Farkli Egzersiz Programlarinin Tip 2 Diyabetik Hastalarda Fonksiyonel Performans ve Yaşam Kalitesine Etkisinin Araştirilmasi
Abstract
Our study was designed to compare the effects of three different exercise programs on functional performance and quality of life in type 2 diabetes mellitus. Forty two patients with type 2 diabetes mellitus participated in the study. Demographic features and body mass index of the patients were recorded. The patients were randomly separated into three groups. custom designed exercises in accordance to physiotherapy assessment were applied to group 1 (aged 51,42±4.60 years; body mass index 35.28±4.21 kg/m² kg/m²), Clinical Pilates exercises were applied to group 2 (aged 53.07 ±5.12 years; body mass index 35.56±4.83 kg/m²) and a standard program with calisthenic exercises was applied to group 3 for 12 weeks, 3 days a week. Body analysis utilizing bioelectrical impedance, hand grip strength, 6 minutes walk test and physiological cost index, timed up and go test, Berg balance scale, SF-36 quality of life questionnaire and Beck depression inventory are performed before and after the 12 weeks exercise program. Intra-group comparison of pre-post treatment values showed that in the first group, there were significant differences after treatment in timed up and go test, 6 minutes walk test, physiological cost index, Berg balance scale, visceral fat mass, total body fat, body mass index, Beck depression inventory, hand grip measurement and SF-36. In the second group, there were significant differences after treatment in visceral fat mass, total body fat, 6 minutes walk test and physiological cost index, timed up and go test, Berg balance scale, Beck depression inventory and hand grip measurement. In the third group, there were significant differences after treatment in body mass index, physiological cost index, timed up and go test, Berg balance scale and Beck depression scale (p<0.05). Inter-group comparison showed that there were significant differences in SF-36 score, Beck depression inventory, timed up and go test, 6 minutes walk test, physiological cost index and Beck depression inventory, compared to other groups in custom-designed exercise group (p<0.05). These results confirm that, custom-designed exercise protocol is more effective than other exercise protocols in terms of quality of life and functional performance.