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Aubert D1, Farnham S1, Grand K1, De Almeida Gonçalves A1, Giordano F1, Bonny M1, Grand K1, Puder J2, Andrey M2, Roulet G2
1CHUV, General Internal Medecine, Lausanne, Switzerland, 2CHUV, Lausanne, Switzerland
Background: The number of people with diabetes, has risen from 108 million in 1980 to 422 million in 2014, of which type II diabetes represents the vast majority. It is largely associated with physical inactivity, increased obesity and dietary changes.
It has become a public health issue with rapidly increasing numbers in the morbidity and mortality of these patients. Cardio vascular training and resistance training are recommended for this population to gain general health benefits and to optimise glycaemic control. The practice of physical activity and self education programs for these patients are currently insufficient and need to be further explored.
Purpose: To present and evaluate the"DIAfit" program, offered for type II diabetic, adult outpatients, at the CHUV, Lausanne, Switzerland.
Methods: 10 patients take part in this multidisciplinary program consisting of 36 sessions (aquatic, resistance and aerobic exercises) over a 3 month period. 3 sessions per week, no more than 2 consecutive days without exercise. 5 workshops are presented to help patients with their self management, by different health professionals (dietician, specialist diabetes nurse, diabetes doctor, and physiotherapist).
Functional tests are carried out at the beginning and at the end of the course (one minute sit to stand (1MSTS), 6 minute walking test (6MWT), 10 metre walking test (10MWT), finger to floor distance (FFD), one leg stance (OLS)).
Blood glucose levels are taken before and after each exercise session. Glycated hemoglobin (A1c) is taken at the beginning and the end of the program.
Results: In total 7 patients completed the program. Their median total of participation was of 28 sessions. We decided to take the median values for all the tests. There were improvements in the 1MSTS (+4 reps), in the 6MWT (+35m), FFD (-2cm), 10MWT (-1,25sec), and the patients A1c (-0,1%). However there was no improvement in the OLS (0 sec).
Patients´ reported an improvement in activies of daily living (ADLs).
Conclusion(s): "DIAfit" shows potential to improve both objective and patient reported outcomes.
Implications: "DIAfit" is a mutlidisciplinary program that can be easily adapted to the existing infrastructres and equipment.This type of program can be set up in various countries with minimum ressources and could be recommended shortly after diagnosis. This could help patients to become more actif in managing their chronic illness.
Keywords: Type II diabetes, Physical activity, Self management
Funding acknowledgements: No funding was needed
It has become a public health issue with rapidly increasing numbers in the morbidity and mortality of these patients. Cardio vascular training and resistance training are recommended for this population to gain general health benefits and to optimise glycaemic control. The practice of physical activity and self education programs for these patients are currently insufficient and need to be further explored.
Purpose: To present and evaluate the"DIAfit" program, offered for type II diabetic, adult outpatients, at the CHUV, Lausanne, Switzerland.
Methods: 10 patients take part in this multidisciplinary program consisting of 36 sessions (aquatic, resistance and aerobic exercises) over a 3 month period. 3 sessions per week, no more than 2 consecutive days without exercise. 5 workshops are presented to help patients with their self management, by different health professionals (dietician, specialist diabetes nurse, diabetes doctor, and physiotherapist).
Functional tests are carried out at the beginning and at the end of the course (one minute sit to stand (1MSTS), 6 minute walking test (6MWT), 10 metre walking test (10MWT), finger to floor distance (FFD), one leg stance (OLS)).
Blood glucose levels are taken before and after each exercise session. Glycated hemoglobin (A1c) is taken at the beginning and the end of the program.
Results: In total 7 patients completed the program. Their median total of participation was of 28 sessions. We decided to take the median values for all the tests. There were improvements in the 1MSTS (+4 reps), in the 6MWT (+35m), FFD (-2cm), 10MWT (-1,25sec), and the patients A1c (-0,1%). However there was no improvement in the OLS (0 sec).
Patients´ reported an improvement in activies of daily living (ADLs).
Conclusion(s): "DIAfit" shows potential to improve both objective and patient reported outcomes.
Implications: "DIAfit" is a mutlidisciplinary program that can be easily adapted to the existing infrastructres and equipment.This type of program can be set up in various countries with minimum ressources and could be recommended shortly after diagnosis. This could help patients to become more actif in managing their chronic illness.
Keywords: Type II diabetes, Physical activity, Self management
Funding acknowledgements: No funding was needed
Topic: Disability & rehabilitation
Ethics approval required: No
Institution: CHUV
Ethics committee: No ethics commitee was needed
Reason not required: Project for the quality of the service
All authors, affiliations and abstracts have been published as submitted.
