Impact of Postural Corrective Training (TCP®) on overall glycemic control in diabetic middle-aged women

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.35600

Keywords:

Diabetes complications; Exercise; Glycated Hemoglobin A; Cortisol.

Abstract

Introduction: Diabetes mellitus (DM) is a disease manifested by chronic hyperglycemia resulting from changes in the secretion and / or action of insulin, which can cause tissue damage. The practice of physical exercise is often recommended in the treatment of this disease because it improves glucose uptake due to increased insulin sensitivity. Objective: to evaluate the effect of Corrective Postural Training (TCP®) on the glycemic metabolism of patients with type 2 diabetes. Methods: Twenty-one women between 44 and 55 years old were divided into four groups: sedentary diabetics (SD); exercised diabetics (ED); non-diabetic exercised (NE); and non-diabetic sedentary (NS). TCP® was performed 3 times / week, for 1 hour / day, for a period of 20 weeks. Blood samples were collected pre- and post-intervention to determine cholesterol, triglycerides, HDL, fasting glycemia, glycated hemoglobin, estimated mean glycemia and cortisol. The Wilcoxon and Friedman tests were used to compare the results before and after intervention. Results: there was no significant difference in the anthropometric, biochemical and hormonal variables of all groups; however, glycated hemoglobin showed a significant difference (p <0.05) in the ED group after 20 weeks. Important intragroup clinical changes were observed with return to the reference values of some of the analyzed parameters. Conclusion: The TCP® method may have contributed to the improvement of plasma levels of glycated hemoglobin in the ED group in addition to the clinical improvement of patients.

References

Andersson, A. K., Börjesson, A., Sandgren, J., & Sandler, S. (2005). Cytokines affect PDX-1 expression, insulin and proinsulin secretion from iNOS deficient murine islets. Molecular and Cellular Endocrinology. https://doi.org/10.1016/j.mce.2005.06.001

Bianchi, C., Penno, G., Romero, F., Del Prato, S., & Miccoli, R. (2007). Treating the metabolic syndrome. In Expert Review of Cardiovascular Therapy. https://doi.org/10.1586/14779072.5.3.491

Boulé, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001). Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. In Journal of the American Medical Association. https://doi.org/10.1001/jama.286.10.1218

Boulé, N. G., Kenny, G. P., Haddad, E., Wells, G. A., & Sigal, R. J. (2003). Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus. Diabetologia. https://doi.org/10.1007/s00125-003-1160-2

Bueno, J. R. (2011). Cortisol e exercício: efeitos, secreção e metabolismo. Revista Brasileira de Fisiologia Do Exercício. https://doi.org/10.33233/rbfe.v10i3.3443

Classification and diagnosis of diabetes: Standards of medical care in Diabetesd 2018. (2018). Diabetes Care. https://doi.org/10.2337/dc18-S002

Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2020. (2020). Diabetes Care, 43(Supplement_1), S14–S31. https://doi.org/10.2337/dc20-S002

de Lima, M. A., Rodrigues, C. N. dos S., Marine, D. A., Junior, V. M. dos S., Junior, W. L. B., Magosso, R., Pires, C. M. R., Sene-Fiorese, M., Furino, V. de O., Fabrizzi, F., & Duarte, A. C. G. de O. (2018). Energy expenditure of healthy young men in a postural corrective training (TCP®). Journal of Exercise Physiology Online.

Dehghan, A., Van Hoek, M., Sijbrands, E. J. G., Hofman, A., & Witteman, J. C. M. (2008). High serum uric acid as a novel risk factor for type 2 diabetes. Diabetes Care. https://doi.org/10.2337/dc07-1276

Doubova, S. V., Espinosa-Alarcón, P., Flores-Hernández, S., Infante, C., & Pérez-Cuevas, R. (2011). Integrative health care model for climacteric stage women: Design of the intervention. BMC Women’s Health. https://doi.org/10.1186/1472-6874-11-6

Duarte, A. C. G. de O. (2012). Por que método treinamento corretivo postural (TCP®)? Pressupostos teóricos e princípios práticos básicos. 1–17. http://motricidades.org/conference/index.php/cpqmh/5cpqmh/paper/viewFile/214/124

Faludi, A. A., Maria Cristina de Oliveira Izar, José Francisco Kerr Saraiva, Ana Paula Marte Chacra, H. T. B., Neto, A. A., Bertolami, A., Pereira, A. C., Lottenberg, A. M., Sposito, A. C., Chagas, A. C. P., Filho, A. C., Antônio Felipe Simão, A. C. de A. F., Caramelli, B., Carlos Costa Magalhães, Carlos Eduardo Negrão, C. E. dos S. F., Scherr, C., Alves, C. M., Feio, Kovacs, C., Daniel Branco de Araújo, D. M., Calderaro, D., Danielle Menosi Gualandro, Edgard Pessoa de Mello Junior, E. R. G. A., … Martinez, Viviane Zorzanelli Rocha Giraldez, W. S. F. (2017). Atualização da diretriz brasileira de dislipidemias e prevenção da aterosclerose - 2017. Arquivos Brasileiros de Cardiologia, 109(1), 76. https://doi.org/10.5935/abc.20170121

He, F., Li, J., Liu, Z., Chuang, C. C., Yang, W., & Zuo, L. (2016). Redox mechanism of reactive oxygen species in exercise. In Frontiers in Physiology. https://doi.org/10.3389/fphys.2016.00486

Ishikawa-Takata, K., Ohta, T., & Tanaka, H. (2003). How much exercise is required to reduce blood pressure in essential hypertensives: A dose-response study. American Journal of Hypertension. https://doi.org/10.1016/S0895-7061(03)00895-1

Karstoft, K., & Pedersen, B. K. (2016). Exercise and type 2 diabetes: Focus on metabolism and inflammation. In Immunology and Cell Biology (Vol. 94, Issue 2, pp. 146–150). https://doi.org/10.1038/icb.2015.101

Kirwan, J. P., Sacks, J., & Nieuwoudt, S. (2017). The essential role of exercise in the management of type 2 diabetes. In Cleveland Clinic journal of medicine. https://doi.org/10.3949/ccjm.84.s1.03

Kirwan, J. P., Solomon, T. P. J., Wojta, D. M., Staten, M. A., & Holloszy, J. O. (2009). Effects of 7 days of exercise training on insulin sensitivity and responsiveness in type 2 diabetes mellitus. American Journal of Physiology - Endocrinology and Metabolism. https://doi.org/10.1152/ajpendo.00210.2009

Leehey, D. J., Moinuddin, I., Bast, J. P., Qureshi, S., Jelinek, C. S., Cooper, C., Edwards, L. C., Smith, B. M., & Collins, E. G. (2009). Aerobic exercise in obese diabetic patients with chronic kidney disease: A randomized and controlled pilot study. Cardiovascular Diabetology. https://doi.org/10.1186/1475-2840-8-62

Mogharnasi, M., TaheriChadorneshin, H., Papoli-Baravati, S. A., & Teymuri, A. (2019). Effects of upper-body resistance exercise training on serum nesfatin-1 level, insulin resistance, and body composition in obese paraplegic men. Disability and Health Journal. https://doi.org/10.1016/j.dhjo.2018.07.003

Nathan, D. M., Kuenen, J., Borg, R., Zheng, H., Schoenfeld, D., & Heine, R. J. (2008). Translating the A1C assay into estimated average glucose values. Diabetes Care. https://doi.org/10.2337/dc08-0545

Navarro, A. C. (2008). O Exercício Físico Em Mulheres Menopausadas Promove a Redução Do Volume Da Gordura Visceral. Revista Brasileira de Obesidade, Nutrição e Emagrecimento.

Newsholme, P., Cruzat, V. F., Keane, K. N., Carlessi, R., & De Bittencourt, P. I. H. (2016). Molecular mechanisms of ROS production and oxidative stress in diabetes. In Biochemical Journal. https://doi.org/10.1042/BCJ20160503C

Oltmanns, K. M., Dodt, B., Schultes, B., Raspe, H. H., Schweiger, U., Born, J., Fehm, H. L., & Peters, A. (2006). Cortisol correlates with metabolic disturbances in a population study of type 2 diabetic patients. European Journal of Endocrinology. https://doi.org/10.1530/eje.1.02074

Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine - Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine and Science in Sports. https://doi.org/10.1111/sms.12581

Raskin, D. B. F., Pinto-Neto, A. M., Paiva, L. H. S. C., Raskin, A., & Martinez, E. Z. (2000). Fatores Associados à Obesidade e ao Padrão Andróide de Distribuição da Gordura Corporal em Mulheres Climatéricas. Revista Brasileira de Ginecologia e Obstetrícia. https://doi.org/10.1590/s0100-72032000000700006

Sigal, R. J., Kenny, G. P., Boulé, N. G., Wells, G. A., Prud’homme, D., Fortier, M., Reid, R. D., Tulloch, H., Coyle, D., Phillips, P., Jennings, A., & Jaffey, J. (2007). Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: A randomized trial. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-147-6-200709180-00005

Silva, C. A. da, & Lima, W. C. de. (2002). Efeito Benéfico do Exercício Físico no Controle Metabólico do Diabetes Mellitus Tipo 2 à Curto Prazo. Arquivos Brasileiros de Endocrinologia & Metabologia. https://doi.org/10.1590/s0004-27302002000500009

Sociedade Brasileira de Diabetes. (2018). Diretrizes SBD 2017-2018. In Diretrizes da Sociedade Brasileira de Diabetes. https://doi.org/10.1086/345100

Sposito, A. C., Caramelli, B., Fonseca, F. A. H., Bertolami, M. C., Rassi, A., Neto, A. A., Souza, A. D., Lottenberg, A. M. P., Chacra, A. P., Faludi, A. A., Loures-Vale, A. A., Carvalho, A. C., Duncan, B., Gelonese, B., Polanczyk, C., Sobrinho, C. R. M. R., Scherr, C., Karla, C., Armaganijan, D., … Salgado, W. (2007). The IV Brazilian Guideline to dyslipidemias and prevention of atherosclerosis: Department of Atherosclerosis of the Brazilian Society of Cardiology. Arquivos Brasileiros de Cardiologia. https://doi.org/10.1590/S0066-782X2007000700002

Standards of medical care in diabetes-2014. (2014). In Diabetes Care. https://doi.org/10.2337/dc14-S014

Stumvoll, M., Goldstein, B. J., & Van Haeften, T. W. (2005). Type 2 diabetes: Principles of pathogenesis and therapy. Lancet. https://doi.org/10.1016/S0140-6736(05)61032-X

Umpierre, D., Ribeiro, P. A. B., Kramer, C. K., Leitão, C. B., Zucatti, A. T. N., Azevedo, M. J., Gross, J. L., Ribeiro, J. P., & Schaan, B. D. (2011). Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: A systematic review and meta-analysis. In JAMA - Journal of the American Medical Association. https://doi.org/10.1001/jama.2011.576

Vancea, D. M. M., Vancea, J. N., Pires, M. I. F., Reis, M. A., Moura, R. B., & Dib, S. A. (2009). Efeito da freqüência do exercício físico no controle glicêmico e composição corporal de diabéticos tipo 2. Arquivos Brasileiros de Cardiologia. https://doi.org/10.1590/S0066-782X2009000100005

Wu, Y., Ding, Y., Tanaka, Y., & Zhang, W. (2014). Risk factors contributing to type 2 diabetes and recent advances in the treatment and prevention. In International journal of medical sciences. https://doi.org/10.7150/ijms.10001

Zanella, A., Souza, D. R., & Godoy, M. (2007). Influência do exercício físico no perfil lipídico e estresse oxidativo. Arq. Ciênc. Saúde.

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Published

24/10/2022

How to Cite

WENZEL, I. C. .; SILVA, K. A. .; FURINO, V. de O. .; DUARTE, F. O. .; CASTRO, C. A. de; DUARTE, A. C. G. O. Impact of Postural Corrective Training (TCP®) on overall glycemic control in diabetic middle-aged women. Research, Society and Development, [S. l.], v. 11, n. 14, p. e194111435600, 2022. DOI: 10.33448/rsd-v11i14.35600. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35600. Acesso em: 25 apr. 2024.

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Health Sciences