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Effect of strength exercise with elastic bands and aerobic exercise in the treatment of frailty of the elderly patient with type 2 diabetes mellitus.

Authors
  • García Díaz, Eduardo1
  • Alonso Ramírez, Javier2
  • Herrera Fernández, Nuria3
  • Peinado Gallego, Concha3
  • Pérez Hernández, Domingo de Guzmán3
  • 1 Unidad de Endocrinología, Hospital Dr. José Molina Orosa, Arrecife, Lanzarote, España; Universidad de La Laguna, Tenerife, España. Electronic address: [email protected]
  • 2 Servicio de Geriatría, Hospital Insular de Lanzarote, Arrecife, Lanzarote, España; Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España.
  • 3 Servicio de Geriatría, Hospital Insular de Lanzarote, Arrecife, Lanzarote, España.
Type
Published Article
Journal
Endocrinologia, diabetes y nutricion
Publication Date
Nov 01, 2019
Volume
66
Issue
9
Pages
563–570
Identifiers
DOI: 10.1016/j.endinu.2019.01.010
PMID: 30979609
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

To evaluate in the elderly diabetic patient the probability of improving the frailty after performing strength exercises with an elastic band and aerobic exercise. Prospective study of diabetic patients older than 70 years, with Barthel >80 points and Global Deterioration Scale -Functional Assessment Staging <3 points. Strength exercises with an elastic band 3 days a week and walk 30min a day 5 days a week were recommended. Adherence to the exercises was assessed using the Haynes-Sacket test. Frailty was assessed by the Fried criteria and functional capacity by the Short Physical Performance Battery at baseline and at 6 months. 44 patients completed 6 months of follow-up. There was non-adherence to aerobic exercises in 38.6% of cases and to exercises with elastic bands in 47.7%. The prevalence of frailty decreased from an initial 34.1% to 25% at 6 months (p=0.043) and the percentage of patients with a moderate-severe functional limitation was reduced from 26.2% to 21.4% (p=0.007). Adherence to aerobic exercises (p=0.034) and absence of coronary ischemic heart disease (p=0.043) predisposed to improve frailty. Performing 6-month strength exercises with an elastic band and aerobic exercise reduces the prevalence of frailty in elderly diabetic patients. The probability of improving frailty decreases in case of coronary ischemic heart disease and increases with adherence to aerobic exercises. Copyright © 2019 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

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