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Hong Cai and Guichen Li have contributed equally to this work.
Diabetic patients tend to have a poor quality of life. A sedentary lifestyle is considered to be a modifiable risk factor for type 2 diabetes and an independent predictor of poor quality of life. Exercise is a key treatment for people living with diabetes. The purpose of this study was to conduct a systematic review to assess the effect of exercise on the quality of life of people with type 2 diabetes.
We conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Web of Science, Embase, Cochrane Library, CINAHL and three Chinese databases were searched for studies published until January 2016. The review included all clinical trials that evaluated the effect of exercise on quality of life compared with that of usual care for people with type 2 diabetes. Two reviewers independently assessed the quality of all the included studies, by using the Downs and Black Quality Index (QI).
Thirty studies met inclusion criteria, with 2785 participants. We divided the exercise into four modes: aerobic, resistance, a combination of aerobic and resistance and yoga. Aerobic exercise showed a significant effect between groups. Resistance and combined exercise showed mixed results. Yoga also showed good intervention effects on quality of life.
The effect of aerobic exercise on the quality of life in people with type 2 diabetes was safe and effective. Then, most of the studies on aerobic exercise were of good methodological quality. The effects of resistance exercise and combined exercise on the quality of life in people with type 2 diabetes were mixed, and the effect of yoga on quality of life still need more research.
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Shaw, J. E., Sicree, R. A., & Zimmet, P. Z. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice, 87(1), 4–14. doi: 10.1016/j.diabres.2009.10.007.
Al-Aboudi, I. S., Hassali, M. A., Shafie, A. A., Hassan, A., & Alrasheedy, A. A. (2015). A cross-sectional assessment of health-related quality of life among type 2 diabetes patients in Riyadh, Saudi Arabia. SAGE Open Medicine,3, 2050312115610129. doi: 10.1177/2050312115610129. CrossRefPubMedPubMedCentral
Healy, G. N., Wijndaele, K., Dunstan, D. W., Shaw, J. E., Salmon, J., Zimmet, P. Z., et al. (2008). Objectively measured sedentary time, physical activity, and metabolic risk: The Australian diabetes, obesity and lifestyle study (AusDiab). Diabetes Care,31(2), 369–371. doi: 10.2337/dc07-1795. CrossRefPubMed
Wilmot, E. G., Edwardson, C. L., Achana, F. A., Davies, M. J., Gorely, T., Gray, L. J., et al. (2012). Sedentary time in adults and the association with diabetes, cardiovascular disease and death: Systematic review and meta-analysis. Diabetologia,55(11), 2895–2905. doi: 10.1007/s00125-012-2677-z. CrossRefPubMed
Grp, U. P. D. S. (1999). Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38 (vol 317, pg 703, 1998). Bmj-British Medical Journal,318(7175), 29.
Landman, G. W., van Hateren, K. J., Kleefstra, N., Groenier, K. H., Gans, R. O., & Bilo, H. J. (2010). Health-related quality of life and mortality in a general and elderly population of patients with type 2 diabetes (ZODIAC-18). Diabetes Care,33(11), 2378–2382. doi: 10.2337/dc10-0979. CrossRefPubMedPubMedCentral
Umpierre, D., Ribeiro, P. A., Kramer, C. K., Leitao, C. B., Zucatti, A. T., Azevedo, M. J., et al. (2011). Physical activity advice only or structured exercise training and association with HbA 1c levels in type 2 diabetes: A systematic review and meta-analysis. JAMA,305(17), 1790–1799. doi: 10.1001/jama.2011.576. CrossRefPubMed
Duvivier, B. M. F. M., Schaper, N. C., Bremers, M. A., van Crombrugge, G., & Menheere, P. P. C. A. (2014). Minimal intensity physical activity (standing and walking) of longer duration improves insulin action and plasma lipids more than shorter periods of moderate to vigorous exercise (cycling) in sedentary subjects when energy expenditure is comparable (vol 8, e55542, 2013). PLoS One. doi: 10.1371/journal.pone.0105135. PubMedPubMedCentral
Youngstedt, S. D., O’Connor, P. J., & Dishman, R. K. (1997). The effects of acute exercise on sleep: A quantitative synthesis. Sleep,20(3), 203–214. PubMed
Breneman, C. B., Porter, R. R., Iftikhar, I., Smith, S., & Wang, X. W. (2014). The relationship between aerobic fitness and physical activity with sleep characteristics in sedentary older women. Medicine and Science in Sports and Exercise,46(5), 654–655.
van der Heijden, M. M. P., van Dooren, F. E. P., Pop, V. J. M., & Pouwer, F. (2013). Effects of exercise training on quality of life, symptoms of depression, symptoms of anxiety and emotional well-being in type 2 diabetes mellitus: A systematic review. Diabetologia,56(6), 1210–1225. doi: 10.1007/s00125-013-2871-7. CrossRefPubMed
Higgins, T., & Julian, P. (2008). Cochrane handbook for systematic reviews of interventions. Wiley.
Ahn, S., & Song, R. (2012). Effects of Tai Chi Exercise on glucose control, neuropathy scores, balance, and quality of life in patients with type 2 diabetes and neuropathy. Journal of Alternative and Complementary Medicine,18(12), 1172–1178. doi: 10.1089/acm.2011.0690. CrossRefPubMedPubMedCentral
Baillot, A., Vibarel-Rebot, N., Amiot, V., Emy, P., & Collomp, K. (2012). Effects of an 8-week aerobic exercise training on saliva steroid hormones, physical capacity, and quality of life in diabetic obese men. Hormone and Metabolic Research,44(2), 146–151. doi: 10.1055/s-0031-1297262. CrossRefPubMed
Cheung, N. W., Cinnadaio, N., Russo, M., & Marek, S. (2009). A pilot randomised controlled trial of resistance exercise bands in the management of sedentary subjects with type 2 diabetes. Diabetes Research and Clinical Practice,83(3), e68–e71. doi: 10.1016/j.diabres.2008.12.009. CrossRefPubMed
Cugusi, L., Cadeddu, C., Nocco, S., Orru, F., Bandino, S., Deidda, M., et al. (2015). Effects of an aquatic-based exercise program to improve cardiometabolic profile, quality of life, and physical activity levels in men with type 2 diabetes mellitus. Pm&R,7(2), 141–148. doi: 10.1016/j.pmrj.2014.09.004. CrossRef
Ferrer-Garcia, J. C., Sanchez Lopez, P., Pablos-Abella, C., Albalat-Galera, R., Elvira-Macagno, L., Sanchez-Juan, C., et al. (2011). Benefits of a home-based physical exercise program in elderly subjects with type 2 diabetes mellitus. Endocrinología y Nutrición,58(8), 387–394. doi: 10.1016/j.endonu.2011.05.010. CrossRefPubMed
Fritz, T., Caidahl, K., Osler, M., Ostenson, C. G., Zierath, J. R., & Wandell, P. (2011). Effects of Nordic walking on health-related quality of life in overweight individuals with type 2 diabetes mellitus, impaired or normal glucose tolerance. Diabetic Medicine,28(11), 1362–1372. doi: 10.1111/j.1464-5491.2011.03348.x. CrossRefPubMedPubMedCentral
Krousel-Wood, M. A., Berger, L., Jiang, X., Blonde, L., Myets, L., & Webber, L. (2008). Does home-based exercise improve body mass index in patients with type 2 diabetes? Results of a feasibility trial. Diabetes Research and Clinical Practice,79(2), 230–236. doi: 10.1016/j.diabres.2007.08.028. CrossRefPubMed
Lincoln, A. K., Shepherd, A., Johnson, P. L., & Castaneda-Sceppa, C. (2011). The impact of resistance exercise training on the mental health of older Puerto Rican adults with type 2 diabetes. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences,66(5), 567–570. doi: 10.1093/geronb/gbr034. CrossRef
Liu, X., Miller, Y. D., Burton, N. W., Chang, J. H., & Brown, W. J. (2013). The effect of Tai Chi on health-related quality of life in people with elevated blood glucose or diabetes: a randomized controlled trial. Quality of Life Research,22(7), 1783–1786. doi: 10.1007/s11136-012-0311-7. CrossRefPubMed
Nicolucci, A., Balducci, S., Cardelli, P., Cavallo, S., Fallucca, S., Bazuro, A., et al. (2012). Relationship of exercise volume to improvements of quality of life with supervised exercise training in patients with type 2 diabetes in a randomised controlled trial: The Italian diabetes and exercise study (IDES). Diabetologia,55(3), 579–588. doi: 10.1007/s00125-011-2425-9. CrossRefPubMed
Plotnikoff, R. C., Eves, N., Jung, M., Sigal, R. J., Padwal, R., & Karunamuni, N. (2010). Multicomponent, home-based resistance training for obese adults with type 2 diabetes: A randomized controlled trial. International Journal of Obesity (London),34(12), 1733–1741. doi: 10.1038/ijo.2010.109. CrossRef
Reid, R. D., Tulloch, H. E., Sigal, R. J., Kenny, G. P., Fortier, M., McDonnell, L., et al. (2010). Effects of aerobic exercise, resistance exercise or both, on patient-reported health status and well-being in type 2 diabetes mellitus: A randomised trial. Diabetologia,53(4), 632–640. doi: 10.1007/s00125-009-1631-1. CrossRefPubMed
Sazlina, S. G., Browning, C. J., & Yasin, S. (2015). Effectiveness of personalized feedback alone or combined with peer support to improve physical activity in sedentary older malays with type 2 diabetes: A randomized controlled trial. Front Public Health,3, 178. doi: 10.3389/fpubh.2015.00178. CrossRefPubMedPubMedCentral
Viveka, P. J., Joshi, A., Ambekar, S., Kumar, N., Dhawan, A., & Sreenivas, V. (2012). Comprehensive yogic breathing improves quality of life in diabetes. Indian Journal of Endocrinology and Metabolism,16(3), 5.
Kirk, A. F., Higgins, L. A., Hughes, A. R., Fisher, B. M., Mutrie, N., Hillis, S., et al. (2001). A randomized, controlled trial to study the effect of exercise consultation on the promotion of physical activity in people with type 2 diabetes: A pilot study. Diabetic Medicine,18(11), 877–882. CrossRefPubMed
Balducci, S., Zanuso, S., Massarini, M., Corigliano, G., Nicolucci, A., Missori, S., et al. (2008). The Italian diabetes and exercise study (ides): Design and methods for a prospective italian multicentre trial of intensive lifestyle intervention in people with type 2 diabetes and the metabolic syndrome. Nutrition, Metabolism and Cardiovascular Diseases,18(9), 585–595. doi: 10.1016/j.numecd.2007.07.006. CrossRefPubMed
Korkiakangas, E., Taanila, A. M., & Keinanen-Kiukaanniemi, S. (2011). Motivation to physical activity among adults with high risk of type 2 diabetes who participated in the Oulu substudy of the finnish diabetes prevention study. Health and Social Care in the Community,19(1), 15–22. doi: 10.1111/j.1365-2524.2010.00942.x. CrossRefPubMed
From the Centers for Disease Control and Prevention. (1993). Public health focus: Physical activity and the prevention of coronary heart disease. JAMA,270(13), 1529–1530. CrossRef
- Effect of exercise on the quality of life in type 2 diabetes mellitus: a systematic review
- Springer International Publishing