The Effectiveness of Aerobic Exercise in Improving Peripheral Nerve Functions in Type 2 Diabetes Mellitus: An Evidence Based Case Report

Authors

  • Listya Tresnanti Mirtha Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Viandini Permatahati Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Keywords:

diabetes mellitus, neuropathy, aerobic exercise, HbA1c, evidence-based case report

Abstract

Background: peripheral neuropathy is known as one of most common complication in diabetes mellitus type 2 patient. This complication is caused by uncontrolled condition of blood glucose level in long periode. Regular physical activity in moderate to high intensity is beneficial in management of diabetes mellitus. This report aimed to know the effectiveness of aerobic exercise in causing improved peripheral functions in type 2 diabetes mellitus. Methods: literature searching using several related keywords in Medline®, Pubmed®, and Cochrane library, following inclusion and exclusion criteria. Results: Dixit et al suggested that a heart rate intensity of 40-60% aerobic exercise of 30–45 min duration per session for eight weeks suggest an important impact in controlling diabetic peripheral neuropathy. Kluding PM et al suggested that significantly improved selected measures of peripheral nerve function (“worst” pain levels and MNSI score), glycemic control (HbA1c), and resting heart rate. Conclusion: the studies showed significant benefit of aerobic exercise, despite the short duration of exercise being used as intervention towards improvement in peripheral nerve function. However, further studies with large samples and longer duration of intervention are needed to confirm the finding.

References

Powers AC. Diabetes Melitus. In: Kasper DL, Hauser SL, Longo DL, Fauci AS, Jameson JL, Braunwald E. Harrison’s Principles of Internal Medicine. 16th ed. USA: McGraw-Hill; 2005. p. 830–5.

Lavery LA, Wunderlich RP, Tredwell JL. Disease management for the diabetic foot: effectiveness of a diabetic foot prevention program to reduce amputations and hospitalizations. Diabetes Res Clin Pract. 2005; 70:31–7.

Sims DS, Jr., Cavanagh PR, Ulbrecht JS. Risk factors in the diabetic foot. Recognition and management. Phys Ther. 1988; 68(12):1887–902.

Sinnreich, M., Taylor, B., & Dyck, P. J. (2005). Diabetic neuropathies: classification, clinical features, and pathophysiological basis. The Neurologist, 11, 63–79.

Perkumpulan Endokrinologi Indonesia. Konsensus pengelolaan dan pencegahan diabetes mellitus tipe 2 di Indonesia – 2015. Jakarta;PERKENI:2015

American Diabetes Association. Standards of medical care in diabetes—2015. Diabetes Care. 2015;38(1):1-93.

Church, T.S., LaMonte, M.J., Barlow, C.E., and Blair, S.N. Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes. Arch Intern Med. 2005; 165: 2114–2210.

Moy, C.S., Songer, T.J., LaPorte, R.E. et al. Insulin-dependent diabetes mellitus, physical activity, and death. Am J Epidemiol. 1993; 137: 74–81.

Dixit S, et al. Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes: A single blind, parallel group randomized controlled trial. Journal of Diabetes and Its Complications. 2014: 28; 332–9.

Kluding PM et al. The effect of exercise on neuropathic symptoms, nerve function, and cutaneous innervation in people with diabetic peripheral neuropathy. Journal of Diabetes and Its Complications. 2012;26: 424–9.

Downloads

Published

2018-04-20

How to Cite

Mirtha, L. T., & Permatahati, V. (2018). The Effectiveness of Aerobic Exercise in Improving Peripheral Nerve Functions in Type 2 Diabetes Mellitus: An Evidence Based Case Report. Acta Medica Indonesiana, 50(1), 82. Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/511

Issue

Vol. 50 No. 1 (2018): Acta Medica Indonesiana

Section

SPECIAL ARTICLE

License

Copyright

The authors who publish in this journal agree to the following requirements:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a  Creative Commons Attribution 4.0 International License (CC BY 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) before and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. (See The Effect of Open Access)

Privacy Statement

The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.