2 diabetic patients lacking stamina for aerobic exercise can opt for vibration exercise as an effective substitute.

Keywords: Aerobic Exercise; Blood Glucose; Glycosylated Hemoglobin; Insulin; Vibration.

References

    1. Carpenter charles CJ, Griggs R, Benjamin IJ. Endocrine & Metabolic Disease. In: Andreoli T, et al., editors. Cecil Essentials of Medicine. 7th Ed. Philadelphia: W.B. Saunders; 2007.
    1. Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients. Diabetes Care. 2006;29:2518–27.
    1. Praet SFE, Van Loon LJC. Optimizing the therapeutic benefits of exercise in type 2 diabetes. J Appl Physiol. 2007;103:1113–20.
    1. Baum K, Votteler T, Schiab J. Efficiency of vibration exercise for glycemic control in type 2 diabetes patients. Int J Med Sci. 2007;4:159–63.
    1. Cardinal M, Rittweger J. Vibration exercise makes your muscles and bones stronger: fact or diction? Review. J Brit Menopause Society. 2006;12:43–9.
    1. Bosco C, Iacovelli M, Tsarpela O, et al. Hormonal responses to whole body vibration in men. Eur J Appl Physiol. 2000;81:449–54.
    1. Cardinale M, Bosco C. The use of vibration as an exercise intervention. Exerc Sport Sci Rev. 2003;31:3–7.
    1. Kern MJ, Wells A, Stephens JM, et al. Insulin responsiveness in skeletal muscle determined by glucose transporter (GLUT4) protein level. Biochem J. 1990;270:397–400.
    1. Kline GM, Porcari JP, Hintermeister R, et al. Estimating of Vo2max from a one-mile track walk, gender, age, and body weight. Med Sci Sports Exerc. 1987;19:253–9.
    1. Siri WE. Body composition from fluid space and density. In: Brozek J, Hanschel A, editors. Techniques for measuring body composition. Washington, DC: Natinal Academy of Sciences; 1961. pp. 223–244.
    1. Tso TK, Huang WN, Huang HY, Chang CK. Elevation of plasma interlukin-18 concentration is associated with insulin resistance levels in patients with systemic lupus erythematosus. Lupus. 2006;15:207–12.
    1. Robergs RA, Roberts SO. 9th chapter. Fundamental Principles of Exercise Physiology: for Fitness, Performance and health. Boston: McGraw-Hill; 2000. pp. 492–3.
    1. Baum K, Votteler T, Schiab J. Efficiency of vibration exercise for glycemic control in type 2 diabetes patients. Int J Med Sci. 2007;4:159–63.
    1. Fauci A, Longo DL, Kasper DL, et al., editors. Endocrine, Metabolism and Nutrition Diseases. Harrison's Principle of Internal Medicine. 17th ed. New York: McGraw-Hill Companies, Inc.; 2008. p. 267.
    1. Bonen N. Benefits of exercise for type 2 diabetetics. Can J Appl Physiol. 1995;20:261–79.
    1. Poierer P, Tramblay A, Broderick T. Impact of moderate aerobic exercise men treated with oral hypoglycemic agents. Is insulin sensitivity enhanced only in nonobese subjects? Med Sci Monit. 2002;8:CR59–65.
    1. Di Loreto C, Ran Chelli A, Lucidi P, et al. Effects of whole body vibration exercise on the endocrine system of healthy men. J Endocrinol Invest. 2004;27:323–7.
    1. Dela F, Handberg A, Mikines KJ, et al. GLUT4 and insulin receptor binding and kinase activity in trained human muscle. J Physiol (lond) 1993;469:615–24.
    1. Dela F, Plog T, Handberg A, et al. Physical training increases muscle GLUT4 protein and mRNA in patients with NIDDM. Diabetes. 1994;43:862–5.
    1. Ebeling P, Bourey R, Koranyi L, et al. Mechanism of enhancedinsulin sensitivity in athletes: increased blood flow, muscle glucose transport (GLUT4) concentration, andglycogen syntasase activity. J Clin Invest. 1993;92:1623–31.
    1. Ivy JI, Zderic TW, Fogt DL. Prevetion and treatment of non-insulin dependent diabetes mellitus. Exerc Sport Sci Rev. 1992;27:1–35.
    1. Fritz T, Wandell P, Aberg H, Engfeldt P. Walking for exercise – dose three times per week influence risk factorin type 2 diabetes? Diabetes Res Clin Pract. 2006;71:21–7.
    1. Vancea DMM, Vancea JN, Fernandes Pires IF, et al. Effect of frequency of physical exercise on glycemic control and body compositionin type2 diabetic patients. Arq Bras Cardiol. 2009;92:22–8.
    1. Tseng CL, Brimacombe M, Xie M, et al. Seasonal patterns in monthly hemoglobin A1c values. Am J Epidemiol. 2005;161:565–74.
    1. Chait A, Bierman EL. Pathogenesis of macrovascular disease in diabetes. In: Kahn CR, Weir G, editors. Joslin,s Diabetes Mellitus. 13th ed. Philadelphia: Lea and Febiger; 1994. pp. 648–64.
    1. Niemcryk SJ, Speers MA, Travis LB, Gary HE. Psychosocial correlates of hemoglobin A1c in young adult with type1 diabetes. J Psychosomatic Res. 1990;34:617–27.

Source: PubMed

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