Physiotherapy

Biography

Biography: Castellano Juan

Abstract

Physical exercise is one of the main lifestyle interventions to promote health, since it decreases overall morbidity and mortality, acting on metabolic and cardiovascular risk factors, but also modifying endothelial function. Moreover, studies have shown that both endurance and resistance exercises have effect on control of type-2 diabetes, and that either form of exercise have similar effects on glycemic control. However, other types of exercise, such as Pilates, that involves resistance and stretching activities, have not been fully studied. To evaluate the effect of Pilates exercise on type 2 diabetes control and related cardiovascular risk factors, compared to aerobic and resistance exercise and a control group. The Ethics Committee of Principality of Asturias, Spain, approved the study. 42 type 2 diabetic patients signed the informed consent and were randomly assigned to one of four training groups: control (C), resistance (R), aerobic or endurance (A) and Pilates (P). Each group followed a 12-week training program designed by the research team and was supervised daily by a qualified trainer. Plasma metabolic markers of diabetic status control (glucose, insulin, glycated haemoglobin, HbA1c and homeostatic model assessment of insulin resistance, HOMA-IR) and circulating markers of endothelial function (homocysteine, Hcy; nitric oxide, NO; vascular cell adhesion molecule 1, VCAM-1; intercellular adhesion molecule 1, ICAM-1; vascular endothelial growth factor, VEGF) were measured. The result is being discussed below. It can be concluded that aerobic exercise decrease abdominal perimeter and percentage of body fat. Aerobic and resistance exercises decrease fasting glucose. Aerobic and resistance exercise prevents homocysteine increase. Exercise with strength involvement (pilates and resistance) decrease NO. Pilates decrease intercellular adhesion molecule ICAM.

Recent Publications

References

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