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Open access

Jaspreet Kaur, Shailendra Kumar Singh and Jaspreet Singh Vij

Abstract

Background and Aims: diabetes mellitus one of the non-communicable disorders which is spreading globally irrespective of nation being developed or developing. The aim of this study was to optimize the exercise protocols and to find the efficacy of these protocols on glucose control, balance, gait and proprioception in patients suffering from type 2 diabetes mellitus.

Material and Methods: 40 individuals with type 2 DM with age 35 to 60 were randomly allotted to four groups with 10 subjects in each. Cycle ergometer based aerobic exercises were given with duration of 20 or 30 minutes twice or thrice weekly for 6 weeks. Pre and post intervention was collected using Fullerton Advanced Balance scale for balance, spatiotemporal gait parameters for gait, Continuous passive motion for Proprioception and High Performance Liquid Chromatography in the laboratory.

Results: data was analysed using Design Expert software. Full factorial design was used to compare role of duration and frequency of exercise on each patient. The results showed significant effect of exercises on balance, gait, proprioception and glycated haemoglobin (HbA1c).

Conclusion: Aerobic exercises if given for 30 minutes and thrice weekly can show a significant improvement in complications in Diabetics.

Open access

Jaspreet Kaur, Shailendra Kumar Singh and Jaspreet Singh Vij

Abstract

Background and Aims: Lack of physical activity, obesity, eating habits contributes to an increase in metabolic disorders. Patients with diabetes have balance, gait, and proprioceptive impairments which hinder the activity of daily living. Therefore, the main objective of present research was to optimize and to find efficacy of the exercise protocols on gait, balance, proprioception and glycated haemoglobin (HbA1c) levels in patients suffering from Type 2 Diabetes mellitus (T2DM).

Material and Methods: Forty individuals with T2DM age between 35 to 60 were recruited and randomly allocated to four groups with 10 subjects per group. Core strengthening exercises were given with duration of twenty or thirty minutes per session and frequency of twice or thrice weekly for six weeks.

Results: Design Expert Software version 10.0.6 was used to analyse data Design Expert software. Further duration and frequency of exercises were compares using ful factorial design. Paired sample t test was used at significance level p<0.05 to find efficacy of core strengthening exercises. The results showed the roe of duration and frequency along with significant effect of exercises on balance, gait, proprioception and HbA1c.

Conclusion: Pilates based core strengthening exercises (PBCS) significantly improved all the parameter selected if exercise protocol was given for 30 minutes and thrice weekly for six weeks. Study has also shown impact of duration and frequency of exercises separately on these parameters.

Open access

Jagmahender Singh Sehrawat and Jaspreet Kaur

Abstract

This article reviews the present scenario of use of stable isotopes (mainly δ13C, δ15N, δ18O, 87Sr) to trace past life behaviours like breast feeding and weaning practices, the geographic origin, migration history, paleodiet and subsistence patterns of past populations from the chemical signatures of isotopes imprinted in human skeletal remains. This approach is based on the state that food-web isotopic signatures are seen in the human bones and teeth and such signatures can change parallely with a variety of biogeochemical processes. By measuring δ13C and δ15N isotopic values of subadult tissues of different ages, the level of breast milk ingestion at particular ages and the components of the complementary foods can be assessed. Strontium and oxygen isotopic analyses have been used for determining the geographic origins and reconstructing the way of life of past populations as these isotopes can map the isotopic outline of the area from where the person acquired water and food during initial lifetime. The isotopic values of strontium and oxygen values are considered specific to geographical areas and serve as reliable chemical signatures of migration history of past human populations (local or non-local to the site). Previous isotopic studies show that the subsistence patterns of the past human populations underwent extensive changes from nomadic to complete agricultural dependence strategies. The carbon and nitrogen isotopic values of local fauna of any archaeological site can be used to elucidate the prominence of freshwater resources in the diet of the past human populations found near the site. More extensive research covering isotopic descriptions of various prehistoric, historic and modern populations is needed to explore the role of stable isotope analysis for provenancing human skeletal remains and assessing human migration patterns/routes, geographic origins, paleodiet and subsistence practices of past populations.

Open access

Jaspreet Kaur, Manoj Malik, Parul Sharma, Sumedha Sangwan and S. Kulandaivelan

Abstract

Background and Aims: Diabetes mellitus is a metabolic disorder which is increasing in older adults. The increasing proportion of elderly persons is contributing to an increase in the prevalence of diabetes. The aim of this study is to analyse the prevalence of Diabetes among active young and middle age subjects and active old age subjects in Hisar district, India. Material and Methods: A total of 400 subjects were screened from Hisar district, India who were physically active then they were allocated groups based on age group A (ranging between 25-50 years) and group B (ranging between 51-75years). A Glucometer device was used to check sugar level and 6 Minute Walk Test (MWT) was used to check fitness level because a higher value obtained in 6MWT is associated with an improved fitness level. Result and conclusion: Among the 400 participants studied, 43.5% participants were pre diabetics 32.5% were diabetic and 24% were non diabetic. Therefore, this study found that almost three fourth of the total population in all age spectrums had abnormal glucose metabolism in the form of either diabetes or Pre Diabetes. The prevalence of Diabetes was more in the older patient group. The differences between the two groups for 6MWT was found to be significant.

Open access

Deepika Sharma, Jaspreet Kaur, Monika Rani, Arpit Bansal, Manoj Malik and Sivachidambaram Kulandaivelan

Abstract

Background and Aims: Diabetes Mellitus may affect the patient’s quality of life and sleep that lead to reduced satisfaction of life. Aim of study was to improve quality of life and sleep along with satisfaction of life by giving physical therapy (pilates based on mat exercise) intervention. Material and Methods: Study design: experimental study, same subject design (pre-post). Sample size: 30 individuals (13 males,17 females) with mean age 46.05±9.01, mean weight 70.48±12.11 and mean duration of diabetes mellitus 7.88±4.49. Intervention: Pilates based mat exercises were given in experimental group. Duration of treatment:30-40minutes.Number of session:5 sessions/week. Total duration: 4 weeks. Outcomes measures: Final Qolid Questionnaire, Pittsburgh Sleep Quality Index and Satisfaction with Life Scale. Statistics: descriptive statistics used to measure mean± standard deviation and inferential statistics related t-test used to compare pre and post reading. Results: The results showed highly significant effect of exercise on quality of life and quality of sleep and significant result was found on satisfaction with life. Conclusion: Pilates based mat exercises shows positive effect on all parameters (quality of life, quality of sleep and satisfaction with life) of patients having type 2 diabetes mellitus.