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IRCT20220713055466N1 IRCT 2022-07-18 Yasouj University of Medical Sciences Comparison of the effect of tai chi exercise and walking on HbA1C levels health related quality of life in patient with type 2 diabetes Comparison of the effect of tai chi exercise and walking on HbA1C levels health related quality of life in patient with type 2 diabetes 2022-07-23 anticipated 96 Complete https://irct.ir/trial/64786 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Random allocation by block method will be in order for the researcher to make sure that exactly the same number of patients will enter the intervention and control groups in a consecutive, but equal, time interval. The groups will be formed as B, A and C. Before assigning people to one of the groups, a list of these letters (B, A, and C), in other words, blocks of sizes 3, 9, and 12, will be created by the reliable website https://www.sealedenvelope.com. Each of the referring and qualified people will be assigned to one of the groups. N/A Patient with type 2 diabetes. Intervention 1: Intervention group 1: tai chi exercise: This exercise is performed for 12 weeks (1 to 2 hours after eating). Subjects will participate in two 60-minute Tai Chi training sessions per week for 12 weeks. Each session will include 10 minutes of warm-up, 40 minutes of tai chi and 10 minutes of cooling down. warm up includes; Exercise major joints and muscle groups at a low intensity level to prepare the skeletal muscles, heart and lungs for a gradual increase in exercise intensity following the recommendation of the American Diabetes Association. During each session, in addition to gentle, coordinated and smooth movements of different body parts, relaxation and deep breathing will be emphasized during the exercise. A tai chi workout will be followed by a cool-down workout that is structured like a warm-up to gradually lower the heart rate to pre-exercise levels. Because tai chi involves significant footwork, participants are advised to take precautions to prevent blisters and keep feet dry to minimize foot injury, as recommended by the American Diabetes Association. Recommends. Participants will also be reminded to drink enough water before, during and after exercise, as dehydration can negatively affect blood glucose levels and heart function. To prevent dehydration due to the heat caused by the activity, the gym will have air conditioning. Also, precautions such as eating a snack before exercise will be taken to prevent hypoglycemia caused by exercise. Participants will be advised to notice and report symptoms such as hunger, nervousness, tremors, or sweating. Glucose tablets, juice, soft drinks will be provided to increase blood glucose if needed. In addition, brochures and educational CDs will be given. Intervention 2: Intervention group 2: walking: This exercise is performed for 12 weeks (1 to 2 hours after eating). Each session will include 10 minutes of warm-up and 10 minutes of cool-down. warm up includes; Exercise major joints and muscle groups at a low intensity level to prepare the skeletal muscles, heart and lungs for a gradual increase in exercise intensity following the recommendation of the American Diabetes Association. Participants will be reminded to drink enough water before, during and after exercise, as dehydration can negatively affect blood glucose levels and heart function. To prevent dehydration due to the heat caused by the activity, the gym will have air conditioning. Also, precautions such as eating a snack before exercise will be taken to prevent hypoglycemia caused by exercise. Participants will be advised to notice and report symptoms such as hunger, nervousness, tremors, or sweating. Glucose tablets, juice, soft drinks will be provided to increase blood glucose if needed. In addition, the relevant brochure will be given. Intervention 3: Control group: Non-intervention: This training group will not be given. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Maryam Layeghi Motlagh
No. 51, Shahid 1 Alley., 30 meters from Maad Ave., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
Yasuj Iran (Islamic Republic of) 7591719154 +98 74 3322 4721 maryam.layeghi93@gmail.com Yasouj University of Medical Sciences scientific Maryam Layeghi Motlagh
No. 51, Shahid 1 Alley., 30 meters from Maad Ave., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
یاسوج Iran (Islamic Republic of) 7591719154 +98 74 3322 4721 maryam.layeghi93@gmail.com Yasouj University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Having type 2 diabetes with the approval of a specialist doctor Treated with oral diabetes medications Willingness to participate in the study Awareness of your illness being alert Not suffering from mental retardation and not suffering from mental illness Age 20-60 years Obtaining an average and unfavorable quality of life score related to health based on a questionnaire 20 years 60 years Both Hospitalization during the study Creating emergency conditions such as non-ketonic hyperosmolar or hypoglycemia Patients with decreased visual activity due to diabetic retinopathy and decreased body movement due to diabetic foot disease Unwillingness to continue cooperation Migration Exercise intolerance Diabetic foot ulcer Suffering from musculoskeletal or cardiovascular diseases Lack of regular participation in exercises Diabetic patients with hemoglobinopathy or anemia Diabetic patients with uremia Diabetic patients with microvascular complications such as retinopathy, nephropathy and neuropathy E11 Type 2 diabetes mellitus Lifestyle Lifestyle Lifestyle Intervention group 1: tai chi exercise: This exercise is performed for 12 weeks (1 to 2 hours after eating). Subjects will participate in two 60-minute Tai Chi training sessions per week for 12 weeks. Each session will include 10 minutes of warm-up, 40 minutes of tai chi and 10 minutes of cooling down. warm up includes; Exercise major joints and muscle groups at a low intensity level to prepare the skeletal muscles, heart and lungs for a gradual increase in exercise intensity following the recommendation of the American Diabetes Association. During each session, in addition to gentle, coordinated and smooth movements of different body parts, relaxation and deep breathing will be emphasized during the exercise. A tai chi workout will be followed by a cool-down workout that is structured like a warm-up to gradually lower the heart rate to pre-exercise levels. Because tai chi involves significant footwork, participants are advised to take precautions to prevent blisters and keep feet dry to minimize foot injury, as recommended by the American Diabetes Association. Recommends. Participants will also be reminded to drink enough water before, during and after exercise, as dehydration can negatively affect blood glucose levels and heart function. To prevent dehydration due to the heat caused by the activity, the gym will have air conditioning. Also, precautions such as eating a snack before exercise will be taken to prevent hypoglycemia caused by exercise. Participants will be advised to notice and report symptoms such as hunger, nervousness, tremors, or sweating. Glucose tablets, juice, soft drinks will be provided to increase blood glucose if needed. In addition, brochures and educational CDs will be given. Intervention group 2: walking: This exercise is performed for 12 weeks (1 to 2 hours after eating). Each session will include 10 minutes of warm-up and 10 minutes of cool-down. warm up includes; Exercise major joints and muscle groups at a low intensity level to prepare the skeletal muscles, heart and lungs for a gradual increase in exercise intensity following the recommendation of the American Diabetes Association. Participants will be reminded to drink enough water before, during and after exercise, as dehydration can negatively affect blood glucose levels and heart function. To prevent dehydration due to the heat caused by the activity, the gym will have air conditioning. Also, precautions such as eating a snack before exercise will be taken to prevent hypoglycemia caused by exercise. Participants will be advised to notice and report symptoms such as hunger, nervousness, tremors, or sweating. Glucose tablets, juice, soft drinks will be provided to increase blood glucose if needed. In addition, the relevant brochure will be given. Control group: Non-intervention: This training group will not be given. Hemoglobin A1C. Timepoint: Hemoglobin A1C level of patients at the beginning of the study (before the intervention) and 12 weeks after the study. Method of measurement: Analysis with HPLC model DS5. Health related quality of life. Timepoint: The level of Health related quality of life of patients at the beginning of the study (before the intervention) and 12 weeks after the study. Method of measurement: Diabetes Quality of Life-Brief Clinical Inventory. Yasouj University of Medical Sciences Approved 2022-05-18 Ethics committee of Yasuj University of Medical Sciences Yasuj University of Medical Sciences, Shahid Motahari Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran Yasuj Kohgilouyeh-va-Boyrahmad Iran (Islamic Republic of)