Document Type : Research Paper


Medical Physiology Department, College of Medicine ,Ninevah University


Background: Exercise or physical activity is considered of key importance in the clinical management of patients with type 2 diabetes mellitus T2DM and has therefore been included inthe guidelines for diabetes prevention and treatment,
Aim: this study aims to evaluate the relationship between energy expenditure and T2DM parameters during the evaluation of functional exercise capacity.
Materials and Methods: the case series study was included 100 individuals with type 2 diabetes mellitus   T2DM.  The patients with physical or cognitive disabilities, uncontrollable cardiovascular disease, heart failure, arrhythmia, pulmonary disease, liver failure, kidney failure, cancer, neurological and orthopedic diseases were excluded from this study. Informed consent was obtained from all individuals participating in the study. Data were analyzed with SPSS software (version 25, IBM., NY, U.S.A.)
Results: The patients included in the study were clinically stable. When the visceral adipose index ( VAI)  values of individuals according to age are examined, 29.4% had no adipose tissue dysfunction, 5.9% had mild, 35.3% moderate, 29.4% had severe adipose tissue dysfunction. The mean PCI was 0.37 ±0.18 (beats/m). When individuals are classified according to the physiological expenditure index, Physiological cost index (PCI ) values are below 0.23 beats/m in 23.5% of individuals, between 0.23-0.42 beats/m in 29.4%, and 0.42 beats/m in 47.1% of individuals. It was above.  The six-minute walk test 6MWT values of 47.1% of individuals were below 82% and above 82% of 52.9%. Considering the relationships between clinical parameters and 6MWT job; Height, PCI, total cholesterol, 6MWT distance, 6MWT percentage, and during 6MWT with PCI
Conclusions: Although the correlation between exercise capacity and (FBG). is modest, it may have accounted for these people's poor functional exercise ability


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