Exercise training is associated with reduced pains from the musculoskeletal system in patients with type 2 diabetes.
Diabetes Res Clin Pract. 2019 Jul 9. Epub 2019 Jul 9. PMID: 31299196
Trine Munk Jensen
AIMS: To investigate the effect of exercise training on musculoskeletal pain in patients with type 2 diabetes.
METHODS: The intervention was exercise twice weekly for 12 weeks. The primary outcome was musculoskeletal pain assessed using a 0-10 Numeric Rating Scale (NRS) in 11 body sites. Secondary outcomes were use of analgesics, glycaemic control and body weight.
RESULTS: The participants (n=69) were 66±10 years old, 38 were men and 50 completed the intervention. Pain in the limbs was more frequently reported by the participants compared to a matched general population (80.9% vs 65.3%, p=0.007). The participants who had any pain at baseline (NRS>0) and severe pain (NRS>3) reported significantly decreased pain in the feet, calf muscles, knees, thighs, hips, lower back and arms after the training period. Use of analgesics was unchanged, HbA1c (mmol/mol) decreased from 60±15 to 54±11, p<0.001 and body weight (kg) decreased from 100.5±19.1 to 98.6±17.7, p=0.005.
CONCLUSIONS: The participants with type 2 diabetes reported more frequent pain than a matched general population. The training intervention was associated with reduced musculoskeletal pain. Reduced pain may together with a positive impact on glycaemic control be an important motivational factor in patients with type 2 diabetes to perform exercise training.