Olha Sytnyk, Olha Yezhova, Oksana Melekhovets. Physical Therapy of Middle-Aged People With Type 2 Diabetes.

(2020) Science and education, 3, 47-57. Odessa.

Olha Sytnyk,
PhD (Candidate of Biology Sciences), associate professor,
Department of Physical Therapy,
Occupational Therapy and Sports Medicine,
Olha Yezhova,
Doctor of Education, professor,
head of the Department of Physical Therapy,
Occupational Therapy and Sports Medicine,
Oksana Melekhovets,
PhD (Candidate of Medical Sciences), associate professor,
Department of Family Medicine,
Sumy State University,
2, Rymskogo-Korsakova Str., Sumy, Ukraine



Diabetes is one of the most common chronic diseases in the world. This disease has been considered as a social problem. It is getting more and more urgent. The increase in the incidence and mortality of type 2 diabetes that observed in recent years requires development of preventive measures, active use of physical therapy. Purpose is to characterize the program of physical therapy for type 2 diabetes and to evaluate its importance. The following materials and methods were used: WHOQOL-BREF questionnaire, somatometry, goniometry, pulsometry, tonometry, dynamometry, functional testing, perceived exertion. An adequate physiotherapy program for middle-aged people with type 2 diabetes that is suitable for treatment and rehabilitation process has been proposed. The program was implemented in the University Clinic of Sumy State University. The theoretical part of the paper emphasizes that the use of comprehensive approach can only help to normalize carbohydrate metabolism. During implementation of the experimental part of the study, we contributed to motivation to increase motor activity, implemented a program of physical therapy for middle-aged people with type 2 diabetes and obesity, which consisted of strength and aerobic exercises of moderate intensity and relaxation exercises. The empirical part of the work proves the program to be the effective. The analysis of the results indicates positive changes in the functional systems of the organism. Correction of physical activity of persons with type 2 diabetes and obesity leads to positive changes in the studied parameters. Individuals who participated in the physical therapy program had a tendency to a decrease in waist, hip, neck circumference, body mass index (BMI, WHR); a tendency to an increase in calf circumference. These changes have a positive effect on a person's quality of life, self-esteem for physical and especially mental health. The results of the study can be proposed for the practice of physiotherapists who work with patients with type 2 diabetes and obesity.


 type 2 diabetes, middle age, obesity, physical therapy program.




1. Bulnaeva, H. Y., Khamnueva, L. Yu., & Khantakova, E. A. (2010). Lechebnaya fyzycheskaya kultura pry sakharnom dyabete [Physical therapy for diabetes]. Irkutsk: ISМU ROSZDRAV [in Russian].
2. Vlasenko, M. V., Semeniuk, I. V., & Slobodianiuk, G. G. (2011). Tsukrovyi diabet i ozhyrinnia – epidemiia XXI stolittia suchasnyi pidkhid do problemy [Diabetes and adiposity - epidemic of XXI century: a modern approach to the problem]. Ukrainskyi terapevtychnyi zhurnal – Ukrainian Therapeutic Journal, 2, 50–55 [in Ukrainian].
3. Kaniuka, Ye. V., & Pindichev, S. O. (2015). Zastosuvannya shkali Individualnogo spriynyattya fIzichnogo navantazhennya (shkala Borga) pri provedennі protsedur likuvalnoyi gimnastiki [Application of the scale of individual perception of physical activity (Borg scale) during therapeutic gymnastics procedures]. Ukrayinskiy visnik mediko-sotsialnoyi ekspertizi – Ukrainian Bulletin of Medical and Social Expertise, 22, 42–45. Retrieved from http://nbuv.gov.ua/UJRN/ujmse_2015_2_11 [in Ukraіnian].
4. Kryisanov, I. S. (2009). Farmakoekonomika saharnogo diabeta [Pharmacoeconomics of diabetes mellitus]. Farmakoekonomika, 1, 42–46. Retrieved from https://cyberleninka.ru/article/n/farmakoekonomikasaharnogo-diabeta [in Russian].
5. Levit, S., Philippov, Yu. I., & Gorelyshev, A. S. (2013). Saharnyiy diabet 2 tipa: vremya izmenit kontseptsiyu [Type 2 diabetes mellitus: time to change the concept]. Saharnyiy diabet – Diabetes, 1, 91–102. Retrieved from DMjournal.ru/ru/articles/catalog/2013_1/2013_1_91-102 [in Russian].
6. Razina, A. O., Achkasov, E. E., & Runenko, S. D. (2016). Ozhirenie: sovremennyiy vzglyad na problemu [Obesity: a modern perspective on the problem]. Ozhirenie i metabolizm – Obesity and metabolism, 13, 3– 8 [in Russian].
7. Solodkov, A. S. (2006). Rukovodstvo k prakticheskim zanyatiyam po fiziologii cheloveka [Guide to practical exercises in human physiology]. Мoscow: Sovetskiy sport [in Russian].
8. Muzika, F. V., Baranetskiy, G. G., Vovkanich, L. S., GrinkIv, M. Ya., MaEvska, S. M., & Malitskiy, A. V. (2008). Sportivna morfologiia [Sports morphology]. Lviv: Spolom [in Ukranian].
9. Tarasenko, N. A. (2017). Sakharnyi dyabet: deistvytelnost prohnozy profylaktyka [Diabetes: reality, forecasts, prevention]. Sovremennyie problemyi nauki i obrazovaniya – Modern problems of science and education, 6. Retrieved from https://www.scienceeducation.ru/ru/article/view?id=27144 [in Russian].
10.Tazhieva, A. E., Reznik, V. L., & Absatarova, K. S. (2016). K voprosu o rasprostranennosti i upravlenii saharnyim diabetom [On the prevalence and management of diabetes mellitus]. Vestnik KazNMU – Bulletin KazNMU, 1, 415-416. Retrieved from https://cyberleninka.ru/article/n/k-voprosu-orasprostranennosti-i-upravlenii-saharnym-diabetom [in Russian].
11.Furman, Yu. M. (2007). Zavdannia do laboratornykh robit zi sportyvnoi medytsyny [Laboratory classes in sports medicine]. Vinnitsya: DOV “Vinnitsya” [in Ukranian].
12.Shishkina, N. S., Suntsov, Yu. I., Bolotskaya, L. L., Maksimova, V. P., Smirnov, S. V., & Dedov, I. I. (2005). Rasprostranennost saharnogo diabeta 2 tipa (po dannyim skrininga) [The prevalence of type 2 diabetes (according screening)]. Epidemiologiya i registr saharnogo diabeta – Epidemiology and diabetes registry, 2, 7–8. Retrieved from https://cyberleninka.ru/article/n/rasprostranennostsaharnogo-diabeta-2-tipa-po-dannym-skrininga [in Russian].
13. Yushchuk, N. D., Maev, Y. V., & Hurevych, K. H. (2012). Zdorovyi obraz zhyzny y profylaktyka zabolevanyi [Healthy Living And Disease Prevention]. Мoscow: Pero [in Russian].
14. de Koning, L, Merchant, A. T., Pogue, J., Anand, S. S. (2007). Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. Eur Heart J, 28, 850–856. DOI: https://doi.org/10.1093/eurheartj/ehm026 [in English].
15. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. (1998). Psychological Medicine, 28, 551–558 [in English].
16.Evan, B., Stubbs, Jr., Morris, A., Fisher, Clara M. Miller, Christine Jelinek, Jolene Butler, Conor McBurney & Eileen G. Collins. (2019). Randomized controlled trial of physical exercise in diabetic veterans with length-dependent distal symmetric polyneuropathy. Front. Neurosci, 13, 51. DOI: https://doi.org/10.3389/fnins.2019.00051 [in English].
17.Eveline, J. M., Wouters, Annemieke, M. A., Van Nunen, Rinie Geenen, Ronette L. Kolotkin, & Ad J. J. M. Vingerhoets. (2010). Effects of Aquajogging in Obese Adults: A Pilot Study Hindawi Publishing Corporation Journal of Obesity Article ID 231074, 7 pages. DOI: https://doi.org/10.1155/2010/231074 [in English].
18. Osama, A.J., & Shehab, Ael-K. (2015) Psychological wellbeing and biochemical modulation in response to weight loss in obese type 2 diabetes patients. Afr Health Sci, 15(2), 503–512. DOI: https://doi.org/10.4314/ahs.v15i2.25 [in English].
19.Ranasinghe, C., Hills, A. P., Constantine, G. R., Finlayson, G., Katulanda, P., & King, N. A. (2018). Study protocol: a randomised controlled trial of supervised resistance training versus aerobic training in Sri Lankan adults with type 2 diabetes mellitus: SL-DART study. BMC Public Health, 18, 176. DOI: https://doi.org/10.1186/s12889-018-5069-6 [in English].
20. Yezhova, O., Melekhovets, O., & Sytnyk, О. (2019). Impact of the multimodal physical program on the endothelium function in diabetic patients with obesity. Acta Balneologica, 1(155), 11–16 [in English].




©2021 Університет Ушинського. Всі права захищені, мабуть.