Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial
ABSTRACT Aims/Introduction This study examined the effects of high‐intensity interval walking training (IWT) compared to moderate‐intensity continuous walking training (CWT) on muscle strength, walking ability, and health‐related quality of life (QOL) in people with diabetes accompanied by lower ext...
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| Format: | Article |
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Wiley
2025-04-01
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| Series: | Journal of Diabetes Investigation |
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| Online Access: | https://doi.org/10.1111/jdi.14399 |
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| author | Yasuko Ichihara Hiroyasu Mori Motomu Kamada Tetsuya Matsuura Koichi Sairyo Mizusa Hyodo Rie Tsutsumi Hiroshi Sakaue Ken‐ichi Aihara Makoto Funaki Akio Kuroda Munehide Matsuhisa |
| author_facet | Yasuko Ichihara Hiroyasu Mori Motomu Kamada Tetsuya Matsuura Koichi Sairyo Mizusa Hyodo Rie Tsutsumi Hiroshi Sakaue Ken‐ichi Aihara Makoto Funaki Akio Kuroda Munehide Matsuhisa |
| author_sort | Yasuko Ichihara |
| collection | DOAJ |
| description | ABSTRACT Aims/Introduction This study examined the effects of high‐intensity interval walking training (IWT) compared to moderate‐intensity continuous walking training (CWT) on muscle strength, walking ability, and health‐related quality of life (QOL) in people with diabetes accompanied by lower extremity weakness. Materials and Methods People with diabetes accompanied by low isometric knee extensor strength using a simple manual dynamometer (n = 50) were screened and randomly divided into 2 groups: CWT (n = 25) and IWT (n = 25). Both groups were instructed by a physical therapist to perform walking training with the goal of 120 min/week over a 5‐month period. The primary outcome, mean change of isometric knee extensor strength, and secondary outcomes, such as gait speed and health‐related QOL, were measured at baseline and the end of the intervention. Results At the end of the intervention, there was no significant difference in the degree of change in isometric knee extension strength between the two groups. However, there was a significant increase in changes in gait speed and physical QOL in the IWT group (gait speed, P < 0.01; physical QOL, P < 0.05). Conclusions The present study showed that IWT for people with diabetes accompanied by lower extremity weakness did not improve knee extension muscle strength compared to CWT but did improve walking ability and physical QOL. |
| format | Article |
| id | doaj-art-f14e4e8a38f64d1d860f6eeac0cc3da7 |
| institution | OA Journals |
| issn | 2040-1116 2040-1124 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Investigation |
| spelling | doaj-art-f14e4e8a38f64d1d860f6eeac0cc3da72025-08-20T01:52:18ZengWileyJournal of Diabetes Investigation2040-11162040-11242025-04-0116464665510.1111/jdi.14399Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trialYasuko Ichihara0Hiroyasu Mori1Motomu Kamada2Tetsuya Matsuura3Koichi Sairyo4Mizusa Hyodo5Rie Tsutsumi6Hiroshi Sakaue7Ken‐ichi Aihara8Makoto Funaki9Akio Kuroda10Munehide Matsuhisa11Diabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences Tokushima University Tokushima JapanDiabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences Tokushima University Tokushima JapanDivision of Rehabilitation Tokushima University Hospital Tokushima JapanDepartment of Rehabilitation Medicine Tokushima University Hospital Tokushima JapanDepartment of Orthopedic Surgery Tokushima University Graduate School of Medicine Tokushima JapanDepartment of Nutrition and Metabolism, Institute of Biomedical Sciences Tokushima University Graduate School Tokushima JapanDepartment of Nutrition and Metabolism, Institute of Biomedical Sciences Tokushima University Graduate School Tokushima JapanDepartment of Nutrition and Metabolism, Institute of Biomedical Sciences Tokushima University Graduate School Tokushima JapanDepartment of Community Medicine and Medical Science, Graduate School of Biomedical Sciences Tokushima University Tokushima JapanDiabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences Tokushima University Tokushima JapanDiabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences Tokushima University Tokushima JapanDiabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences Tokushima University Tokushima JapanABSTRACT Aims/Introduction This study examined the effects of high‐intensity interval walking training (IWT) compared to moderate‐intensity continuous walking training (CWT) on muscle strength, walking ability, and health‐related quality of life (QOL) in people with diabetes accompanied by lower extremity weakness. Materials and Methods People with diabetes accompanied by low isometric knee extensor strength using a simple manual dynamometer (n = 50) were screened and randomly divided into 2 groups: CWT (n = 25) and IWT (n = 25). Both groups were instructed by a physical therapist to perform walking training with the goal of 120 min/week over a 5‐month period. The primary outcome, mean change of isometric knee extensor strength, and secondary outcomes, such as gait speed and health‐related QOL, were measured at baseline and the end of the intervention. Results At the end of the intervention, there was no significant difference in the degree of change in isometric knee extension strength between the two groups. However, there was a significant increase in changes in gait speed and physical QOL in the IWT group (gait speed, P < 0.01; physical QOL, P < 0.05). Conclusions The present study showed that IWT for people with diabetes accompanied by lower extremity weakness did not improve knee extension muscle strength compared to CWT but did improve walking ability and physical QOL.https://doi.org/10.1111/jdi.14399DiabetesHigh‐intensity interval fast walking trainingMuscle weakness |
| spellingShingle | Yasuko Ichihara Hiroyasu Mori Motomu Kamada Tetsuya Matsuura Koichi Sairyo Mizusa Hyodo Rie Tsutsumi Hiroshi Sakaue Ken‐ichi Aihara Makoto Funaki Akio Kuroda Munehide Matsuhisa Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial Journal of Diabetes Investigation Diabetes High‐intensity interval fast walking training Muscle weakness |
| title | Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial |
| title_full | Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial |
| title_fullStr | Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial |
| title_full_unstemmed | Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial |
| title_short | Effects of high‐intensity interval walking training on muscle strength, walking ability, and health‐related quality of life in people with diabetes accompanied by lower extremity weakness: A randomized controlled trial |
| title_sort | effects of high intensity interval walking training on muscle strength walking ability and health related quality of life in people with diabetes accompanied by lower extremity weakness a randomized controlled trial |
| topic | Diabetes High‐intensity interval fast walking training Muscle weakness |
| url | https://doi.org/10.1111/jdi.14399 |
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