The effect of combined exercise training on Body composition, Upper limb Range of motion, Shoulder pain, and Glucose homeostasis in type II diabetic patients after breast cancer surgery
Subject Areas : Journal of Physical Activity and HormonesMaryam Koulaei 1 , Nasibeh Ezeddin 2 * , Anahita Shabani 3 , Mohammad Hedayati 4
1 - MA, Department of Physical Education and Sport Sciences, Rasht Branch, Islamic Azad University, Rasht, Iran
2 - Ph.D. Candidate in Exercise Physiology, Department of Physical Education and Sports Science, Rasht Branch, Islamic Azad University, Rasht, Iran
3 - General Practitioner, Guilan University of Medical Science, Rasht, Iran
4 - Ph.D Candidate in Cellular and Molecular Biology, 17th Shahrivar Hospital, Guilan University of Medical Science, Rasht, Iran
Keywords: Breast cancer, diabetes type II, glucose homeostasis, combined exercise exercises, range of motion.,
Abstract :
Introduction: The main objective of this study was to evaluate the effect of combined exercise training on body composition index (BMI), upper limb range of motion (ROM), shoulder pain, and glucose homeostasis in type II diabetic patients after breast cancer (BC) surgery.
Material & Methods: The sample of the study included 30 individuals who underwent breast cancer surgery and were divided into two equal groups (n=15): the experimental (EG) and the control group (CG). The EG had resistance exercise training (with Pilates band) and aerobic exercise training with 50%-70% maximum heart rate, and CG had their usual life (n=15). The training sessions were planned as three days per week for 8 weeks. All individuals' BMI, ROM, pain, and glucose homeostasis were evaluated before and after training.
Results: According to the measurements, the study showed that 8-week resistance–endurance exercise significantly reduced BMI (P <0.05). The results also demonstrated a significant reduction in fasting blood sugar, HOMA-ir, and HbA1C in EG (P <0.05). After 8 weeks of exercise, a significant improvement in flexion and extension of the shoulder, and elbow; the internal and external shoulder rotation was observed (P <0.05). However, the pain, weight, WHR, and subcutaneous fat were not significantly changed.
Conclusion: The results of this study showed that 8 weeks of combined resistance- aerobic exercise training can reduce body mass index, and increase the upper limb ROM and glucose homeostasis in women with type II diabetes in BC survivors.
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