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Mohammad E. Khamseh - One of the best experts on this subject based on the ideXlab platform.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & metabolic syndrome, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. One hundred and two diabetic women were randomised to supervised and home-based groups. Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p=0.01). Their reduction in mean body-fat mass from baseline to week 6 (p=0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p<0.05). From baseline to the twelfth week, the HbA1c level fell significantly (p<0.05) in both groups. Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Abstract Objectives Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. Materials and methods One hundred and two diabetic women were randomised to supervised and home-based groups. Methods Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Results Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p = 0.01). Their reduction in mean body-fat mass from baseline to week 6 (p = 0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p Conclusions Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients.
Haleh Dadgostar - One of the best experts on this subject based on the ideXlab platform.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & metabolic syndrome, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. One hundred and two diabetic women were randomised to supervised and home-based groups. Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p=0.01). Their reduction in mean body-fat mass from baseline to week 6 (p=0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p<0.05). From baseline to the twelfth week, the HbA1c level fell significantly (p<0.05) in both groups. Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Abstract Objectives Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. Materials and methods One hundred and two diabetic women were randomised to supervised and home-based groups. Methods Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Results Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p = 0.01). Their reduction in mean body-fat mass from baseline to week 6 (p = 0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p Conclusions Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients.
Joep A.w. Teijink - One of the best experts on this subject based on the ideXlab platform.
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supervised Exercise Therapy versus non supervised Exercise Therapy for intermittent claudication
Cochrane Database of Systematic Reviews, 2013Co-Authors: Hugo J P Fokkenrood, Bianca L. W. Bendermacher, E M Willigendael, M H Prins, Gert Jan Lauret, Joep A.w. TeijinkAbstract:Background Although supervised Exercise Therapy is considered to be of significant benefit for people with leg pain (peripheral arterial disease (PAD)), implementing supervised Exercise programs (SETs) in daily practice has limitations. This is an update of a review first published in 2006. Objectives The main objective of this review was to provide an accurate overview of studies evaluating the effects of supervised versus non-supervised Exercise Therapy on maximal walking time or distance on a treadmill for people with intermittent claudication. Search methods For this update, the Cochrane Peripheral Vascular Diseases Group Trials Search Co-ordinator searched the Specialised Register (last searched September 2012) and CENTRAL (2012, Issue 9). In addition, we handsearched the reference lists of relevant articles for additional trials. No restriction was applied to language of publication. Selection criteria Randomized clinical trials comparing supervised Exercise programs with non-supervised Exercise programs (defined as walking advice or a structural home-based Exercise program) for people with intermittent claudication. Studies with control groups, which did not receive Exercise or walking advice or received usual care (maintained normal physical activity), were excluded. Data collection and analysis Two review authors (HJPF and BLWB) independently selected trials and extracted data. Three review authors (HJPF, BLWB, and GJL) assessed trial quality, and this was confirmed by two other review authors (MHP and JAWT). For all continuous outcomes, we extracted the number of participants, the mean differences, and the standard deviation. The 36-Item Short Form Health Survey (SF-36) outcomes were extracted to assess quality of life. Effect sizes were calculated as the difference in treatment normalized with the standard deviation (standardized mean difference) using a fixed-effect model. Main results A total of 14 studies involving a total of 1002 male and female participants with PAD were included in this review. Follow-up ranged from six weeks to 12 months. In general, supervised Exercise regimens consisted of three Exercise sessions per week. All trials used a treadmill walking test as one of the outcome measures. The overall quality of the included trials was moderate to good, although some trials were small with respect to the number of participants, ranging from 20 to 304. Supervised Exercise Therapy (SET) showed statistically significant improvement in maximal treadmill walking distance compared with non-supervised Exercise Therapy regimens, with an overall effect size of 0.69 (95% confidence interval (CI) 0.51 to 0.86) and 0.48 (95% CI 0.32 to 0.64) at three and six months, respectively. This translates to an increase in walking distance of approximately 180 meters that favored the supervised group. SET was still beneficial for maximal and pain-free walking distances at 12 months, but it did not have a significant effect on quality of life parameters. Authors' conclusions SET has statistically significant benefit on treadmill walking distance (maximal and pain-free) compared with non-supervised regimens. However, the clinical relevance of this has not been demonstrated definitively; additional studies are required that focus on quality of life or other disease-specific functional outcomes, such as walking behavior, patient satisfaction, costs, and long-term follow-up. Professionals in the vascular field should make SET available for all patients with intermittent claudication.
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cost effectiveness of Exercise Therapy in patients with intermittent claudication supervised Exercise Therapy versus a go home and walk advice
European Journal of Vascular and Endovascular Surgery, 2011Co-Authors: A D I Van Asselt, Saskia P.a. Nicolaï, M H Prins, Manuela A Joore, Joep A.w. TeijinkAbstract:Abstract Objectives The Exercise Therapy in Peripheral Arterial Disease (EXITPAD) study has shown supervised Exercise Therapy (SET) to be more effective regarding walking distance and quality of life than a ‘go home and walk’ advice (WA) for patients with intermittent claudication. The present study aims to assess the cost-effectiveness of SET versus WA. Patients and methods Data from the EXITPAD study, a 12-month randomised controlled trial in 304 patients with claudication, was used to study the proportion of costs to walking distance and quality of life. Two different incremental cost-effectiveness ratios (ICERs) were calculated for SET versus WA: costs per extra metre on the treadmill test, and costs per quality-adjusted life year (QALY). QALYs were based on utilities derived from the EuroQoL-5 dimensions (EQ-5D). Results Mean total costs were higher for SET than for WA (3407 versus 2304 Euros), mainly caused by the costs of Exercise Therapy. The median walking distance was 620 m for SET and 400 m for WA. QALYs were 0.71 for SET and 0.67 for WA. All differences were statistically significant. The ICER for cost per extra metre on the 12-month treadmill test was € 4.08. For cost per QALY, the ICER was € 28693. Conclusion At a willingness-to-pay threshold of € 40 000 per QALY, SET likely is a cost-effective therapeutic option for patients with claudication.
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Supervised Exercise Therapy for intermittent claudication.
Acta Chirurgica Belgica, 2007Co-Authors: Bianca L. W. Bendermacher, Saskia P.a. Nicolaï, R.j.th.j. Welten, Lotte M. Kruidenier, Joep A.w. TeijinkAbstract:Purpose of the review : Although Exercise Therapy is considered to be of significant benefit to people with intermittent claudication, almost half of those affected do not undertake any Exercise Therapy. The purpose of this review is to evaluate the effects of supervised Exercise Therapy (SET) for people with intermittent claudication. Materials and methods : SET will be compared with non-supervised Exercise Therapy programs and the superiority of SET will be demonstrated. The development and implementation of a new community-based concept of SET will be addressed, whereas the first results of this new concept will be presented and compared with the results of SET programs provided in clinical settings, as described in literature. Main results : SET programs have significant benefits compared with non-supervised programs. Community-based SET has both economic and logistic advantages over clinic-based SET. Furthermore, community-based SET programs seems to be as effective as SET provided in a clinic-based setting and is a promising approach to providing conservative treatment for patients with intermittent claudication. Conclusions : SET in a community-based setting should ideally be the initial standard of care for patients with intermittent claudication. However, a study of the cost-effectiveness should be awaited.
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Supervised Exercise Therapy for intermittent claudication.
Acta Chirurgica Belgica, 2007Co-Authors: Bianca L. W. Bendermacher, Saskia P.a. Nicolaï, R.j.th.j. Welten, Lotte M. Kruidenier, Joep A.w. TeijinkAbstract:Purpose of the review : Although Exercise Therapy is considered to be of significant benefit to people with intermittent claudication, almost half of those affected do not undertake any Exercise Therapy. The purpose of this review is to evaluate the effects of supervised Exercise Therapy (SET) for people with intermittent claudication. Materials and methods : SET will be compared with non-supervised Exercise Therapy programs and the superiority of SET will be demonstrated. The development and implementation of a new community-based concept of SET will be addressed, whereas the first results of this new concept will be presented and compared with the results of SET programs provided in clinical settings, as described in literature. Main results : SET programs have significant benefits compared with non-supervised programs. Community-based SET has both economic and logistic advantages over clinic-based SET. Furthermore, community-based SET programs seems to be as effective as SET provided in a clinic-based setting and is a promising approach to providing conservative treatment for patients with intermittent claudication. Conclusions : SET in a community-based setting should ideally be the initial standard of care for patients with intermittent claudication. However, a study of the cost-effectiveness should be awaited.
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Supervised Exercise Therapy versus non-supervised Exercise Therapy for intermittent claudication.
The Cochrane database of systematic reviews, 2006Co-Authors: Bianca L. W. Bendermacher, Joep A.w. Teijink, E M Willigendael, M H PrinsAbstract:Although Exercise Therapy is considered to be of significant benefit to people with leg pain (intermittent claudication), almost half of those affected do not undertake any Exercise Therapy. To evaluate the effects of supervised versus non-supervised Exercise Therapy on the maximal walking time or distance for people with intermittent claudication. The Cochrane Peripheral Vascular Diseases Group searched their Specialized Register (last searched November 2005) and the Cochrane Central Register of Controlled Trials (CENTRAL) database in The Cochrane Library (last searched Issue 4, 2005). In addition, we handsearched the reference lists of relevant articles for additional trials. There was no restriction on language of publication. Randomized and controlled clinical trials comparing supervised Exercise programs with non-supervised Exercise programs for people with intermittent claudication. Two authors (BB and EMW) independently selected trials and extracted data. One author (BB) assessed trial quality and this was confirmed by a second author (MP). For all continuous outcomes we extracted the number of participants, the mean differences, and the standard deviation. If data were available, the standardized mean difference was calculated using a fixed-effect model. We identified twenty-seven trials, of which 19 had to be excluded because the control group received no Exercise Therapy at all. The remaining eight trials involved a total of 319 male and female participants with intermittent claudication. The follow up ranged from 12 weeks to 12 months. In general, the supervised Exercise regimens consisted of three Exercise sessions per week. All trials used a treadmill walking test as one of the outcome measures. The overall quality of the included trials was good, though the trials were all small with respect to the number of participants, ranging from 20 to 59. Supervised Exercise Therapy showed statistically significant and clinically relevant differences in improvement of maximal treadmill walking distance compared with non-supervised Exercise Therapy regimens, with an overall effect size of 0.58 (95% confidence interval 0.31 to 0.85) at three months. This translates to a difference of approximately 150 meters increase in walking distance in favor of the supervised group. Supervised Exercise Therapy is suggested to have clinically relevant benefits compared with non-supervised regimens, which is the main prescribed Exercise Therapy for people with intermittent claudication. However, the clinical relevance has not been demonstrated definitely and will require additional studies with a focus on the improvements in quality of life.
Majid Ansari - One of the best experts on this subject based on the ideXlab platform.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & metabolic syndrome, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. One hundred and two diabetic women were randomised to supervised and home-based groups. Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p=0.01). Their reduction in mean body-fat mass from baseline to week 6 (p=0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p<0.05). From baseline to the twelfth week, the HbA1c level fell significantly (p<0.05) in both groups. Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Abstract Objectives Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. Materials and methods One hundred and two diabetic women were randomised to supervised and home-based groups. Methods Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Results Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p = 0.01). Their reduction in mean body-fat mass from baseline to week 6 (p = 0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p Conclusions Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients.
Azam Mahmoudpour - One of the best experts on this subject based on the ideXlab platform.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & metabolic syndrome, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. One hundred and two diabetic women were randomised to supervised and home-based groups. Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p=0.01). Their reduction in mean body-fat mass from baseline to week 6 (p=0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p<0.05). From baseline to the twelfth week, the HbA1c level fell significantly (p<0.05) in both groups. Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.
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Supervised group-Exercise Therapy versus home-based Exercise Therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes.
Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2016Co-Authors: Haleh Dadgostar, Sahar Firouzinezhad, Majid Ansari, Shima Younespour, Azam Mahmoudpour, Mohammad E. KhamsehAbstract:Abstract Objectives Exercise is an integral part of diabetes care. In Iranian women with type II diabetes, we compared the effects of supervised group Exercise Therapy with the effects of home-based Exercise Therapy on health-related quality of life (HRQOL), anthropometric parameters, glycaemic control and lipid profile. Materials and methods One hundred and two diabetic women were randomised to supervised and home-based groups. Methods Over 12 weeks, participants received supervised group-Exercise Therapy or a home-based Exercise-Therapy program. During the intervention, they were assessed three times: at baseline, and at weeks 6 and 12. Generalized Estimating Equation models were used to examine the associations between the type of Exercise-Therapy program and changes over time in anthropometric and biochemical outcomes, and in HRQOL scales of SF36 questionnaire. Results Relative to home-based group, supervised group improved significantly regarding role-physical, general health, mean body weight and body mass index from baseline to week 12 (p = 0.01). Their reduction in mean body-fat mass from baseline to week 6 (p = 0.04) was greater. Similarly, their role-physical, general health and role-emotional improved significantly during the intervention (p Conclusions Supervised group-Exercise Therapy was more effective than home-based Exercise Therapy in improving HRQOL and body composition in diabetic women. However, home-based Exercise Therapy also produced significant improvements in glycaemic control, body composition and lipid profile. Whether in a supervised or home-based setting, the Exercise intervention can therefore be effective in improving health outcomes in diabetic patients.