title: [Evaluation of a supervised physical exercise program in sedentary patients over 65 years with type 2 diabetes mellitus].
abstract: OBJECTIVE
  To analyze whether an exercise program can modify glycated hemoglobin (HbA1c), blood pressure (BP), body mass index (BMI), lipids, cardiovascular risk profile (CVR), self-perceived health status (SHS), and pharmaceutical expenditure (PE).
  
  
  METHODS
  A randomized, single blind, controlled trial.
  
  
  METHODS
  program of supervised aerobic physical exercise. Analysis by intention to treat.
  
  
  METHODS
  Primary Care: 2 rural health areas. Health Area of Navalmoral. Cáceres. Extremadura. Spain.
  
  
  METHODS
  100 type 2 diabetic patients, aged 65 to 80 years, sedentary. Distribution: 50% control group (CG) and 50% intervention group (IG). Abandoned 12%.
  
  
  METHODS
  monitored aerobic exercise: 40minutes, 2 days/week, 3 months.
  
  
  METHODS
  HbA1c, BP, BMI, lipid, CVR, SHS, PE. Complications during exercise.
  
  
  RESULTS
  There were post-intervention differences between groups in HbA1c, BP, BMI, cholesterol and SHS. In the IG, there was a significant decrease in; HbA1c: 0.2±0.4% (95% CI: 0.1 to 0.3), systolic BP: 11.8±8.5mmHg (95% CI: 5.1 to 11.9), BMI: 0.5±1 (95% CI: 0.2 to 0.8), total cholesterol: 14±28.2mg/dl (95% CI: 5.9 to 22.2), LDL: 18.3±28.2mg/dl 95% CI: 10.2 to 26.3), CVR: 6.7±7.7% (95% CI: 4.5 to 8.9), PE: 3.9±10.2 € (95% CI: 0.9 to 6.8), and an increase in SHS; 4.7±5.7 (95% CI: 3 to 6.3).
  
  
  CONCLUSIONS
  In diabetics over 65 years, a program of monitored aerobic exercise, of easy implementation, improves HbA1c, BP, cholesterol, CVR, PE, and SHS.
authors.affiliation: Centro de Salud de Almaraz, Almaraz, Cáceres, España. Electronic address: javier.parra@ses.juntaextremadura.net.
authors.forename: Javier
authors.initials: J
authors.lastname: Parra-Sánchez
authors.affiliation: Centro de Salud de Almaraz, Almaraz, Cáceres, España.
authors.forename: María
authors.initials: M
authors.lastname: Moreno-Jiménez
authors.affiliation: Centro de Salud de Almaraz, Almaraz, Cáceres, España.
authors.forename: Carla M
authors.initials: CM
authors.lastname: Nicola
authors.affiliation: Centro de Salud de Talayuela, Talayuela, Cáceres, España.
authors.forename: Ileana I
authors.initials: II
authors.lastname: Nocua-Rodríguez
authors.affiliation: Centro de Salud de Talayuela, Talayuela, Cáceres, España.
authors.forename: María R
authors.initials: MR
authors.lastname: Amegló-Parejo
authors.affiliation: Centro de Salud de Navalmoral de la Mata, Área de Salud de Navalmoral de la Mata, Cáceres, Servicio Extremeño de Salud, España.
authors.forename: Marlen
authors.initials: M
authors.lastname: Del Carmen-Peña
authors.affiliation: Centro de Salud de Almaraz, Almaraz, Cáceres, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Cordero-Prieto
authors.affiliation: Centro de Salud de Almaraz, Almaraz, Cáceres, España.
authors.forename: María J
authors.initials: MJ
authors.lastname: Gajardo-Barrena
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005081:Exercise Therapy; D005260:Female; D006442:Glycated Hemoglobin; D006801:Humans; D008297:Male; D012307:Risk Factors; D012424:Rural Population; D057185:Sedentary Behavior; D016037:Single-Blind Method; D013030:Spain
chemical_list: D006442:Glycated Hemoglobin
keywords: Atención primaria de salud; Diabetes mellitus tipo 2; Diabetes mellitus type 2; Ejercicio físico; Exercise therapy; Primary health care