COMPARISON OF CARDIORESPIRATORY ENDURANCE AMONG DIABETIC AND NON DIABETIC MALE PATIENTS

Main Article Content

Dr Pinky
Dr Shamshad Zahra
Humaira Ansari
Dr Shumail Gul
Dr Zareen Naz
Dr Amna Afzaal

Keywords

Cardiorespiratory fitness (CRF), Type 2 diabetes, Cardiorespiratory endurance (CRE), Physical activity

Abstract

Background: Type 2 diabetes, caused by insulin insufficiency, results in cardiovascular disease, loss of cardiorespiratory fitness, and exercise tolerance. Physical activity emerges as a beneficial intervention, improving glycemic control, decreasing insulin resistance, optimizing lipid profiles, reducing blood pressure, and sustaining weight loss.


Objective: The current study is aimed to determine the comparison of cardiorespiratory endurance among diabetic and non-diabetic male patients.


Method In this study, conducted at a tertiary care hospital in Sindh, male participants, both with and without type 2 diabetes were enrolled. Cardiorespiratory endurance was assessed using the Three-Minute Step Test, which measures how rapidly the exercise-induced heart rate returns to baseline.


Results: In the diabetic patient group, the analysis revealed a statistically significant association between age and cardiorespiratory endurance (p-value=0.001**). In the non-diabetic patient group, no significant correlation was found between age and cardiorespiratory endurance (p-value=0.162**).


Conclusion: The study reveals that a significant number of male diabetic patients have below-average cardiorespiratory fitness, highlighting the need for increased awareness and early referral to cardiac rehabilitation programs.

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References

1. Kour H, Kothiwale V, Goudar SS. Effects of the six months of programmed exercise therapy on cardio-respiratory endurance and neurophysiological variables in asymptomatic young adults diagnosed newly with type 2 diabetes mellitus–a randomized controlled trial. Indian J Physiol Pharmacol. 2019;63(4):283-93.
2. Martínez-Sánchez FD, Vargas-Abonce VP, Rocha-Haro A, Flores-Cardenas R, Fernández-Barrio M, Guerrero-Castillo AP, et al. Visceral Adiposity Index is associated with Insulin Resistance, impaired Insulin Secretion, and β-cell dysfunction in subjects at risk for Type 2 Diabetes. Diabetes Epidemiology and Management. 2021;2:100013.
3. Burton DG, Faragher RG. Obesity and type-2 diabetes as inducers of premature cellular senescence and ageing. Biogerontology. 2018;19(6):447-59.
4. Lechner K, McKenzie AL, Kränkel N, Von Schacky C, Worm N, Nixdorff U, et al. High-risk atherosclerosis and metabolic phenotype: the roles of ectopic adiposity, atherogenic dyslipidemia, and inflammation. Metabolic syndrome and related disorders. 2020;18(4):176-85.
5. Dündar İ, Akıncı A. Prevalence of type 2 diabetes mellitus, metabolic syndrome, and related morbidities in overweight and obese children. Journal of Pediatric Endocrinology and Metabolism. 2022;35(4):435-41.
6. Memelink RG, Hummel M, Hijlkema A, Streppel MT, Bautmans I, Weijs PJ, et al. Additional effects of exercise to hypocaloric diet on body weight, body composition, glycaemic control, and cardio‐respiratory fitness in adults with overweight or obesity and type 2 diabetes: a systematic review and meta‐analysis. Diabetic Medicine. 2023:e15096.
7. Green S, Egaña M, Baldi JC, Lamberts R, Regensteiner JG. Cardiovascular control during exercise in type 2 diabetes mellitus. Journal of diabetes research. 2015;2015.
8. Kawakami R, Sawada SS, Lee I-M, Gando Y, Momma H, Terada S, et al. Long-term impact of cardiorespiratory fitness on type 2 diabetes incidence: a cohort study of Japanese men. Journal of epidemiology. 2018;28(5):266-73.
9. Chung WK, Erion K, Florez JC, Hattersley AT, Hivert M-F, Lee CG, et al. Precision medicine in diabetes: a consensus report from the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes care. 2020;43(7):1617-35.
10. Loprinzi PD, editor Estimated cardiorespiratory fitness assessment as a patient vital sign. Mayo Clinic Proceedings; 2018: Elsevier.
11. Golberg E, Sommerfeldt M, Pinkoski A, Dennett L, Beaupre L. Anterior Cruciate Ligament Reconstruction Return-to-Sport Decision-Making: A Scoping Review. Sports Health. 2023:19417381221147524.
12. Matthews EL, Horvat FM, Phillips DA. Variable Height Step Test Provides Reliable Heart Rate Values During Virtual Cardiorespiratory Fitness Testing. Measurement in Physical Education and Exercise Science. 2022;26(2):155-64.
13. Galicia-Garcia U, Benito-Vicente A, Jebari S, Larrea-Sebal A, Siddiqi H, Uribe KB, et al. Pathophysiology of type 2 diabetes mellitus. International journal of molecular sciences. 2020;21(17):6275.
14. Patwardhan V, Khadilkar A, Chiplonkar S, Khadilkar V. Dyslipidemia and Fat Distribution in Normal Weight Insulin Resistant Men. The Journal of the Association of Physicians of India. 2019;67(7):26-9.
15. Myers J, e Silva CGdS, Doom R, Fonda H, Chan K, Kamil-Rosenberg S, et al. Cardiorespiratory fitness and health care costs in diabetes: the Veterans Exercise Testing Study. The American journal of medicine. 2019;132(9):1084-90.
16. Myers J, Kokkinos P, Arena R, LaMonte MJ. The impact of moving more, physical activity, and cardiorespiratory fitness: Why we should strive to measure and improve fitness. Progress in cardiovascular diseases. 2021;64:77-82.
17. Poon ET-C, Wongpipit W, Ho RS-T, Wong SH-S. Interval training versus moderate-intensity continuous training for cardiorespiratory fitness improvements in middle-aged and older adults: a systematic review and meta-analysis. Journal of Sports Sciences. 2021;39(17):1996-2005.
18. O'Donoghue G, Blake C, Cunningham C, Lennon O, Perrotta C. What exercise prescription is optimal to improve body composition and cardiorespiratory fitness in adults living with obesity? A network meta‐analysis. Obesity Reviews. 2021;22(2):e13137.
19. Husøy A, Dalene KE, Steene-Johannessen J, Anderssen SA, Ekelund U, Tarp J. Effect modification by cardiorespiratory fitness on the association between physical activity and cardiometabolic health in youth: a systematic review. Journal of Sports Sciences. 2021;39(8):845-53.
20. Qiu S, Cai X, Yang B, Du Z, Cai M, Sun Z, et al. Association between cardiorespiratory fitness and risk of type 2 diabetes: A meta‐analysis. Obesity. 2019;27(2):315-24.
21. Someya Y, Kawai S, Kohmura Y, Aoki K, Daida H. Cardiorespiratory fitness and the incidence of type 2 diabetes: a cohort study of Japanese male athletes. BMC public health. 2014;14(1):1-6.
22. Lee MC. Validity of the 6-minute walk test and step test for evaluation of cardio respiratory fitness in patients with type 2 diabetes mellitus. Journal of exercise nutrition & biochemistry. 2018;22(1):49.
23. Burtscher J, Strasser B, Burtscher M, Millet GP. The impact of training on the loss of cardiorespiratory fitness in aging masters endurance athletes. International Journal of Environmental Research and Public Health. 2022;19(17):11050.
24. Myers J, Kokkinos P, Nyelin E. Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients. 2019;11(7):1652.
25. Crump C, Sundquist J, Winkleby MA, Sieh W, Sundquist K. Physical fitness among Swedish military conscripts and long-term risk for type 2 diabetes mellitus: a cohort study. Annals of internal medicine. 2016;164(9):577-84.
26. Drenowatz C, Prasad VK, Hand GA, Shook RP, Blair SN. Effects of moderate and vigorous physical activity on fitness and body composition. Journal of Behavioral Medicine. 2016;39:624-32.