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Tip 2 Diyabet Olan Bireylerde Aerobik ve Kuvvetlendirme Egzersiz Kombinasyonunun Kas Gücü, Denge ve Uyku Kalitesi Üzerine Etkisi

Year 2022, Volume: 24 Issue: 3, 235 - 240, 30.12.2022
https://doi.org/10.18678/dtfd.1109209

Abstract

Amaç: Bu çalışmanın amacı, tip 2 diabetes mellitus (DM) tanısı olan bireylerde aerobik ve kuvvetlendirme egzersiz kombinasyonunun glikozile hemoglobin (HbA1c), kas kuvveti, denge ve uyku kalitesi üzerine etkilerini belirlemektir.
Gereç ve Yöntemler: Bu çalışmaya 30 ve 65 yaş arası ve tip 2 DM tanısı olan 50 birey dahil edildi. Dahil edilen bireylerin antropometrik ölçümleri, HbA1c, quadriseps ve hamstring kas gücü, denge ve uyku kalitesi değerlendirildi. Katılımcılara 12 hafta boyunca haftada 3 gün aerobik ve kuvvetlendirme egzersizleri uygulandı. Tüm değerlendirme ölçümleri 12 haftanın sonunda tekrar edildi.
Bulgular: Bu çalışmaya dahil edilen ve tip 2 DM tanısı olan 50 bireyin %64'ü (n=32) erkek ve %36'sı (n=18) kadın idi. Katılımcıların yaş ortalaması 50,12±10,81 yıl, ortalama beden kitle indeksi 29,97±3,12 kg/m2, bel/kalça oranı 0,91±0,08 ve ortalama HbA1c değeri 9,19±2,39 idi. Tüm katılımcıların tedavi öncesi ve tedavi sonrasındaki HbA1c, kas gücü, denge ve uyku kalitesi ölçümleri karşılaştırıldığında istatistiksel olarak anlamlı farklar vardı (p<0,001).
Sonuç: Tip 2 DM olan bireylerde uzun süreli aerobik ve kuvvetlendirme egzersizi kombinasyonunun HbA1c değerini azalttığı ve ayrıca kas gücü, denge ve uyku kalitesini de önemli ölçüde iyileştirdiği belirlendi. Kuvvetlendirme ve aerobik egzersizleri içeren yapılandırılmış bir egzersiz programı, tip 2 diyabet olan bireyler için egzersiz etkinliği ve sürdürülebilirliği açısından en etkili ve uygun egzersiz reçetelerinin geliştirilmesinde faydalı olacaktır.

References

  • Poretsky L. Principles of diabetes mellitus. 2nd ed. New York: Springer; 2010. p.203-20.
  • American Diabetes Association. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S13-28.
  • Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120-29.
  • D’Silva LJ, Lin J, Staecker H, Whitney SL, Kluding PM. Impact of diabetic complications on balance and falls: contribution of the vestibular system. Phys Ther. 2016;96(3):400-9.
  • Byrne H, Caulfield B, De Vito G. Effects of self-directed exercise programmes on individuals with type 2 diabetes mellitus: a systematic review evaluating their effect on HbA1c and other metabolic outcomes, physical characteristics, cardiorespiratory fitness and functional outcomes. Sports Med. 2017;47(4):717-33.
  • Xue M, Xu W, Ou YN, Cao XP, Tan MS, Tan L, et al. Diabetes mellitus and risks of cognitive impairment and dementia: A systematic review and meta-analysis of 144 prospective studies. Ageing Res Rev. 2019;55:10094.
  • Kirwan JP, Sacks J, Nieuwoudt S. The essential role of exercise in the management of type 2 diabetes. Cleve Clin J Med. 2017;84(7 Suppl 1):S15-21.
  • Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-9.
  • Türkiye Endokrinoloji ve Metabolizma Derneği (TEMD). [Diagnosis, treatment and follow-up guide for diabetes mellitus and its complications]. 14th ed. Ankara: TEMD; 2020. p.15-33. Turkish.
  • Teo SYM, Kanaley JA, Guelfi KJ, Marston KJ, Fairchild TJ. The effect of exercise timing on glycemic control: a randomized clinical trial. Med Sci Sports Exerc. 2020;52(2):323-34.
  • Gibson RS. Principles of nutritional assessment. 2nd Ed. USA: Oxford University Press; 2005. p.245-50.
  • Hislop H, Dale A. Brown M. Daniels and Worthingham's muscle testing: Techniques of manual examination and performance testing. 9th ed. St. Louis, MO: Elsevier; 2013.
  • Sugimoto K, Tanaka Y, Sozu T, Nishiyama H, Hoshino T, Watanabe Y, et al. Association of one-leg standing time with discontinuation of injectable medications during hospitalization among patients with type 2 diabetes. Diabetes Ther. 2020;11(5):1179-90.
  • Sarac DC, Unver B, Karatosun V. Validity and reliability of performance tests as balance measures in patients with total knee arthroplasty. Knee Surg Relat Res. 2022;34(1):11.
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • Agargun, MY, Kara H, Anlar Ö. The reliability and validity the Pittsburgh sleep quality index. Turk Psikiyatri Derg. 1996;7(2):107-11. Turkish.
  • Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-80.
  • Nicolás López J, González Carcelén CM, López Sánchez GF. [Barriers to physical activity in people with diabetes residing in Spain]. Atena J Public Health. 2020;2:3. Spanish.
  • Ato S, Kido K, Sato K, Fujita S. Type 2 diabetes causes skeletal muscle atrophy but does not impair resistance training-mediated myonuclear accretion and muscle mass gain in rats. Exp Physiol. 2019;104(10):1518-31.
  • Colberg SR, Albright AL, Blissmer BJ, Braun B, Chasan-Taber L, Fernhall B. Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: joint position statement. Exercise and type 2 diabetes. Med Sci Sports Exerc. 2010;42(12):2282-303.
  • Piercy KL, Troiano RP. Physical activity guidelines for Americans from the US department of health and human services. Circ Cardiovasc Qual Outcomes. 2018;11(11):005263.
  • Rydén L, Grant PJ, Anker SD, Berne C, Cosentino F, Danchin N, et al. ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: the Task Force on diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and developed in collaboration with the European Association for the Study of Diabetes (EASD). Eur Heart J. 2013;34(39):3035-87.
  • Sigal RJ, Armstrong MJ, Bacon SL, Boulé NG, Dasgupta K, Kenny GP, et al. Physical activity and diabetes. Can J Diabetes. 2018;42(Suppl 1):S54-63.
  • Pan B, Ge L, Xun YQ, Chen YJ, Gao CY, Han X, et al. Exercise training modalities in patients with type 2 diabetes mellitus: A systematic review and network meta-analysis. Int J Behav Nutr Phys Act. 2018;15(1):72.
  • Sazlina SG, Browning CJ, Yasin S. Effectiveness of personalized feedback alone or combined with peer support to improve physical activity in sedentary older Malays with type 2 diabetes: A randomized controlled trial. Front Public Health. 2015;3:178.
  • Schwingshackl L, Missbach B, Dias S, König J, Hoffmann G. Impact of different training modalities on glycaemic control and blood lipids in patients with type 2 diabetes: A systematic review and network meta-analysis. Diabetologia. 2014;57(9):1789-97.
  • Abushamat LA, McClatchey PM, Scalzo RL, Reusch JEB. The role of exercise in diabetes. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, et al, editors. Endotext [Internet]. South Dartmouth, MA: MDText.com Inc.; 2019.
  • Stewart T, Caffrey DG, Gilman RH, Mathai SC, Lerner A, Hernandez A, et al. Can a simple test of functional capacity add to the clinical assessment of diabetes? Diabet Med. 2016;33(8):1133-9.
  • Hameed UA, Manzar D, Raza S, Shareef MY, Hussain ME. Resistance training leads to clinically meaningful improvements in control of glycemia and muscular strength in untrained middle-aged patients with type 2 diabetes mellitus. N Am J Med Sci. 2012;4(8):336-43.
  • Cannata F, Vadalà G, Russo F, Papalia R, Napoli N, Pozzilli P. Beneficial effects of physical activity in diabetic patients. J Funct Morphol Kinesiol. 2020;5(3):70.
  • Deshpande N, Hewston P, Aldred A. Sensory functions, balance, and mobility in older adults with type 2 diabetes without overt diabetic peripheral neuropathy: a brief report. J Appl Gerontol. 2017;36(8):1032-44.
  • Grewal GS, Schwenk M, Lee-Eng J, Parvaneh S, Bharara M, Menzies RA, et al. Sensor-based interactive balance training with visual joint movement feedback for improving postural stability in diabetics with peripheral neuropathy: a randomized controlled trial. Gerontology. 2015;61(6):567-74.
  • Lee K, Lee S, Song C. Whole-body vibration training improves balance, muscle strength and glycosylated hemoglobin in elderly patients with diabetic neuropathy. Tohoku J Exp Med. 2013;231(4):305-14.
  • Farabi SS, Carley DW, Quinn L. EEG power and glucose fluctuations are coupled during sleep in young adults with type 1 diabetes. Clin Neurophysiol. 2016;127(8):2739-46.
  • Farabi SS. Type 1 diabetes and sleep. Diabetes Spectr. 2016;29(1):10-13.
  • Corrêa K, Gouvêa GR, Silva MA, Possobon RF, Barbosa LF, Pereira AC, et al. Quality of life and characteristics of diabetic patients. Cien Saude Colet. 2017;22(3):921-30.
  • Delevatti RS, Schuch FB, Kanitz AC, Alberton CL, Marson EC, Lisboa SC, et al. Quality of life and sleep quality are similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial. J Sci Med Sport. 2018;21(5):483-8.
  • Ebrahimi M, Guilan-Nejad TN, Pordanjani AF. Effect of yoga and aerobics exercise on sleep quality in women with type 2 diabetes: A randomized controlled trial. Sleep Sci. 2017;10(2):68-72.

The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes

Year 2022, Volume: 24 Issue: 3, 235 - 240, 30.12.2022
https://doi.org/10.18678/dtfd.1109209

Abstract

Aim: The aim of this study was to determine the effects of aerobic and strengthening exercise combination on glycosylated hemoglobin (HbA1c), muscle strength, balance, and sleep quality in individuals diagnosed with type 2 diabetes mellitus (DM).
Material and Methods: Fifty individuals aged between 30 and 65 years and diagnosed with type 2 DM were included in this study. Anthropometric measurements, HbA1c, quadriceps and hamstring muscle strength, balance, and sleep quality of the included individuals were evaluated. Aerobic and strengthening exercises were applied to the participants 3 days a week for 12 weeks. All evaluation measurements were repeated at the end of 12 weeks.
Results: Of the 50 individuals included in this study and diagnosed with type 2 DM, 64% (n=32) were male and 36% (n=18) were female. The mean age of the participants was 50.12±10.81 years, the mean body mass index was 29.97±3.12 kg/m2, the waist/hip ratio was 0.91±0.08, and the mean HbA1c was 9.19±2.39. When the pre and post-treatment HbA1c, muscle strength, balance, and sleep quality measurements of all participants were compared, there were statistically significant differences (p<0.001).
Conclusion: It was determined that the combination of long-term aerobic and strengthening exercise decreased the HbA1c value and also significantly improved muscle strength, balance, and sleep quality in individuals with type 2 DM. A structured exercise program that includes strengthening and aerobic exercises would be beneficial in developing the most effective and appropriate exercise prescriptions in terms of exercise efficiency and sustainability for individuals with type 2 DM.

References

  • Poretsky L. Principles of diabetes mellitus. 2nd ed. New York: Springer; 2010. p.203-20.
  • American Diabetes Association. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S13-28.
  • Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120-29.
  • D’Silva LJ, Lin J, Staecker H, Whitney SL, Kluding PM. Impact of diabetic complications on balance and falls: contribution of the vestibular system. Phys Ther. 2016;96(3):400-9.
  • Byrne H, Caulfield B, De Vito G. Effects of self-directed exercise programmes on individuals with type 2 diabetes mellitus: a systematic review evaluating their effect on HbA1c and other metabolic outcomes, physical characteristics, cardiorespiratory fitness and functional outcomes. Sports Med. 2017;47(4):717-33.
  • Xue M, Xu W, Ou YN, Cao XP, Tan MS, Tan L, et al. Diabetes mellitus and risks of cognitive impairment and dementia: A systematic review and meta-analysis of 144 prospective studies. Ageing Res Rev. 2019;55:10094.
  • Kirwan JP, Sacks J, Nieuwoudt S. The essential role of exercise in the management of type 2 diabetes. Cleve Clin J Med. 2017;84(7 Suppl 1):S15-21.
  • Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-9.
  • Türkiye Endokrinoloji ve Metabolizma Derneği (TEMD). [Diagnosis, treatment and follow-up guide for diabetes mellitus and its complications]. 14th ed. Ankara: TEMD; 2020. p.15-33. Turkish.
  • Teo SYM, Kanaley JA, Guelfi KJ, Marston KJ, Fairchild TJ. The effect of exercise timing on glycemic control: a randomized clinical trial. Med Sci Sports Exerc. 2020;52(2):323-34.
  • Gibson RS. Principles of nutritional assessment. 2nd Ed. USA: Oxford University Press; 2005. p.245-50.
  • Hislop H, Dale A. Brown M. Daniels and Worthingham's muscle testing: Techniques of manual examination and performance testing. 9th ed. St. Louis, MO: Elsevier; 2013.
  • Sugimoto K, Tanaka Y, Sozu T, Nishiyama H, Hoshino T, Watanabe Y, et al. Association of one-leg standing time with discontinuation of injectable medications during hospitalization among patients with type 2 diabetes. Diabetes Ther. 2020;11(5):1179-90.
  • Sarac DC, Unver B, Karatosun V. Validity and reliability of performance tests as balance measures in patients with total knee arthroplasty. Knee Surg Relat Res. 2022;34(1):11.
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • Agargun, MY, Kara H, Anlar Ö. The reliability and validity the Pittsburgh sleep quality index. Turk Psikiyatri Derg. 1996;7(2):107-11. Turkish.
  • Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-80.
  • Nicolás López J, González Carcelén CM, López Sánchez GF. [Barriers to physical activity in people with diabetes residing in Spain]. Atena J Public Health. 2020;2:3. Spanish.
  • Ato S, Kido K, Sato K, Fujita S. Type 2 diabetes causes skeletal muscle atrophy but does not impair resistance training-mediated myonuclear accretion and muscle mass gain in rats. Exp Physiol. 2019;104(10):1518-31.
  • Colberg SR, Albright AL, Blissmer BJ, Braun B, Chasan-Taber L, Fernhall B. Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: joint position statement. Exercise and type 2 diabetes. Med Sci Sports Exerc. 2010;42(12):2282-303.
  • Piercy KL, Troiano RP. Physical activity guidelines for Americans from the US department of health and human services. Circ Cardiovasc Qual Outcomes. 2018;11(11):005263.
  • Rydén L, Grant PJ, Anker SD, Berne C, Cosentino F, Danchin N, et al. ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: the Task Force on diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and developed in collaboration with the European Association for the Study of Diabetes (EASD). Eur Heart J. 2013;34(39):3035-87.
  • Sigal RJ, Armstrong MJ, Bacon SL, Boulé NG, Dasgupta K, Kenny GP, et al. Physical activity and diabetes. Can J Diabetes. 2018;42(Suppl 1):S54-63.
  • Pan B, Ge L, Xun YQ, Chen YJ, Gao CY, Han X, et al. Exercise training modalities in patients with type 2 diabetes mellitus: A systematic review and network meta-analysis. Int J Behav Nutr Phys Act. 2018;15(1):72.
  • Sazlina SG, Browning CJ, Yasin S. Effectiveness of personalized feedback alone or combined with peer support to improve physical activity in sedentary older Malays with type 2 diabetes: A randomized controlled trial. Front Public Health. 2015;3:178.
  • Schwingshackl L, Missbach B, Dias S, König J, Hoffmann G. Impact of different training modalities on glycaemic control and blood lipids in patients with type 2 diabetes: A systematic review and network meta-analysis. Diabetologia. 2014;57(9):1789-97.
  • Abushamat LA, McClatchey PM, Scalzo RL, Reusch JEB. The role of exercise in diabetes. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, et al, editors. Endotext [Internet]. South Dartmouth, MA: MDText.com Inc.; 2019.
  • Stewart T, Caffrey DG, Gilman RH, Mathai SC, Lerner A, Hernandez A, et al. Can a simple test of functional capacity add to the clinical assessment of diabetes? Diabet Med. 2016;33(8):1133-9.
  • Hameed UA, Manzar D, Raza S, Shareef MY, Hussain ME. Resistance training leads to clinically meaningful improvements in control of glycemia and muscular strength in untrained middle-aged patients with type 2 diabetes mellitus. N Am J Med Sci. 2012;4(8):336-43.
  • Cannata F, Vadalà G, Russo F, Papalia R, Napoli N, Pozzilli P. Beneficial effects of physical activity in diabetic patients. J Funct Morphol Kinesiol. 2020;5(3):70.
  • Deshpande N, Hewston P, Aldred A. Sensory functions, balance, and mobility in older adults with type 2 diabetes without overt diabetic peripheral neuropathy: a brief report. J Appl Gerontol. 2017;36(8):1032-44.
  • Grewal GS, Schwenk M, Lee-Eng J, Parvaneh S, Bharara M, Menzies RA, et al. Sensor-based interactive balance training with visual joint movement feedback for improving postural stability in diabetics with peripheral neuropathy: a randomized controlled trial. Gerontology. 2015;61(6):567-74.
  • Lee K, Lee S, Song C. Whole-body vibration training improves balance, muscle strength and glycosylated hemoglobin in elderly patients with diabetic neuropathy. Tohoku J Exp Med. 2013;231(4):305-14.
  • Farabi SS, Carley DW, Quinn L. EEG power and glucose fluctuations are coupled during sleep in young adults with type 1 diabetes. Clin Neurophysiol. 2016;127(8):2739-46.
  • Farabi SS. Type 1 diabetes and sleep. Diabetes Spectr. 2016;29(1):10-13.
  • Corrêa K, Gouvêa GR, Silva MA, Possobon RF, Barbosa LF, Pereira AC, et al. Quality of life and characteristics of diabetic patients. Cien Saude Colet. 2017;22(3):921-30.
  • Delevatti RS, Schuch FB, Kanitz AC, Alberton CL, Marson EC, Lisboa SC, et al. Quality of life and sleep quality are similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial. J Sci Med Sport. 2018;21(5):483-8.
  • Ebrahimi M, Guilan-Nejad TN, Pordanjani AF. Effect of yoga and aerobics exercise on sleep quality in women with type 2 diabetes: A randomized controlled trial. Sleep Sci. 2017;10(2):68-72.
There are 38 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Merve Yılmaz Menek 0000-0001-6993-7983

Miray Budak 0000-0003-0552-8464

Publication Date December 30, 2022
Submission Date April 26, 2022
Published in Issue Year 2022 Volume: 24 Issue: 3

Cite

APA Yılmaz Menek, M., & Budak, M. (2022). The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes. Duzce Medical Journal, 24(3), 235-240. https://doi.org/10.18678/dtfd.1109209
AMA Yılmaz Menek M, Budak M. The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes. Duzce Med J. December 2022;24(3):235-240. doi:10.18678/dtfd.1109209
Chicago Yılmaz Menek, Merve, and Miray Budak. “The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals With Type 2 Diabetes”. Duzce Medical Journal 24, no. 3 (December 2022): 235-40. https://doi.org/10.18678/dtfd.1109209.
EndNote Yılmaz Menek M, Budak M (December 1, 2022) The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes. Duzce Medical Journal 24 3 235–240.
IEEE M. Yılmaz Menek and M. Budak, “The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes”, Duzce Med J, vol. 24, no. 3, pp. 235–240, 2022, doi: 10.18678/dtfd.1109209.
ISNAD Yılmaz Menek, Merve - Budak, Miray. “The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals With Type 2 Diabetes”. Duzce Medical Journal 24/3 (December 2022), 235-240. https://doi.org/10.18678/dtfd.1109209.
JAMA Yılmaz Menek M, Budak M. The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes. Duzce Med J. 2022;24:235–240.
MLA Yılmaz Menek, Merve and Miray Budak. “The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals With Type 2 Diabetes”. Duzce Medical Journal, vol. 24, no. 3, 2022, pp. 235-40, doi:10.18678/dtfd.1109209.
Vancouver Yılmaz Menek M, Budak M. The Effect of Combination of Aerobic and Strengthening Exercise on Muscle Strength, Balance, and Sleep Quality in Individuals with Type 2 Diabetes. Duzce Med J. 2022;24(3):235-40.