Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study

Abstract Background Psychological disorders are common among individuals with type 2 diabetes mellitus. The effect of exercise training on psychological disorders like anxiety and depression has not been well studied in Ethiopia. The objective of this study was to assess the effect of structured aer...

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Main Authors: Muluken Gebeyehu, Kessatie Legesse, Soumitra Mondal, Mahmud Abdulkadir, Zeru Bekelle, Alemayehu Molla
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Sports Science, Medicine and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s13102-022-00574-3
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author Muluken Gebeyehu
Kessatie Legesse
Soumitra Mondal
Mahmud Abdulkadir
Zeru Bekelle
Alemayehu Molla
author_facet Muluken Gebeyehu
Kessatie Legesse
Soumitra Mondal
Mahmud Abdulkadir
Zeru Bekelle
Alemayehu Molla
author_sort Muluken Gebeyehu
collection DOAJ
description Abstract Background Psychological disorders are common among individuals with type 2 diabetes mellitus. The effect of exercise training on psychological disorders like anxiety and depression has not been well studied in Ethiopia. The objective of this study was to assess the effect of structured aerobic and resistance exercises on psychological domains among people with type 2 diabetes mellitus in southern Ethiopia. Method We began by approaching 97 type 2 diabetic patients who regularly attend follow-up clinics. The 24 study participants were randomly assigned to one of four groups: aerobic exercise (n = 6), resistance exercise (n = 6), combined aerobic and resistance exercise (n = 6), and control group (n = 6). For each arm, the interventions were a structured workout package that was completed without interrupting usual clinical follow-up. The control groups, on the other hand, were kept as follow-up clinical cases with daily routine work. A paired t-test was performed to compare the means and mean differences of each exercise group’s pretest and posttest. A Tukey’s post hoc test was performed to compare mean differences between groups. The significance level was set at P < 0.05. Result A more significant change was obtained in the combined aerobic and resistance exercise on anxiety and depression (p = 0.006), social dysfunction (p = 0.009), loss of confidence (p = 0.012) in particular, and psychological wellbeing (p = 0.010) in general. Resistance exercise alone had a significant impact on social dysfunction (p = 0.010), anxiety and depression (p = 0.017), and psychological well-being (p = 0.012) in general. Changes in social dysfunction (p = 0.010), anxiety and depression (p = 0.030), and psychological well-being (p = 0.018) were also influenced by aerobic exercise. The study found no significant change in depression and anxiety among control groups. Conclusion As a result, the combined effect of aerobic and resistance exercise had a greater influence on improving anxiety and depression, social dysfunction, loss of confidence in particular, and psychological well-being in general among patients with type 2 diabetes. In other words, the present evidence proves the betterment of combined aerobic and resistance exercises alone followed by resistance exercise alone and aerobic exercise alone compared with non-exercise groups seems to upgrade psychological wellbeing by setting up three main benefits named as: (1) anti-anxiety and depression effects; (2) anti-social dysfunction effects; and (3) anti-loss of confidence effects. This suggests that patients with diabetes who exercise regularly enhance their psychological well-being.
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spelling doaj.art-60dbc20ecc7d4c93871619145bcbd1942022-12-22T04:06:58ZengBMCBMC Sports Science, Medicine and Rehabilitation2052-18472022-10-011411710.1186/s13102-022-00574-3Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based studyMuluken Gebeyehu0Kessatie Legesse1Soumitra Mondal2Mahmud Abdulkadir3Zeru Bekelle4Alemayehu Molla5Department of Sports Science, College of Natural and Computational Science, Dilla UniversityDepartment of Sport Science, College of Natural and Computational Science, Mekelle UniversityDepartment of Sport Science, College of Natural and Computational Science, Mekelle UniversityDepartments of Biomedical Science, College of Health Science and Medicine, Mekelle UniversityDepartment of Sports Science, College of Natural and Sports Science, Addis Ababa UniversityDepartment of psychiatry, College of Health Science and medicine, Dilla UniversityAbstract Background Psychological disorders are common among individuals with type 2 diabetes mellitus. The effect of exercise training on psychological disorders like anxiety and depression has not been well studied in Ethiopia. The objective of this study was to assess the effect of structured aerobic and resistance exercises on psychological domains among people with type 2 diabetes mellitus in southern Ethiopia. Method We began by approaching 97 type 2 diabetic patients who regularly attend follow-up clinics. The 24 study participants were randomly assigned to one of four groups: aerobic exercise (n = 6), resistance exercise (n = 6), combined aerobic and resistance exercise (n = 6), and control group (n = 6). For each arm, the interventions were a structured workout package that was completed without interrupting usual clinical follow-up. The control groups, on the other hand, were kept as follow-up clinical cases with daily routine work. A paired t-test was performed to compare the means and mean differences of each exercise group’s pretest and posttest. A Tukey’s post hoc test was performed to compare mean differences between groups. The significance level was set at P < 0.05. Result A more significant change was obtained in the combined aerobic and resistance exercise on anxiety and depression (p = 0.006), social dysfunction (p = 0.009), loss of confidence (p = 0.012) in particular, and psychological wellbeing (p = 0.010) in general. Resistance exercise alone had a significant impact on social dysfunction (p = 0.010), anxiety and depression (p = 0.017), and psychological well-being (p = 0.012) in general. Changes in social dysfunction (p = 0.010), anxiety and depression (p = 0.030), and psychological well-being (p = 0.018) were also influenced by aerobic exercise. The study found no significant change in depression and anxiety among control groups. Conclusion As a result, the combined effect of aerobic and resistance exercise had a greater influence on improving anxiety and depression, social dysfunction, loss of confidence in particular, and psychological well-being in general among patients with type 2 diabetes. In other words, the present evidence proves the betterment of combined aerobic and resistance exercises alone followed by resistance exercise alone and aerobic exercise alone compared with non-exercise groups seems to upgrade psychological wellbeing by setting up three main benefits named as: (1) anti-anxiety and depression effects; (2) anti-social dysfunction effects; and (3) anti-loss of confidence effects. This suggests that patients with diabetes who exercise regularly enhance their psychological well-being.https://doi.org/10.1186/s13102-022-00574-3GHQ-12Psychological wellbeingStructured exerciseType 2 diabetes mellitus
spellingShingle Muluken Gebeyehu
Kessatie Legesse
Soumitra Mondal
Mahmud Abdulkadir
Zeru Bekelle
Alemayehu Molla
Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study
BMC Sports Science, Medicine and Rehabilitation
GHQ-12
Psychological wellbeing
Structured exercise
Type 2 diabetes mellitus
title Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study
title_full Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study
title_fullStr Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study
title_full_unstemmed Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study
title_short Effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in Southern Ethiopia institution-based study
title_sort effects of structured exercises on selected psychological domains in individuals with type 2 diabetes mellitus in southern ethiopia institution based study
topic GHQ-12
Psychological wellbeing
Structured exercise
Type 2 diabetes mellitus
url https://doi.org/10.1186/s13102-022-00574-3
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