Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial

IntroductionThis study investigated the effect of Yijinjing combined with elastic band exercise on muscle mass and muscle function in patients with prediabetes.MethodsThis study was a randomized controlled trial designed in parallel (Chinese Clinical Trial Registry: ChiCTR2000039049). Participants w...

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Main Authors: Yunda Huang, Junhua Han, Qing Gu, Yanwei Cai, Jingyuan Li, Shasha Wang, Suijun Wang, Ru Wang, Xiangyun Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.990100/full
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author Yunda Huang
Junhua Han
Qing Gu
Yanwei Cai
Jingyuan Li
Shasha Wang
Suijun Wang
Ru Wang
Xiangyun Liu
author_facet Yunda Huang
Junhua Han
Qing Gu
Yanwei Cai
Jingyuan Li
Shasha Wang
Suijun Wang
Ru Wang
Xiangyun Liu
author_sort Yunda Huang
collection DOAJ
description IntroductionThis study investigated the effect of Yijinjing combined with elastic band exercise on muscle mass and muscle function in patients with prediabetes.MethodsThis study was a randomized controlled trial designed in parallel (Chinese Clinical Trial Registry: ChiCTR2000039049). Participants with prediabetes (n = 47) were randomly divided into control (n = 21, 63.5 ± 4.7 years,16 females) and exercise (n = 26, 62.0 ± 5.0 years, 20 females) groups. The former maintained their original lifestyle, and the latter received Yijinjing combined with elastic band exercise five times a week for 6 months. All the outcome measures were assessed immediately at baseline, after 3- and 6-month intervention.ResultsAfter 6-month of the exercise, the body weight, body mass index, leg fat mass, gynoid fat mass, and total body fat mass in exercise group were significantly decreased compared with those at baseline (p < 0.05). Compared with those at baseline, total lean mass decreased at 3 and 6 months in both groups. The total muscle mass loss in the exercise group was always less than that in control group at all time periods, but the difference was not statistically significant. Handgrip strength, gait speed, reaction time, leg power, eye-closed and single-legged standing, and sit-and-reach were significantly improved for the exercise group at 3 and 6 months (p < 0.05). Gait speed and reaction time between both groups at 3 and 6 months were significant different (p < 0.05), and leg power at 6 months (p < 0.05). Compared with baseline, the reaction time of control group at six months was significantly improved (p < 0.05), and no other significant changes were observed. Compared with those at baseline, fasting plasma glucose, 2-h post-meal plasma glucose, fasting insulin, total cholesterol, and insulin resistance index in exercise group gradually decreased, and growth hormone was gradually increased with significance at 6 months (p < 0.05). 25-hydroxyvitamin D gradually and significantly increased in both groups at 3 and 6 months (p < 0.05). But two groups’ testosterone levels weren’t significant change.ConclusionYijinjing combined with elastic band exercise can substantially reduce the body weight and body fat content of middle-aged and elderly patients with Prediabetes, improve muscle function and growth hormone secretion, and delay muscle mass reduction and diabetes development.Clinical trial registration[http://www.chictr.org.cn/showproj.aspx?proj=62753], identifier [ChiCTR2000039049].
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spelling doaj.art-814614ad52a048fca1aa92908d304b872022-12-22T04:34:29ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-11-01910.3389/fmed.2022.990100990100Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trialYunda Huang0Junhua Han1Qing Gu2Yanwei Cai3Jingyuan Li4Shasha Wang5Suijun Wang6Ru Wang7Xiangyun Liu8Shanghai University of Sport, Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai, ChinaYinhang Community Health Center, Shanghai, ChinaDepartment of Endocrinology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, Shanghai, ChinaShanghai University of Sport, Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai, ChinaShanghai University of Sport, Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai, ChinaShanghai University of Sport, Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai, ChinaDepartment of Endocrinology, Shidong Hospital, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, Shanghai, ChinaShanghai University of Sport, Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai, ChinaShanghai University of Sport, Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai, ChinaIntroductionThis study investigated the effect of Yijinjing combined with elastic band exercise on muscle mass and muscle function in patients with prediabetes.MethodsThis study was a randomized controlled trial designed in parallel (Chinese Clinical Trial Registry: ChiCTR2000039049). Participants with prediabetes (n = 47) were randomly divided into control (n = 21, 63.5 ± 4.7 years,16 females) and exercise (n = 26, 62.0 ± 5.0 years, 20 females) groups. The former maintained their original lifestyle, and the latter received Yijinjing combined with elastic band exercise five times a week for 6 months. All the outcome measures were assessed immediately at baseline, after 3- and 6-month intervention.ResultsAfter 6-month of the exercise, the body weight, body mass index, leg fat mass, gynoid fat mass, and total body fat mass in exercise group were significantly decreased compared with those at baseline (p < 0.05). Compared with those at baseline, total lean mass decreased at 3 and 6 months in both groups. The total muscle mass loss in the exercise group was always less than that in control group at all time periods, but the difference was not statistically significant. Handgrip strength, gait speed, reaction time, leg power, eye-closed and single-legged standing, and sit-and-reach were significantly improved for the exercise group at 3 and 6 months (p < 0.05). Gait speed and reaction time between both groups at 3 and 6 months were significant different (p < 0.05), and leg power at 6 months (p < 0.05). Compared with baseline, the reaction time of control group at six months was significantly improved (p < 0.05), and no other significant changes were observed. Compared with those at baseline, fasting plasma glucose, 2-h post-meal plasma glucose, fasting insulin, total cholesterol, and insulin resistance index in exercise group gradually decreased, and growth hormone was gradually increased with significance at 6 months (p < 0.05). 25-hydroxyvitamin D gradually and significantly increased in both groups at 3 and 6 months (p < 0.05). But two groups’ testosterone levels weren’t significant change.ConclusionYijinjing combined with elastic band exercise can substantially reduce the body weight and body fat content of middle-aged and elderly patients with Prediabetes, improve muscle function and growth hormone secretion, and delay muscle mass reduction and diabetes development.Clinical trial registration[http://www.chictr.org.cn/showproj.aspx?proj=62753], identifier [ChiCTR2000039049].https://www.frontiersin.org/articles/10.3389/fmed.2022.990100/fullQigong Yijinjingelastic band exercisephysical performancelean massglycemic controlprediabetes
spellingShingle Yunda Huang
Junhua Han
Qing Gu
Yanwei Cai
Jingyuan Li
Shasha Wang
Suijun Wang
Ru Wang
Xiangyun Liu
Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
Frontiers in Medicine
Qigong Yijinjing
elastic band exercise
physical performance
lean mass
glycemic control
prediabetes
title Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
title_full Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
title_fullStr Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
title_full_unstemmed Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
title_short Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
title_sort effect of yijinjing combined with elastic band exercise on muscle mass and function in middle aged and elderly patients with prediabetes a randomized controlled trial
topic Qigong Yijinjing
elastic band exercise
physical performance
lean mass
glycemic control
prediabetes
url https://www.frontiersin.org/articles/10.3389/fmed.2022.990100/full
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