Maryam Zahedi

Abstract:
This study assessed the effect of an exercise program on balance measurements, vibration sense, walking speed, and cardiometabolic parameters in patients with diabetic peripheral neuropathy (DPN). The pre-and post-testing designs were used in this randomized clinical trial with 44 patients with DPN who were randomly assigned to equal control and exercise groups (n = 22). The intervention was an 8-week program comprising balance and proprioceptive exercises in 3 weekly sessions. The hemoglobin A1C (HbA1c), fasting plasma glucose (FPG), triglycerides, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), balance, vibration sense, and walking speed were assessed. The time up and go (TUG) test and the Berg balance scale were used to measure dynamic and static balance. After adjusting for their baseline, we applied analysis of covariance (ANCOVA) to test the comparison of all parameters between the two groups at the end of the study. We observed significantly improved vibration sense and walking speed in the exercise group compared to the control group. We also observed a significant decrease in TUG, body weight, FPG, LDL-C, TC, and triglycerides and a significant increase in HDL-C levels after 8 weeks of exercise in the intervention group compared to the control group. The results showed that the exercise program improved balance and vibration sense, walking speed, lipid profile, body weight, and FPG in patients with DPN. This exercise program seems appropriate and can be influential in managing these patients and medication.
Biography:
She is an assistant professor of Endocrinology at Golestan University of Medical Sciences (GOUMS). She is professional in the diagnosis and management of Diabetes mellitus, thyroid disorders, calcium, phosphorus, bone metabolism, and reproductive disorders, including hypogonadism, hirsutism, gynecomastia, etc. She has a 10-year history of clinical practice and research in internal medicine and endocrinology. She also trained several medical students. She has several published articles in the field of endocrinology, and she is ongoing research in these fields.