PMID- 22887834
OWN - NLM
STAT- MEDLINE
DCOM- 20130624
LR  - 20220408
IS  - 1520-7560 (Electronic)
IS  - 1520-7552 (Linking)
VI  - 29
IP  - 1
DP  - 2013 Jan
TI  - Effects of Nordic walking on cardiovascular risk factors in overweight 
      individuals with type 2 diabetes, impaired or normal glucose tolerance.
PG  - 25-32
LID - 10.1002/dmrr.2321 [doi]
AB  - BACKGROUND: Physical activity remains a valuable prevention for metabolic 
      disease. The effects of Nordic walking on cardiovascular risk factors were 
      determined in overweight individuals with normal or disturbed glucose regulation. 
      METHODS: We included 213 individuals, aged 60 +/- 5.3 years and with body mass 
      index (BMI) of 30.2 +/- 3.8 kg/m(2); of these, 128 had normal glucose tolerance 
      (NGT), 35 had impaired glucose tolerance (IGT) and 50 had type 2 diabetes 
      mellitus (T2DM). Participants were randomized to unaltered physical activity or 
      to 5 h per week of Nordic walking with poles, for a 4-month period. Dietary 
      habits were unaltered. BMI, waist circumference, blood pressure, glucose 
      tolerance, clinical chemistry, maximal oxygen uptake (peak VO(2)) and 
      self-reported physical activity (questionnaire) were assessed at the time of 
      inclusion and after 4 months. The participants in the exercise-intervention group 
      kept a walking diary. RESULTS: In the NGT exercise group, self-reported physical 
      activity increased markedly, and body weight (-2.0 +/- 3.8 kg), BMI 
      (-0.8 +/- 1.4 kg/m(2)) and waist circumference (-4.9 +/- 4.4 cm) (mean +/- SD) 
      decreased. Exercise power output (12.9 +/- 9.9 W) and peak VO(2) 
      (2.7 +/- 2.8 mL/kg/min) increased in the IGT exercise group. More cardiovascular 
      risk factors were improved after exercise intervention in people with NGT 
      compared with those with IGT or T2DM. Exercise capacity improved significantly in 
      all three groups of participants who reported at least 80% compliance with the 
      scheduled exercise. CONCLUSIONS: Nordic walking improved anthropometric 
      measurements and exercise capacity. However, unsupervised Nordic walking may not 
      provide a sufficient increase in exercise intensity to achieve ultimate 
      health-promoting benefits on the cardiovascular parameters assessed in this 
      study, particularly for those with disturbed glucose regulation.
CI  - Copyright (c) 2012 John Wiley & Sons, Ltd.
FAU - Fritz, T
AU  - Fritz T
AD  - Center for Family and Community Medicine, Karolinska Institutet, Huddinge, 
      Sweden.
FAU - Caidahl, K
AU  - Caidahl K
FAU - Krook, A
AU  - Krook A
FAU - Lundstrom, P
AU  - Lundstrom P
FAU - Mashili, F
AU  - Mashili F
FAU - Osler, M
AU  - Osler M
FAU - Szekeres, F L M
AU  - Szekeres FL
FAU - Ostenson, C G
AU  - Ostenson CG
FAU - Wandell, P
AU  - Wandell P
FAU - Zierath, J R
AU  - Zierath JR
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Diabetes Metab Res Rev
JT  - Diabetes/metabolism research and reviews
JID - 100883450
SB  - IM
CIN - Diabetes Metab Res Rev. 2013 Jan;29(1):98-100. PMID: 23300148
MH  - Aged
MH  - Blood Pressure/physiology
MH  - Body Mass Index
MH  - Cardiovascular Diseases/*etiology/prevention & control
MH  - Diabetes Mellitus, Type 2/complications/physiopathology/*therapy
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Glucose Intolerance/complications/physiopathology/*therapy
MH  - Glucose Tolerance Test
MH  - Humans
MH  - Life Style
MH  - Male
MH  - Middle Aged
MH  - Motor Activity/physiology
MH  - Overweight/complications/physiopathology/*therapy
MH  - Oxygen Consumption/physiology
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Waist Circumference/physiology
MH  - Walking/*physiology
EDAT- 2012/08/14 06:00
MHDA- 2013/06/26 06:00
CRDT- 2012/08/14 06:00
PHST- 2011/07/20 00:00 [received]
PHST- 2012/07/20 00:00 [accepted]
PHST- 2012/08/14 06:00 [entrez]
PHST- 2012/08/14 06:00 [pubmed]
PHST- 2013/06/26 06:00 [medline]
AID - 10.1002/dmrr.2321 [doi]
PST - ppublish
SO  - Diabetes Metab Res Rev. 2013 Jan;29(1):25-32. doi: 10.1002/dmrr.2321.