Effects of Power Training on Physical Activity, Sitting Time, Disability, and Quality of Life in Older Patients With Type 2 Diabetes During the COVID-19 Confinement

in Journal of Physical Activity and Health
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Background: To evaluate the effectiveness of a multicomponent supervised and unsupervised training program focused on muscle power to counteract the potential changes in sedentary behavior, disability, physical activity (PA), and health-related quality of life (HRQoL) caused by the COVID-19 pandemic domiciliary confinement in prefrail older adults with type 2 diabetes mellitus. Methods: Thirty-five older adults with type 2 diabetes mellitus were assigned to 2 groups according to their frailty status: exercise training group (prefrail or frail; n = 21; 74.7 [4.5] y; 33.3% male) and control group (robust; n = 14; 73.1 [3.9] y; 42.9% male). The exercise training group followed a multicomponent training program focusing on muscle power: supervised (5 wk) and unsupervised (6 wk). The primary outcomes, including PA and sitting time, perceived disability, and HRQoL, were assessed at the baseline and after 11 weeks. Results: At the end of confinement, there were significant decreases in PA in both groups (P < .05). Thus, sitting time increased more in the control group than in the exercise training group (P < .05). The HRQoL measures remained unchanged. Conclusions: Muscle power training before and during mandatory COVID-19 self-isolation in type 2 diabetes mellitus older adults (1) attenuates the COVID-19 domiciliary confinement-related increase in sitting time and (2) slightly decreases the self-reported levels of disability and maintains HRQoL.

Brazo-Sayavera, López-Torres, Martos-Bermúdez, González-Gross, and Guadalupe-Grau are with the ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain. Brazo-Sayavera is also with PDU EFISAL, Centro Universitario Regional Noreste, Universidad de la República, Rivera, Uruguay. González-Gross is also with CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. Guadalupe-Grau is also with the Lifestyle Research Group, Spanish Diabetes Society (SED), Madrid, Spain; and the CIBER of Frailty and Healthy Aging (CIBERFES), ISCIII, Madrid, Spain. Rodriguez-Garcia is  with the CESAG, Universidad Pontificia Comillas, Palma de Mallorca, Spain.

Brazo-Sayavera (jbsayavera@cur.edu.uy) is corresponding author.
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