The effect of the Clínicas Einstein Online Functional Training Program on the glycemic and blood pressure profile of an elderly patient

Abstract

Introduction:- Estimates indicate that 499.2 million new cases of Chronic Noncommunicable Diseases (NCDs) in the world could occur between 2020 and 2030, if sedentary behavior does not change. Objective: Therefore, the objective of this work was to monitor the glycemic and blood pressure profile before and after online functional training (TFO) sessions in an elderly patient. Methods: Patient 74 years old, male, weight 89.9kgs, height 1.77cm and BMI 25.82, with a previous diagnosis of DM2 and SAH, participated in 69 TFO sessions twice a week, between the period 2022 and 2023 Each session lasted 50 minutes. After every three exercises (lower limb, trunk and lower limb), the patient performed 60 to 120 seconds of aerobic movements and returned to the next circuit. Before and immediately after each session, the patient measured blood glucose (GLI) and blood pressure (BP). Data were analyzed using Jasp statistical software. The data normality test (Shapiro-Wilk) was performed, followed by the T-Student test (paired), to compare the values of GLI and diastolic BP (DBP) and systolic BP (SBP) pre and post exercise compared in the period of 2022 and 2023, considering a significance level of 5%. Results: The average GLI values Post 2023 and Pre 2022; Post 2023 and Pre 2023 were significantly different (p=0.01 and p<0.05) respectively. For the other comparisons there were no significant differences. The mean BP values were significantly different between SBP Pre 2022 and SBP Pre 2023, as well as for the DBP Pre 2022 and Pre 2023 measurements (p<0.05). For the other comparisons, there were no significant differences. Conclusion: In conclusion, the results of this study demonstrate that online functional training sessions (OFT) had a positive impact on the glycemic and blood pressure profile of an elderly patient with a previous diagnosis of Type 2 Diabetes Mellitus (DM2) and Systemic Arterial Hypertension (SAH) . Statistical analyzes revealed significant differences in post-exercise blood glucose measurements in 2023 compared to 2022 and pre-exercise in 2023. Additionally, there were significant differences in pre-exercise systolic and diastolic blood pressure in 2022 compared to 2023. These results suggest that TFO may be an effective strategy to improve glycemic control and blood pressure in elderly patients with DM2 and hypertension. Therefore, promoting physical activities, such as TFO, can play an important role in the prevention and management of Chronic Noncommunicable Diseases (NCDs), contributing to reducing the risk of new cases of these diseases in the future. However, it is important to highlight the need for more research and studies to fully understand the long-term benefits and safety of this approach in different situations.