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Evaluation of the Physical Fitness of the Type 2 Diabetic Patients: A Necessity for the Prescription of Adapted Physical Activity

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Open Journal of Internal Medicine 2022年第3期12卷 153-169页

作者： Wend Pagnangde Abraham Hermann Bagbila Lievyn Enette Yempabou Sagna ouedraogo Pingdewende Victor Carole Gilberte Kyelem Tene Marceline Yameogo samdpawinde macaire ouedraogo Youssoufou Joseph Drabo Cédric Fagour Endocrinology Department University Hospital Center of Martinique Fort-de-France France Internal Medicine Department Souro-Sanou University Hospital Center Bobo-Dioulasso Burkina Faso Higher Institute of Health Sciences Bobo-Dioulasso Burkina Faso Internal Medicine Department University Hospital of Ouagadougou Ouagadougou Burkina Faso Health Sciences Training Unit Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Background: Diabetes mellitus and physical inactivity are modifiable risk factors for stroke. Physical activity is one of the pillars of type 2 diabetes management. The aim of this study was to evaluate the physical fitness of a sample of type 2 diabetes patients at the CHU of Martinique (UHCM). Patients and Methods: This was a descriptive cross-sectional study, from 1st June to 30th September 2018. It consisted of the exhaustive prospective collection of data on the usual physical activity and physical fitness of type 2 diabetic patients hospitalized in the Endocrinology department of the UHCM for a short stay. The physical fitness tests of the French National Olympic and Sports Committee, validated on 13 April 2013, were used. Results: Thirty patients were included in the study. The mean age was 51.9 ± 11 years. The sex ratio was 1.5, and hypertension in 53% (n = 16) of patients was the most associated risk factor. The median duration of diabetes progression was 4 years with Q1 and Q2 quantiles of 2 and 10 years, respectively. The physical fitness evaluation noted a balance disorder with a risk of falling in 56.7% (n = 17) of patients, muscle stiffness in 20% (n = 6) of them, while 56.7% (n = 17) and 80% (n = 24) had a decrease in the muscular strength of the upper and lower limbs, respectively. The distance covered during the standard 6 min walking test was normal for 70% (n = 21) of the patients. Conclusion: The evaluation of the patient’s physical fitness allows us to assess their deconditioning to physical activity and other obstacles to physical activity to plan appropriate interventions.

关键词： Physical Fitness Diabetic Patient Physical Activity

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