Adherence
Older adults (median age > 58.8 years) derive significantly greater improvements in physical functioning from intensive lifestyle interventions than younger adults with Type 2 Diabetes.
If you are over 60 with Type 2 Diabetes, an intensive lifestyle program is particularly powerful for you. You are likely to see bigger improvements in your daily physical function (mobility, independence) than younger patients because you start with more room for improvement. Don't let age discourage you; it may be your greatest asset for seeing functional gains.
Within the ILI, older adults experienced greater improvements than younger adults (p < .0001)... there was a greater benefit for older than younger participants (p = 0.02).
Why this rating
Large RCT with significant subgroup analysis.
Source
Aging and Physical Function in Type 2 Diabetes: 8 Years of an Intensive Lifestyle Intervention
W. Jack Rejeski et al. · The Journals of Gerontology Series A · 2014
DOI 10.1093/gerona/glu083
More from this paper
- An intensive lifestyle intervention (ILI) targeting weight loss and physical activity significantly improves and maintains self-reported physical functioning in older adults with type 2 diabetes compared to standard education, effectively buffering the age-related decline in function.Weak
- The physical function benefits of intensive lifestyle intervention are not sustained in patients with a preexisting history of cardiovascular disease (CVD), who lose the initial advantage by the second year.Weak
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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