Abstract
Introduction and Aim: Diabetes is a disease rising all over the world affecting larger number of populations. In India largest number of diabetic patients are reported. Lack of physical activity, dietary pattern change, and sedentary life style are the major causes for concern. Aneffective lifestyle intervention including changes in dietary pattern, regular exercises would enhance in preventing or postponing the onset of diabetes. The aim of the study is to analyse the effectiveness of Swiss ball exercise and resistance training in type 2 diabetes mellitus patients.
 
 Materials and Methods:The study design is comparative type. The study was conducted in Faculty of Physiotherapy, Dr. MGR Educational and Research Institute, Chennai. The study sample of 30 subjects both male and female were selected based on the inclusion and exclusion criteria. The subjects were sorted into two groups.Inclusion criteria were patients with clear history of Type 2 diabetes, clinically diagnosed, an inactive lifestyle, age between 30-60 years. Exclusion criteria were uncontrolled hypertension, coronary artery disease, advanced retinopathy, neuropathy, severe orthopedic conditions. 30 subjects between the age group of 30-60 years were divided into two groups, group A and group B. Individuals in the group A (n=15) received the Swiss ball exercise and group B (n=15) received resistance training exercise for 5 session/ week for 12 weeks for 30 minutes.
 
 Results: On comparing pre-test and post-test within group A andgroup B on fasting, post prandial blood sugar level and diabetes distress screening scale show highly significant difference in mean values at P ? 0.001.
 
 Conclusion:The study concluded that both the groupshad substantial effect. On comparing Swiss ball exercise and resistance training, both the exercise programs were found to be equally effective.
Highlights
Introduction and AimDiabetes is a disease rising all over the world affecting larger number of populations
Type 2 diabetes mellitus and pre-diabetic conditions such as impaired glucose tolerance is characterized by varying levels of insulin resistance causing hyperglycaemia
Exercise therapy is an effective method for treating diabetes mellitus
Summary
Introduction and AimDiabetes is a disease rising all over the world affecting larger number of populations. An effective lifestyle intervention including changes in dietary pattern, regular exercises would enhance in preventing or postponing the onset of diabetes. The aim of the study is to analyse the effectiveness of Swiss ball exercise and resistance training in type 2 diabetes mellitus patients. A metabolic disorder characterized by hyperglycaemia is divided into two types. Type 2 diabetes mellitus and pre-diabetic conditions such as impaired glucose tolerance is characterized by varying levels of insulin resistance causing hyperglycaemia. The change in glucose and insulin metabolism may not be a normal characteristic of aging but it is associated with obesity and physical inactivity [5]. The pathogenic mechanism is always associated with hereditary and environmental factors the disease has recently been detected as a chronic low-grade inflammatory disease its onset is characterized with persistent low-grade inflammation [6]. There is significant elevation of tumor necrosis factor-alpha (TNF-α), interleukin (IL)-6, C-reactive protein in diabetes [7]
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