TY - JOUR
T1 - Changes in Functional Status After Aquatic Exercise in Adults with Type 2 Diabetes and Arthritis
T2 - A Pilot Study
AU - Johnson, Steven T.
AU - Mundt, Clark
AU - Qiu, Weiyu
AU - Boulé, Normand
AU - Jorgensen, Lene
AU - Bell, Gordon
AU - Vallance, Jeff K.
AU - Taylor, Lorian M.
AU - Eshghi, Saeed R.
AU - Johnson, Jeffrey A.
N1 - Publisher Copyright:
© 2018, © 2018 Taylor & Francis Group, LLC.
PY - 2019/1/2
Y1 - 2019/1/2
N2 - Background: Arthritis is highly prevalent among older adults with type 2 diabetes mellitus (T2DM) and presents a barrier to participating in regular land-based physical activity. Aim: To examine the effects of a 12-week community-based aquatic exercise program for overweight older adults (≥55 years of age) with T2DM and lower body arthritis. Methods: For this quasi-experimental study, participants completed an exercise specialist-led program consisting of 60-min, twice/week, of aquatic activities at intensities that increased at 4-week increments from 40% to 65% of heart rate reserve for a total of 12 weeks. Clinical and functional measures were completed at baseline and after 12 weeks. Results: Thirty participants completed baseline measures. Overall, half were female, mean (standard deviation = SD) age 67.7 (7.0) years, A1c = 6.7 (1.3)%, BMI = 35.9 (8.6) kg/m 2 , average daily steps = 4207 (5504). Actual mean heart rate responses during aquatic exercise sessions were at 85%, 90%, and 85% of what was prescribed at weeks 4, 8, and 12, respectively. After 12 weeks, improvements were found for 6-min walking distance (+16.6, SD 43.4 m; p = .05), sit-to-stand repetitions (+1.0, SD 2.0; p = .01), and BMI (−0.2, SD 0.6 kg/m 2 ; p = .04) Conclusion: This pilot study showed that an aquatic program produced functional improvements among overweight older adults with T2DM and arthritis.
AB - Background: Arthritis is highly prevalent among older adults with type 2 diabetes mellitus (T2DM) and presents a barrier to participating in regular land-based physical activity. Aim: To examine the effects of a 12-week community-based aquatic exercise program for overweight older adults (≥55 years of age) with T2DM and lower body arthritis. Methods: For this quasi-experimental study, participants completed an exercise specialist-led program consisting of 60-min, twice/week, of aquatic activities at intensities that increased at 4-week increments from 40% to 65% of heart rate reserve for a total of 12 weeks. Clinical and functional measures were completed at baseline and after 12 weeks. Results: Thirty participants completed baseline measures. Overall, half were female, mean (standard deviation = SD) age 67.7 (7.0) years, A1c = 6.7 (1.3)%, BMI = 35.9 (8.6) kg/m 2 , average daily steps = 4207 (5504). Actual mean heart rate responses during aquatic exercise sessions were at 85%, 90%, and 85% of what was prescribed at weeks 4, 8, and 12, respectively. After 12 weeks, improvements were found for 6-min walking distance (+16.6, SD 43.4 m; p = .05), sit-to-stand repetitions (+1.0, SD 2.0; p = .01), and BMI (−0.2, SD 0.6 kg/m 2 ; p = .04) Conclusion: This pilot study showed that an aquatic program produced functional improvements among overweight older adults with T2DM and arthritis.
KW - aerobic
KW - aquatic
KW - arthritis
KW - exercise
KW - functional
KW - physical activity
UR - http://www.scopus.com/inward/record.url?scp=85049890560&partnerID=8YFLogxK
U2 - 10.1080/01924788.2018.1493890
DO - 10.1080/01924788.2018.1493890
M3 - Journal Article
AN - SCOPUS:85049890560
SN - 0192-4788
VL - 43
SP - 65
EP - 75
JO - Activities, Adaptation and Aging
JF - Activities, Adaptation and Aging
IS - 1
ER -