| Diabetes is one of the most prevalent chronic diseases in China,and with the increase of the incidence of diabetes and the serious harm of its complications,the treatment of diabetes by exercise has attracted widespread attention.However,exercise therapy for elderly patients with type 2 diabetes is limited due to poor compliance and inappropriate exercise intensity.AimsThe aim of the study intends to use Kinect combined with Kai-Mai style Tai Chi to explore effective and safe exercise intensity for elderly type 2 diabetic patients and observe the effect of exercise.MethodsThis study is a non-randomized controlled trial.The intervention study recruited older type 2 diabetes mellitus patients,assigned by community,the Tai Chi group with 27 participants,the control group with 28 participants.The research tool consists of three parts: general data questionnaire,cognitive function measurement table(MMSE),balance function measurement table(Berg)and fatigue degree measurement table(Piper).The intervention group used Kinect-based Kai-Mai style tai chi,each duration practice 30 minutes,three times per week for a total of 12 weeks during the intervention.The control group was design as waiting list,the control group was given the same exercise intervention as the Tai Chi group after 12 weeks of intervention.The study will examine weight,BMI,fasting blood glucose,glycated blood glucose,lipids,cognitive function,balance function and fatigue,for elderly patients with type 2 diabetes at pre-intervention and post-intervention.Result 1.General informationNo significant difference was observed in gender,age,education level,diabetes history,comorbidities,treatment measures,sleep time,average sitting time and average daily labor intensity(P>0.05).2.BaselineNo significant difference was observed in body weight,BMI,HbA1 c,fasting plasma glucose,cholesterol,triglyceride,HDL-C,LDL-C,MMSE,Berg,Piper total scores and four dimensions for the two groups(P>0.05).3.Data analysis after intervention(1)Tai Chi group: There were difference in weight,BMI,HbA1,fasting blood glucose,HDL-C,MMSE,Berg and Piper scores and four dimensions compare to baseline in Tai Chi group(P<0.05),but other indicators were not statistically significant.(2)Control group: There were no difference in weight,BMI,HbA1,fasting blood glucose,cholesterol,HDL-C,MMSE,Berg and Piper scores and four dimensions compare to baseline in control group,but LDL-C was statistically significant compare to baseline(P<0.05).(3)Comparison between groups: There were difference in weight,BMI,HbA1,fasting blood glucose,MMSE,Berg and Piper scores and four dimensions compare to baseline(P<0.05),but other indicators were not statistically significant.(4)Correlation analysis: BMI and HbA1 c were correlated with the score of the MMSE;LDL-C was correlated with the score of Berg;LDL-C,HDL-C and BMI were correlated with the score of the Piper scale.Conclusion1.Kinect-based Kai-Mai style Tai Chi can significantly reduce fasting blood glucose,HbA1 c,weight,BMI and fatigue in elderly patients with type 2 diabetes.2.Kinect-based Kai-Mai style Tai Chi can significantly improve the cognitive function and balance function in elderly patients with type 2 diabetes,3.Kinect-based Kai-Mai style Tai Chi is safety and effective,which can increase the interest of exercise,increase the degree of participant and evaluate of exercise intervention standards which can be promoted as a kind of exercise mode.4.Nursing staff should educate the elderly to practice Tai Chi and delay the development of elderly patients with type 2 diabetes. |
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