title: Supervised group-exercise therapy versus home-based exercise therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
abstract: OBJECTIVE
  Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group exercise therapy with the effects of home-based exercise therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile.
  
  
  METHODS
  One hundred and two diabetic women were randomised to supervised and home-based groups.
  
  
  METHODS
  Over 12 weeks, participants received supervised group-exercise therapy or a home-based exercise-therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of exercise-therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire.
  
  
  RESULTS
  Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p=0.01). Their reduction in mean body-fat mass from baseline to week 6 (p=0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p<0.05). From baseline to the twelfth week, the HbA1c level fell significantly (p<0.05) in both groups.
  
  
  CONCLUSIONS
  Supervised group-exercise therapy was more effective than home-based exercise therapy in improving HRQOL and body composition in diabetic women. However, home-based exercise therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the exercise intervention can therefore be effective in improving health outcomes in diabetic patients.
authors.affiliation: Minimally Invasive Surgery Research Center, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran; Sports Medicine Department, Rasoul-e-Akram University Hospital, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Haleh
authors.initials: H
authors.lastname: Dadgostar
authors.affiliation: Sports Medicine Department, Rasoul-e-Akram University Hospital, Iran University of Medical Sciences, Tehran, Iran. Electronic address: sahar.firouzinezhad@yahoo.com.
authors.forename: Sahar
authors.initials: S
authors.lastname: Firouzinezhad
authors.affiliation: Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran; Head of Rehabilitation Medicine, Noorafshar Sports Medicine and Rehabilitation Hospital, Tehran, Iran.
authors.forename: Majid
authors.initials: M
authors.lastname: Ansari
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Shima
authors.initials: S
authors.lastname: Younespour
authors.affiliation: Sc Corrective Exercise & Sports Injuries: Energy Sports & Medicine Group, Iran.
authors.forename: Azam
authors.initials: A
authors.lastname: Mahmoudpour
authors.affiliation: Endocrine Research Center (Firouzgar Hospital), Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad Ebrahim
authors.initials: ME
authors.lastname: Khamseh
mesh_terms: D000328:Adult; D001786:Blood Glucose; D015992:Body Mass Index; D001835:Body Weight; D002318:Cardiovascular Diseases / Q000150:complications* / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000628:therapy; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007492:Iran; D008875:Middle Aged; D011788:Quality of Life; D012307:Risk Factors; D014930:Women / Q000523:psychology
chemical_list: D001786:Blood Glucose
keywords: Cardiovascular risk factor; Exercise therapy; Quality of life; Type 2 diabetes