Volume 2, Issue 3 (Summer 2016 -- 2016)                   JCCNC 2016, 2(3): 169-176 | Back to browse issues page

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Azimi H, Masroor D, Haghani H, Rafii F. Effect of Aerobic Exercise on Blood Pressure of Patients With Type 2 Diabetes: A Randomized Controlled Trial. JCCNC. 2016; 2 (3) :169-176
URL: http://jccnc.iums.ac.ir/article-1-87-en.html
1- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
3- Nursing Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran , rafiee.f@iums.ac.ir
Abstract:   (1757 Views)

Background: Hypertension is one of the prevalent and dangerous complications of diabetes mellitus. As it is difficult to control hypertension, the necessity of using new techniques such as non-pharmaceutical methods and complementary therapy increased. This study aimed to determine the effect of aerobic exercise on the blood pressure of patients with type 2 diabetes.
Methods: This study was a quasi-experimental randomized trial conducted on 67 volunteered patients with type 2 diabetes. The participants were randomly assigned to aerobic exercise (n=33) and control (n=34) groups. The exercise group walked 30 minutes, 3 days a week for 8 consecutive weeks. Systolic and diastolic blood pressure of the samples were measured before and after the intervention. The data were analyzed by descriptive statistics, the Kolmogorov-Smirnov test, paired t test, Independent t test, and Chi-square test using SPSS (v. 16). P value less than 0.05 was considered significant. 
Results: The difference between the systolic and diastolic blood pressure of the groups before the intervention was not significant (P>0.05). After the intervention, there was no significant difference in terms of systolic and diastolic blood pressure of the exercise group compared with the baseline (P>0.05). No significant difference was determined between groups in terms of systolic and diastolic blood pressure after the intervention (P>0.05).
Conclusion: According to the findings, 8 weeks of aerobic exercise (walking) did not reduce systolic and diastolic blood pressure in patients with type 2 diabetes.

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Type of Study: Research | Subject: Special
Received: 2016/09/3 | Accepted: 2016/08/1 | Published: 2016/12/22

1. Ahmann, A. 2007. 'Guideline and performance measures of diabetes'. American Journal of Managed Care, 13(2), pp. 41-6. PMID: 17417932
2. Alizadeh, Z., Kordi, R., Hossein Zadeh Attar, M. J., & Mansournia, M. A. 2011. '[The effects of continuous and intermittent aerobic exercise on lipid profile and fasting blood sugar in women with a body mass index more than 25 kg/m: A randomized controlled trial (Persian)]'. Tehran University Medical Journal, 69(4), pp. 253-59.
3. American Diabetes Association. 2013. 'Standards of medical care in diabetes'. Diabetes Care, 36(1), pp. 11-66. PMCID: PMC3537269 [PMID]
4. American Diabetes Association. 2003. 'Treatment of hypertension in adults with diabetes'. Clinical Diabetes, 21(3), pp. 122-7. doi: 10.2337/diaclin.21.3.122 [DOI:10.2337/diaclin.21.3.122]
5. Andersson, K., Karlström, B., Fredén, S., Petersson, H., Ohrvall, M., & Zethelius, B. 2008. 'A two-year clinical lifestyle intervention program for weight loss in obesity'. Food & Nutrition Research, 52. doi: 10.3402/fnr.v52i0.1656 [DOI:10.3402/fnr.v52i0.1656]
6. Azizi, F., Hatami, H., & Jonghorbani, M. 2010. '[Epidemiology and control disease in Iran (Persian)]'. Eshtiagh Publication, Tehran.
7. Bello, A. I., Owusu-Boakye, E., Adegoke, B. O., & Adjei, D. N. 2011. 'Effects of aerobic exercise on selected physiological parameters and quality of life in patients with type 2 diabetes mellitus'. International Journal of General Medical, 4(2), pp. 723-727. doi: 10.2147/ijgm.s16717 [DOI:10.2147/IJGM.S16717]
8. Borhani, F., Ranjbar, H., Abbaszadeh, A., Abazari, F., & Ranjbar, A. 2013. '[The effect of telenursing (cellphone software) on A1C hemoglobin in patients with type 2 diabetes mellitus (Persian)]'. Annals of Military & Health Sciences Research, 11(2), pp. 130-7.
9. Boule, N., Kenny, G., Haddad, E., Wells, G., & Sigal, R. 2003. 'Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus'. Diabetologia, 46(8), pp. 1071-81. doi: 10.1007/s00125-003-1160-2 [DOI:10.1007/s00125-003-1160-2]
10. Collier, S. R., Kanaley, J. A., Carhart, R. J., Frechette, V., Tobin, M. M., Hall, A. K., et al. 2008. 'Effect of 4 weeks of aerobic or resistance exercise training on arterial stiffness, blood flow and blood pressure in pre- and stage 1 hypertensives'. Journal Human Hypertension, 22(10), pp. 678-86. doi: 10.1038/jhh.2008.36 [DOI:10.1038/jhh.2008.36]
11. Delavari, A., Mahdavi-zadeh, A., Noroozi-nezhad, A., & Yarahmadi, S. 2005. [Nursing and diabetes (Persian)]. Seda Publication, Tehran. [PMID]
12. Farvid, M., Homayoni, F., Neyestani, D. T., & Amiri, Z. 2010. '[Blood pressure lowering effects of micronutrients in type 2 diabetic patients (Persian)]'. Iranian Journal of Endocrinology Metabolism, 12(1), pp. 7-15.
13. Fagard, R. H. 2005. 'Physical activity, physical fitness and the incidence of hypertension'. Journal Hypertension, 23(2), pp. 265-7. doi: 10.1097/00004872-200502000-00005 [DOI:10.1097/00004872-200502000-00005]
14. Fetherston, C. M., & Wei, L. 2011. 'The benefits of tai chi as a self management strategy to improve health in people with chronic conditions'. Journal of Nursing and Health Care of Chronic Illness, 3, pp. 155-64. doi: 10.1111/j.1752-9824.2011.01089.x [DOI:10.1111/j.1752-9824.2011.01089.x]
15. Gayton, A. 2008. 'Gayton physiology [D. Ramzi (Persian trans.)]'. Mir Publishing, Tehran.
16. Ghorbani, R., Askandarian, M., Malek, M., & Rashidei-Pour, A. 2008. '[Prevalence of hypertension among the adult population of Semnan Province (Persian)]'. Iranian Journal of Endocrinology Metabolism, 10(5), pp. 495-503.
17. Hu, F. B. 2011.'Globalization of diabetes'. Diabetes Care, 34(6), pp. 1249-57. doi: 10.2337/dc11-0442 [DOI:10.2337/dc11-0442]
18. Jorgea, M. L. M. P., Oliveiraa, V. N. D., Resendea, N. M., Paraisoa, L. F., Calixtob, A., Diniza, A. L. D., et al. 2011. 'The effects of aerobic, resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin signaling in patients with type 2 diabetes mellitus'. Metabolism Clinical Experimental, 60(9), pp. 1-9. doi: 10.1016/j.metabol.2011.01.006 [DOI:10.1016/j.metabol.2011.01.006]
19. Karstoft, K., Winding, K., Knudsen, S. H., Nielsen, J. S., Thomsen, C., & Pedersen, B. K. 2012. 'The effects of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetes patients'. Diabetes Care, 36(2), pp. 228-36. doi: 10.2337/dc12-0658 [DOI:10.2337/dc12-0658]
20. Khaliqi, H. 2009. 'Exercise and fitness'. Salamat, 197(20).
21. Lin, X. Y., Wang, L., Zhu, D. B., Xu, Y. H., & Wang, J. F. 2009. 'The effect of different intensity aerobic exercise training on blood pressure control in hypertensive patients'. Zhonghua Nei Ke Za Zhi, 48(12), pp. 1023-5. PMID: 20193521 Di Loreto, C. H., & Fanelli, C., Lucidi, P., Murdolo, G., De Cicco, A., Parlanti, N., et al. 2005. 'Make your diabetic patients walk: Long –term impact of different amounts of physical activity on type 2 diabeties'. Diabetes Care, 28(6), pp. 1295-302. PMID: 15920042 [DOI:10.2337/diacare.28.6.1295]
22. Pena, V., Watson, A. J., Kvedar, J. C., & Grant, R. W. 2009. 'Mobile phone technology for children with type 1 and type 2 diabetes: A parent survey'. Journal of Diabetes Science and Technology, 3(6), pp. 1481-9. doi: 10.1177/193229680900300630 [DOI:10.1177/193229680900300630]
23. Praet, S. & Loon, L. V. 2007. 'Optimizing the therapeutic benefits exercise in type 2 diabetes'. Journal of Applied Physiology, 103(4), pp. 1113-20. doi: 10.1152/japplphysiol.00566.2007 [DOI:10.1152/japplphysiol.00566.2007]
24. Rizos, E., & Mikhailidis, D. P. 2001. 'Glycated Haemoglobin: A Predictor of Vascular Risk?'. International Journal Diabetes & Metabolism, 9, pp. 3-7.
25. Shaw, J. E., Sicree, P. Z. & Zimmet, P. Z. 2010. 'Global estimates of the prevalence of diabetes for 2010 and 2030'. Diabetes Research and Clinical Practice, 87(1), pp. 4-14. doi: 10.1016/j.diabres.2009.10.007 [DOI:10.1016/j.diabres.2009.10.007]
26. Sigal, R., Kenny, G., Boule, N., Wells, G., Prudhomme, D., & Fortier, M., et al. 2007. 'Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: A randomized trial'. Annual International Medical, 147(6), pp. 357-69. PMID: 17876019 [DOI:10.7326/0003-4819-147-6-200709180-00005] [PMID]
27. Macfarlane, D. J., Taylor, L. H., & Cuddihy, T. F. 2006. 'Very short intermittent vs continuous bouts of activity in sedentary adults'. Preventive Medicine, 43(4), pp. 332-6. doi: 10.1016/j.ypmed.2006.06.002 [DOI:10.1016/j.ypmed.2006.06.002]
28. Modeste, N. N., Brathwaite, N., Fraser, H. S. & Toh, S. W. 2007. 'Exercise, blood sugar, blood pressure, and cholesterol levels in a Caribbean population'. International Quarterly of Community Health Education. 27(1), pp. 75-86. doi: 10.2190/iq.27.1.f [DOI:10.2190/IQ.27.1.f]
29. Mokhtari, F., Esfarjami, F., & Kargar Fard, M. 2014. '[The effect of combined aerobic exercise and barley B-glucan on lipid profile and glucose of women with diabetes type two (Persian)]'. Iran Journal OF Endocrinol Metabolic, 13(4), pp. 340-51.
30. Murphy, M., Nevill, A., Neville, C., Biddle, S., & Hardman, A. 2002. 'Accumulating brisk walking for fitness, cardiovascular risk, and psychological health'. Medical Science Sports Exercise, 34(9), pp. 1468-74. doi: 10.1097/00005768-200209000-00011 [DOI:10.1097/00005768-200209000-00011]
31. Nahin, R. L., Byrd-Clark, D., Stussman, B. J., & Kalyanaraman, N. 2012. 'Disease severity is associated with the use of complementary medicine to treat or manage type-2 diabetes: data from the 2002 and 2007 national health interview survey'.BMC Complement Alternative Medicine, 12, pp. 193. doi: 10.1186/1472-6882-12-193 [DOI:10.1186/1472-6882-12-193]
32. Whelton, S. P., Chin, A., Xin, X., & He, J. 2002. 'Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials'. Annual International Medical, 136(7), pp. 493-503. doi: 10.7326/0003-4819-136-7-200204020-00006 [DOI:10.7326/0003-4819-136-7-200204020-00006]
33. Wild, S., Roglic G., Green, A., Sicree, R., & King, H. 2004. 'Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030'. Diabetes Care, 27(5), pp. 1047-53. doi: 10.2337/diacare.27.5.1047 [DOI:10.2337/diacare.27.5.1047]
34. Yeh, G., Wang, C., Wayne, P., & Phillips, R. 2009. 'T'ai chi exercise for patients with cardiovascular conditions and risk factors: A systematic review'. Journal Cardiopulm Rehabitation and Prevention, 29(3), pp. 152–60. doi: 10.1097/hcr.0b013e3181a33379 [DOI:10.1097/HCR.0b013e3181a33379]
35. Yosefipoor, P., Taedibi, V., Behpoor, N., Parno, A., Delbari M. E., & Rashidi, S. 2015. '[Effects of aerobic exercise on glucose control and cardiovascular risk factor in type 2 diabetes patients (Persian)]'. Medical Journal of Mashhad University of Medical Sciences, 57(9), pp. 976-84. doi: 10.22038/mjms.2015.3882

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