Araştırma Makalesi
Yıl 2020,
Cilt: 42 Sayı: 6, 652 - 658, 09.11.2020
Öz
Tip 2 diyabeti olan kişilerde mekanik ve metabolik yetersizliklere bağlı olarak enerji harcaması etkilenmektedir. Bu çalışmanın amacı fonksiyonel egzersiz kapasitesinin değerlendirmesi sırasında enerji harcamasını ve tip 2 diyabeti parametrelerinin ilişkisinin değerlendirilmesidir. Çalışmaya 17 tip 2 diyabetli hasta dahil edildi. Laboratuvar değerleri ve antropometrik ölçümleri kaydedildi. Fonksiyonel kapasitesi altı dakika yürüme testi ile değerlendirildi. Enerji harcaması fizyolojik harcama indeksi ile altı dakika yürüme işi kullanılarak değerlendirildi. Fizyolojik harcama indeksi altı dakika yürüme testi ve istirahatteki kalp hızı farkının hıza bölünmesiyle hesaplandı. Altı dakika yürüme işi altı dakika yürüme mesafesinin vücut ağırlığının çarpılmasıyla hesaplandı. Ortalama fizyolojik harcama indeksi 0,37 ±0,18 (atım/m)’idi. Fizyolojik harcama indeksi boy, vücut kütle indeksi, açlık kan glukozu, total kolesterol ile ilişkiliydi (p<0,05). 6DYT işi yaş, boy, c-reaktif protein, bel kalça oranı, yağ yüzdesi, yağsız vücut kütlesi ile ilişkiliydi (p<0,05). Tip 2 diyabetli hastalarda fonksiyonel kapasite sırasındaki enerji harcaması klinik parametrelerle ilişkilidir. Enerji harcamasının alternatif yöntemleri olan fizyolojik harcama indeksi ve altı dakika yürüme işinin farklı klinik belirteçlerle ilişkili olması açısından birlikte incelenmesi önerilmektedir.
Anahtar Kelimeler
Kaynakça
- 1. Association AD. Diagnosis and classification of diabetes mellitus. Diabetes care. 2013;36(Supplement 1):S67-S74.
- 2. Bhupathiraju SN, Hu FB. Epidemiology of obesity and diabetes and their cardiovascular complications. Circ Res. 2016;118(11):1723-35.
- 3. Bruce DG, Davis WA, Davis TM. Longitudinal predictors of reduced mobility and physical disability in patients with type 2 diabetes: the Fremantle Diabetes Study. Diabetes care. 2005;28(10):2441-7.
- 4. Arena R, Myers J, Williams MA, Gulati M, Kligfield P, Balady GJ, et al. Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention of the Council on Clinical Cardiology and the Council on Cardiovascular Nursing. Circulation. 2007;116(3):329-43.
- 5. Chuang M-L, Lin I-F, Wasserman K. The body weight–walking distance product as related to lung function, anaerobic threshold and peakV̇O2in COPD patients. Respir Med. 2001;95(7):618-26.
- 6. Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respiratory Soc; 2014.
- 7. Awotidebe TO, Adedoyin RA, Oke KI, Ativie RN, Opiyo R, Ikujeyisi EO, et al. Relationship between functional capacity and health-related quality of life of patients with type—2 diabetes. Diabetes Metab Syndr. 2017;11(1):1-5.
- 8. Lee MC. Validity of the 6-minute walk test and step test for evaluation of cardio respiratory fitness in patients with type 2 diabetes mellitus. J Exerc Nutrition Biochem.2018;22(1):49.
- 9. Kuziemski K, Słomiński W, Jassem E. Impact of diabetes mellitus on functional exercise capacity and pulmonary functions in patients with diabetes and healthy persons. BMC Endocr Disord. 2019;19(1):2.
- 10. Ucok K, Yalcinkaya H, Acay A, Coban N, Aslanalp S, Akkan G, et al. Do patients with newly diagnosed type 2 diabetes have impaired physical fitness, and energy expenditures. Neth J Med. 2015;73(6):276-83.
- 11. Fagour C, Gonzalez C, Pezzino S, Florenty S, Rosette-Narece M, Gin H, et al. Low physical activity in patients with type 2 diabetes: the role of obesity. Diabetes Metab. 2013;39(1):85-7.
- 12. Rana BS, Pun M. Estimation of Physiological Cost Index as an Energy Expenditure Index using MacGregor's Equation. JNMA J Nepal Med Assoc. 2015;53(199).
- 13. MacGregor J. The evaluation of patient performance using longterm ambulatory monitoring technique in the domiciliary environment. Physiotherapy. 1981;67:30-3.
- 14. Delussu AS, Morone G, Iosa M, Bragoni M, Paolucci S, Traballesi M. Concurrent validity of Physiological Cost Index in walking over ground and during robotic training in subacute stroke patients. Biomed Res Int. 2014;2014.
- 15. Chin T, Sawamura S, Fujita H, Nakajima S, Ojima I, Oyabu H, et al. The efficacy of physiological cost index (PCI) measurement of a subject walking with an Intelligent Prosthesis. Prosthet Orthot Int. 1999;23(1):45-9.
- 16. Sharma H, Sarkar A. Correlation between six minute walk test and physiological cost index in healthy Indian females. Int J Sci Res. 2016;5(2):1386-91.
- 17. Association AD. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes. Diabetes care. 2018;41(Supplement 1):S13-S27.
- 18. Lee CMY, Woodward M, Pandeya N, Adams R, Barrett-Connor E, Boyko EJ, et al. Comparison of relationships between four common anthropometric measures and incident diabetes. Diabetes Res Clin Pract. 2017;132:36-44.
- 19. Amato MC, Giordano C, Galia M, Criscimanna A, Vitabile S, Midiri M, et al. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes care. 2010;33(4):920-2.
- 20. Singh SJ, Puhan MA, Andrianopoulos V, Hernandes NA, Mitchell KE, Hill CJ, et al. An official systematic review of the European Respiratory Society/American Thoracic Society: measurement properties of field walking tests in chronic respiratory disease. Eur Respir Soc. 2014.
- 21. Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 1998;158(5):1384-7.
- 22. Golpe R, Pérez-de-Llano LA, Méndez-Marote L, Veres-Racamonde A. Prognostic value of walk distance, work, oxygen saturation, and dyspnea during 6-minute walk test in COPD patients. Respir care. 2013;58(8):1329-34.
- 23. Troosters T, Gosselink R, Decramer M. Six minute walking distance in healthy elderly subjects. Eur Respir J. 1999;14(2):270-4.
- 24. Dawes HN, Barker KL, Cockburn J, Roach N, Scott O, Wade D. Borg’s rating of perceived exertion scales: do the verbal anchors mean the same for different clinical groups? Arch Phys Med Rehabil. 2005;86(5):912-6.
- 25. Graham RC, Smith NM, White CM. The reliability and validity of the physiological cost index in healthy subjects while walking on 2 different tracks. Arch Phys Med Rehabil. 2005;86(10):2041-6.
- 26. Ainsworth BE, Haskell WL, Leon AS, Jacobs JD, Montoye HJ, Sallis JF, et al. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993;25(1):71-80.
- 27. Latiri I, Elbey R, Hcini K, Zaoui A, Charfeddine B, Maarouf MR, et al. Six-minute walk test in non-insulin-dependent diabetes mellitus patients living in Northwest Africa. Diabetes Metab Syndr Obes. 2012;5:227.
- 28. Reusch JE, Bridenstine M, Regensteiner JG. Type 2 diabetes mellitus and exercise impairment. Rev Endocr Metab Disord. 2013;14(1):77-86.
- 29. Carter R, Holiday DB, Nwasuruba C, Stocks J, Grothues C, Tiep B. 6-minute walk work for assessment of functional capacity in patients with COPD. Chest. 2003;123(5):1408-15.
- 30. Iwama AM, Andrade GNd, Shima P, Tanni SE, Godoy Id, Dourado VZ. The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects. Braz J Med Biol Res. 2009;42(11):1080-5.
- 31. Adeniyi A, Uloko A, Sani-Suleiman I. Relationship Between the 6-minute Walk Test and Correlates of Type 2 Diabetes: Indication for caution in exercise prescription. African J Physio and Rehabili Sci. 2010;2(1):21-4.
- 32. Keytel L, Goedecke J, Noakes T, Hiiloskorpi H, Laukkanen R, van der Merwe L, et al. Prediction of energy expenditure from heart rate monitoring during submaximal exercise. J Sports Sci. 2005;23(3):289-97.
- 33. Rose J, Gamble JG, Lee J, Lee R, Haskell WL. The energy expenditure index: a method to quantitate and compare walking energy expenditure for children and adolescents. J Pediatr Orthop. 1991;11(5):571-8.
- 34. Westerterp KR. Physical activity and physical activity induced energy expenditure in humans: measurement, determinants, and effects. Front Physiol. 2013;4:90.
- 35. Mehta JN, Gupta AV, Raval NG, Raval N, Hasnani N. Physiological cost index of different body mass index and age of an individual. Natl J Physiol Pharm Pharmacol. 2017;7(12):1313-7.
Physiological Expenditure Index, Functional Capacity and Clinical Parameters in Patients with Type 2 Diabetes
Öz
Energy expenditure is affected due to mechanical and metabolic deficiencies in individuals with type 2 diabetes. The aim of this study was to evaluate the relationship between energy expenditure during the assessment of functional exercise capacity and type 2 diabetes parameters. Seventeen patients with type 2 diabetes were included in the study. Laboratory and anthropometric values were recorded. Functional capacity was assessed using a six minute walk test. Energy expenditure was assessed using the physiological cost index and six minutes walk test work. Physiological cost index was calculated by difference between resting heart rate and heart rate at the end of the six minute walk test (beats), divided by average velocity (m/min). The six minutes walk work was calculated using six minute walk distance (m) x body weight (kg). The mean physiological cost index was 0.37 ± 0.18 (beats/m). Physiological cost index was associated with height, body mass index, fasting blood glucose and total cholesterol (p <0.05). Six minutes walking work was related to age, height, c-reactive protein, waist-hip ratio, fat percentage, lean body mass (p <0.05). Energy expenditure during functional capacity in patients with type 2 diabetes is associated with clinical parameters. It is recommended to examine the both of physiological cost index and the six-minute walking test which is an alternative method of energy expenditure because of theirs relation to different clinical markers.
Anahtar Kelimeler
Kaynakça
- 1. Association AD. Diagnosis and classification of diabetes mellitus. Diabetes care. 2013;36(Supplement 1):S67-S74.
- 2. Bhupathiraju SN, Hu FB. Epidemiology of obesity and diabetes and their cardiovascular complications. Circ Res. 2016;118(11):1723-35.
- 3. Bruce DG, Davis WA, Davis TM. Longitudinal predictors of reduced mobility and physical disability in patients with type 2 diabetes: the Fremantle Diabetes Study. Diabetes care. 2005;28(10):2441-7.
- 4. Arena R, Myers J, Williams MA, Gulati M, Kligfield P, Balady GJ, et al. Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention of the Council on Clinical Cardiology and the Council on Cardiovascular Nursing. Circulation. 2007;116(3):329-43.
- 5. Chuang M-L, Lin I-F, Wasserman K. The body weight–walking distance product as related to lung function, anaerobic threshold and peakV̇O2in COPD patients. Respir Med. 2001;95(7):618-26.
- 6. Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respiratory Soc; 2014.
- 7. Awotidebe TO, Adedoyin RA, Oke KI, Ativie RN, Opiyo R, Ikujeyisi EO, et al. Relationship between functional capacity and health-related quality of life of patients with type—2 diabetes. Diabetes Metab Syndr. 2017;11(1):1-5.
- 8. Lee MC. Validity of the 6-minute walk test and step test for evaluation of cardio respiratory fitness in patients with type 2 diabetes mellitus. J Exerc Nutrition Biochem.2018;22(1):49.
- 9. Kuziemski K, Słomiński W, Jassem E. Impact of diabetes mellitus on functional exercise capacity and pulmonary functions in patients with diabetes and healthy persons. BMC Endocr Disord. 2019;19(1):2.
- 10. Ucok K, Yalcinkaya H, Acay A, Coban N, Aslanalp S, Akkan G, et al. Do patients with newly diagnosed type 2 diabetes have impaired physical fitness, and energy expenditures. Neth J Med. 2015;73(6):276-83.
- 11. Fagour C, Gonzalez C, Pezzino S, Florenty S, Rosette-Narece M, Gin H, et al. Low physical activity in patients with type 2 diabetes: the role of obesity. Diabetes Metab. 2013;39(1):85-7.
- 12. Rana BS, Pun M. Estimation of Physiological Cost Index as an Energy Expenditure Index using MacGregor's Equation. JNMA J Nepal Med Assoc. 2015;53(199).
- 13. MacGregor J. The evaluation of patient performance using longterm ambulatory monitoring technique in the domiciliary environment. Physiotherapy. 1981;67:30-3.
- 14. Delussu AS, Morone G, Iosa M, Bragoni M, Paolucci S, Traballesi M. Concurrent validity of Physiological Cost Index in walking over ground and during robotic training in subacute stroke patients. Biomed Res Int. 2014;2014.
- 15. Chin T, Sawamura S, Fujita H, Nakajima S, Ojima I, Oyabu H, et al. The efficacy of physiological cost index (PCI) measurement of a subject walking with an Intelligent Prosthesis. Prosthet Orthot Int. 1999;23(1):45-9.
- 16. Sharma H, Sarkar A. Correlation between six minute walk test and physiological cost index in healthy Indian females. Int J Sci Res. 2016;5(2):1386-91.
- 17. Association AD. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes. Diabetes care. 2018;41(Supplement 1):S13-S27.
- 18. Lee CMY, Woodward M, Pandeya N, Adams R, Barrett-Connor E, Boyko EJ, et al. Comparison of relationships between four common anthropometric measures and incident diabetes. Diabetes Res Clin Pract. 2017;132:36-44.
- 19. Amato MC, Giordano C, Galia M, Criscimanna A, Vitabile S, Midiri M, et al. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes care. 2010;33(4):920-2.
- 20. Singh SJ, Puhan MA, Andrianopoulos V, Hernandes NA, Mitchell KE, Hill CJ, et al. An official systematic review of the European Respiratory Society/American Thoracic Society: measurement properties of field walking tests in chronic respiratory disease. Eur Respir Soc. 2014.
- 21. Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 1998;158(5):1384-7.
- 22. Golpe R, Pérez-de-Llano LA, Méndez-Marote L, Veres-Racamonde A. Prognostic value of walk distance, work, oxygen saturation, and dyspnea during 6-minute walk test in COPD patients. Respir care. 2013;58(8):1329-34.
- 23. Troosters T, Gosselink R, Decramer M. Six minute walking distance in healthy elderly subjects. Eur Respir J. 1999;14(2):270-4.
- 24. Dawes HN, Barker KL, Cockburn J, Roach N, Scott O, Wade D. Borg’s rating of perceived exertion scales: do the verbal anchors mean the same for different clinical groups? Arch Phys Med Rehabil. 2005;86(5):912-6.
- 25. Graham RC, Smith NM, White CM. The reliability and validity of the physiological cost index in healthy subjects while walking on 2 different tracks. Arch Phys Med Rehabil. 2005;86(10):2041-6.
- 26. Ainsworth BE, Haskell WL, Leon AS, Jacobs JD, Montoye HJ, Sallis JF, et al. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993;25(1):71-80.
- 27. Latiri I, Elbey R, Hcini K, Zaoui A, Charfeddine B, Maarouf MR, et al. Six-minute walk test in non-insulin-dependent diabetes mellitus patients living in Northwest Africa. Diabetes Metab Syndr Obes. 2012;5:227.
- 28. Reusch JE, Bridenstine M, Regensteiner JG. Type 2 diabetes mellitus and exercise impairment. Rev Endocr Metab Disord. 2013;14(1):77-86.
- 29. Carter R, Holiday DB, Nwasuruba C, Stocks J, Grothues C, Tiep B. 6-minute walk work for assessment of functional capacity in patients with COPD. Chest. 2003;123(5):1408-15.
- 30. Iwama AM, Andrade GNd, Shima P, Tanni SE, Godoy Id, Dourado VZ. The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects. Braz J Med Biol Res. 2009;42(11):1080-5.
- 31. Adeniyi A, Uloko A, Sani-Suleiman I. Relationship Between the 6-minute Walk Test and Correlates of Type 2 Diabetes: Indication for caution in exercise prescription. African J Physio and Rehabili Sci. 2010;2(1):21-4.
- 32. Keytel L, Goedecke J, Noakes T, Hiiloskorpi H, Laukkanen R, van der Merwe L, et al. Prediction of energy expenditure from heart rate monitoring during submaximal exercise. J Sports Sci. 2005;23(3):289-97.
- 33. Rose J, Gamble JG, Lee J, Lee R, Haskell WL. The energy expenditure index: a method to quantitate and compare walking energy expenditure for children and adolescents. J Pediatr Orthop. 1991;11(5):571-8.
- 34. Westerterp KR. Physical activity and physical activity induced energy expenditure in humans: measurement, determinants, and effects. Front Physiol. 2013;4:90.
- 35. Mehta JN, Gupta AV, Raval NG, Raval N, Hasnani N. Physiological cost index of different body mass index and age of an individual. Natl J Physiol Pharm Pharmacol. 2017;7(12):1313-7.
Toplam 35 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | ORİJİNAL MAKALELER / ORIGINAL ARTICLES |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Kasım 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 42 Sayı: 6 |