Effects of Power Training on Physical Activity, Sitting Time, Disability, and Quality of Life in Older Patients With Type 2 Diabetes During the COVID-19 Confinement.

Abstract

To evaluate the effectiveness of a multicomponent supervised and unsupervised training program focused on muscle power to counteract the potential changes in sedentary behavior, disability, physical activity (PA), and health-related quality of life (HRQoL) caused by the COVID-19 pandemic domiciliary confinement in prefrail older adults with type 2 diabetes mellitus. Thirty-five older adults with type 2 diabetes mellitus were assigned to 2 groups according to their frailty status: exercise training group (prefrail or frail; n = 21; 74.7 [4.5]y; 33.3% male) and control group (robust; n = 14; 73.1 [3.9]y; 42.9% male). The exercise training group followed a multicomponent training program focusing on muscle power: supervised (5wk) and unsupervised (6wk). The primary outcomes, including PA and sitting time, perceived disability, and HRQoL, were assessed at the baseline and after 11weeks. At the end of confinement, there were significant decreases in PA in both groups (P < .05). Thus, sitting time increased more in the control group than in the exercise training group (P < .05). The HRQoL measures remained unchanged. Muscle power training before and during mandatory COVID-19 self-isolation in type 2 diabetes mellitus older adults (1)attenuates the COVID-19 domiciliary confinement-related increase in sitting time and (2)slightly decreases the self-reported levels of disability and maintains HRQoL.