The The Impact of Exercise on Quality of Life, Physical Health, and Mental Health in Type 2 Diabetes Mellitus Patients: Meta-Analysis
DOI:
https://doi.org/10.26911/jepublichealth.2024.09.01.02.Abstract
Background: Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder that is common on a global scale. Effective management in addition to medication involves implementing lifestyle modifications, including regular exercise. This study aimed to analyze and estimate the impact of exercise on improving quality of life, physical health, and mental health in type 2 diabetes mellitus patients.
Subjects and Method: This was a meta-analysis study using the PICO model which includes; P= type 2 diabetes mellitus patients; I= exercise; C= no exercise; and O= quality of life, physical health, and mental health. The articles obtained were from 2 databases, namely PubMed and ScienceDirect. Keywords used include “exercise” OR “physical activity” AND “quality of life” OR “physical health” OR “mental health” AND “type 2 diabetes mellitus” AND “randomized control trial”. The inclusion criteria of articles were a randomized control trial study design, publication year from 2018 to 2023, full-text, English language, and reported mean and standard deviation values. Data was analyzed using the PRISMA diagram and the Review Manager 5.3 application.
Results: This meta-analysis consisted of 13 articles originating from Canada, Denmark, Egypt, Ghana, Iran, Saudi Arabia, Spain, Taiwan, Turkey, and USA. The total sample size was 755 type 2 diabetes mellitus patients. Exercises improved the quality of life (SMD= 0.66; CI 95%= 0.20 to 1.11; p= 0.005); physical health (SMD= 0.91; CI 95%= 0.53 to 1.29; p= 0.001) and mental health (SMD= 0.82; CI 95%= 0.25 to 1.39; p= 0.005) in type 2 diabetes mellitus patients.
Conclusion: Exercise carried out regularly and measurably improves the quality of life, physical health, and mental health in type 2 diabetes mellitus patients.
Keywords: Exercise, quality of life, physical health, mental health, type 2 diabetes mellitus.
References
Abdelbasset WK, Elsayed SH, Nambi G, Tantawy SA, Kamel DM, Eid MM, Moawd SA (2021). Potential Efficacy of Sensorimotor Exercise Program on Pain, Proprioception, Mobility, and Quality of Life in Diabetic Patients with Foot Burns: A 12-Week Randomized Control Study. Int J Burns Trauma. 47(3): 587–593. doi: 10.1016/j.burns.2020.08.002.
Ahmad AM, Mahmoud AM, Serry ZH, Mahmoud MM, Elghaffar HAA (2023). Effects of Low-versus High-Volume High-Intensity Interval Training on Glycemic Control and Quality of Life in Obese Women with Type 2 Diabetes: A Randomized Controlled Trial. J Exerc Sci Fit. doi:10.1016/j.jesf.2023.08.003.
Akinci B, Yeldan I, Satman I, Dirican A, Ozdincler AZ (2018). The Effects of Internet-Based Exercise Compared with Supervised Group Exercise in People with Type 2 Diabetes: a Randomized Controlled Study. Clin. Rehabil. 32(6): 799–810. doi: 10.1177/026921-5518757052.
Amin M, Kerr D, Atiase Y, Samir MM, Driscoll A (2023). Improving Metabolic Syndrome in Ghanaian Adults with Type 2 Diabetes through a Home-Based Physical Activity Program: A Feasibility Randomised Controlled Trial. Int J Environ Res Public Health. 20(8): 1–12. doi: 10.3390/ijerph20085518.
Arija V, Villalobos F, Pedret R, Vinuesa A, Jovani D, Pascual G, Basora J, (2018). Physical Activity, Cardiovascular Health, Quality of Life and Blood Pressure Control in Hypertensive Sub-jects: Randomized Clinical Trial. Health and Qual. Life Outcomes. 16(1): 1-11. doi: 10.1186/s12955018-1008-6.
Buresh R, Berg K (2018). Exercise for The Management of Type 2 Diabetes Mellitus: Factors to Consider with Current Guidelines. J Sports Med Phys Fitness. 58(4):510–524. doi: 10.23736/S00224707.17.069699.
Cai H, Li G, Zhang P, Xu D, Chen L, (2017). Effect of Exercise on The Quality of Life in Type 2 Diabetes Mellitus: A Systematic Review. Qual Life Res. 26(3): 515–530. doi: 10.1007/s1113-6016-1481-5.
Chi C, Wenbo T (2019). The Effect of Physical Activity on The Quality of Life in Patients with Type-2 Diabetes. Nursing Department, Medicine and Health College Hu Li Za Zhi. doi: 10.6224/JN.201904_66(2).08.
Chien YH, Tsai JC, Wang DC, Chuang PH, Lin HT (2022). Effects of 12-Week Progressive Sandbag Exercise Training on Glycemic Control and Muscle Strength in Patients with Type 2 Diabetes Mellitus Combined with Possible Sarcopenia. Int J Environ Res Public Health. 19(22):1-12. doi: 10.3390/ijerph192215009.
Davies MJ, Aroda VR, Collins BS, Gabbay RA, Green J, Maruthur NM, Rosas SE (2022). Management of Hyperglycemia in Type 2 Diabetes, 2022. ADA Diabetes Care. 45(11): 2753–2786. doi: 10.2337/dci220034.
Esmail A, Vriceanu T, Lussier M, Predovan D, Berryman N, Houle J, Karelis A (2020). Effects of Dance/Movement Training vs. Aerobic Exercise Training on cognition, physical fitness and quality of life in older adults: A randomized controlled trial. J Bodyw Mov. 24(1): 212-220. doi: 10.1016/j.jbmt.2019.05.004.
Garcia UG, Vicenta AB, Jebari S, Sebal AL, Siddiqi H, Uribe KB, Ostolaza H, et al. (2020). Pathophysiology of Type 2 Diabetes Mellitus. Int J Mol Sci. 21(17):1–34. doi: 10.3390/ijms21-176-275.
Gilani SRM, Feizabad AK (2019). The Effects of Aerobic Exercise Training on Mental Health and Self-Esteem of Type 2 Diabetes Mellitus Patients. Health Psychol Res. 7(1): 10-14. doi: 10.4081/hpr.2019.6576.
Hamasaki H (2016). Daily Physical Activity and Type 2 Diabetes: A Review. World J Diabetes. 7(12): 243. doi: 10.4239/wjd.v7.i12.243.
Jamshidpour B, Bahrpeyma F, Khatami MR (2020). The Effect of Aerobic and Resistance Exercise Training on The HealthRelated Quality of Life, Physical Function, and Muscle Strength among Hemodialysis Patients with Type 2 Diabetes. J Bodyw Mov. 24(2): 98–103. doi: 10.1016/j.jbmt.2019.10.003.
Kirwan JP, Sacks J, Nieuwoudt S (2017). The Essential Role of Exercise in The Management of Type 2 Diabetes. Cleve Clin J Med. 84(7): 15-21. doi: 10.3949/ccjm.84.s1.03.
Martino G, Caputo A, Bellone F, Quattropani MC, Vicario CM (2020). Going Beyond The Visible In Type 2 Diabetes Mellitus: Defense Mechanisms And Their Associations With Depression And Health-Related Quality Of Life. Front Psycol. 11(2). doi: 10.3389/fpsyg.2020.00267.
Molsted S, Jensen TM, Larsen JS, Olesen LB, Eriksen SBM, Rehling T, Rasmussen SS (2022). Changes of Physical Function and Quality of Life in Patients with Type 2 Diabetes after Exercise Training in a Municipality or a Hospital Setting. J Diabetes Res. doi: 10.1155/2022/5751891.
Muñoz FJD, Villafania S, Gorgillo MAG, Mocholi MAA, Mateo DC, Adsuar J, Gusi N (2020). Effects of 8-Week Whole-Body Vibration Training on The Hba1c, Quality of Life, Physical Fitness, Body Composition and Foot Health Status in People with T2DM: A Double-Blinded Randomized Controlled Trial. Int J Environ Res Public Health. 17(4): 1–13. doi: 10.3390/ijerph17041317.
Regeer H, Nieuwenhuijse EA, Vos RC, Jong CK, Empelen PV, Koning EJP, Bilo HJG (2021). Psychological Factors Associated with Changes in Physical Activity in Dutch People with Type 2 Diabetes Under Societal Lockdown: A Cross-Sectional Study. Endocrinol Diabetes Metab. 4(3): 1–9. doi: 10.1002/edm2.249.
Rias YA, Kurniawan AL, Chang CW, Gordon CJ, Tsai HT (2020). Synergistic Effects Of Regular Walking And Alkaline Electrolyzed Water On Decreasing Inflammation And Oxidative Stress, And Increasing Quality Of Life In Individuals With Type 2 Diabetes: A Community Based Randomized Controlled Trial. Antioxidants. 9(10):1–17. doi: 10.3390/antiox9100946.
Sapra A, Bhandari P (2023). Diabetes. Orlando: StatPearls.
Schmid AA, Atler KE, Malcolm MP, Grimm LA, Klinedinst TC, Marchant DR, Portz JD (2018). Yoga Improves Quality of Life and Fall Risk-Factors in A Sample of People with Chronic Pain and Type 2 Diabetes. Complement Ther Clin Pract. 31: 369–373. doi: 10.1016/j.ctcp.2018.01.003.
Tapehsari BS, Alizadeh M, Khamseh ME, Seifouri S, Nojomi M, (2020). Physical Activity and Quality of Life in People with Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Int. J. Prev Med. 11(9): 1–6. doi: 10.4103/ijpvm.IJPVM.
Tatikola SP, Natrajan V, Desai VK, Asirvatham AR, Rajsekhar H (2022). Effect of Various Exercise Protocols on Neuropathic Pain in Individuals with Type 2 Diabetes with Peripheral Neuropathy: A Systematic Review and Meta-Analysis. Diabetes Metab Syndr. 16(9). doi: 10.1016/j.dsx.2022.102-603.
Yan Y, Wu T, Li C, Liu Q, Li F, (2022). Prevalence, Awareness and Control of Type 2 Diabetes Mellitus and Risk Factors in Chinese Elderly Population. BMC Public Health. 22(1): 1–6. doi: 10.1186/s12889022-13759-9.
Yang D, Yang Y, Han R (2019). Physical Exercise as Therapy for Type 2 Diabetes Mellitus: From Mechanism to Orientation. Ann Nutr Metab. 74(4): 313–321. doi: 101159/000500110.
Youssef MK (2019). Effect of Walking and Aerobic Exercise on Physical Performance and Depression in Cases of Type 2 Diabetes Mellitus. Egypt J Intern Med. 31(2): 142–148. doi: 10.4103/ejim.ejim_116_18.
