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BioMed Research International
Volume 2013, Article ID 310574, 9 pages
http://dx.doi.org/10.1155/2013/310574
Clinical Study

Time Course of Improvement of Metabolic Parameters after a 12 Week Physical Exercise Programme in Patients with Type 2 Diabetes: The Influence of Gender in a Nigerian Population

1Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan 200211, Nigeria
2Department of Medicine, Aminu Kano Teaching Hospital, Kano 700233, Nigeria
3Department of Medicine, College of Medicine, University of Ibadan, Ibadan 200211, Nigeria

Received 30 April 2013; Revised 20 July 2013; Accepted 30 July 2013

Academic Editor: Bijay Vaidya

Copyright © 2013 A. F. Adeniyi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gender is a major determinant of the outcomes of many health interventions. This study documents the order of significant improvements in metabolic parameters of patients with type 2 diabetes mellitus (T2DM) having metabolic syndrome within 12 weeks of physical exercise programmes. Twenty-nine patients, mean age 49.6 ± 3.7 years, presenting with high fasting plasma glucose, high triglycerides, hypertension, and high waist circumference undertook a thrice weekly aerobic and endurance exercise programme in addition to their drugs and diet. Variables were assessed at baseline and end of every two weeks for twelve weeks. Compared with baseline, significant improvement ( ) in the metabolic parameters occurred in this order for the male participants: fasting glucose (2nd week), triglycerides and waist circumference (4th week), and systolic blood pressure (12th week). For the female participants, it was fasting glucose (4th week), triglycerides (6th week), and waist circumference (10th week). Regardless of the gender, fasting glucose was the first to improve significantly, followed by triglycerides. Hypertension did not improve significantly at all in the female participants as they may require more than twelve weeks of therapeutic exercise for any significant improvement in hypertension.