Effect of Walking on Sand With Dietary Intervention in Overweight Type 2 Diabetes Mellitus Patients.
Condition: Walking, Difficulty; Diabetes Mellitus, Type 2; Hemoglobin; Hb-SC
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 2; Overweight; Mobility Limitation
Study type: Interventional

Summary: 
      Type 2 Diabetes Meletus(T2DM) is a global health concern. The incidence of T2DM globally is
      increasing exponentially partly due to unhealthy food habits and sedentary life
      style.exercise and nutritional intervention is long being reported to improve glycemic
      control and improve quality of life among individuals with T2DM.

      Moderate intensity of walking for 30 minutes is proven to regulate good metabolic control.
      however, in over weight elderly individuals, joint pain or arthritis walking be a challenging
      task. therefore, walking on sand which is reported to be easy on joints would be a
      alternative for those patients.
    

Detailed description: 
      Uncontrolled T2DM has shown to cause multiple complications and alter the normal
      physiological process of the body. Prompt dietary management and regular exercises are
      reported to improve blood glucose homeostasis and eventually improve the quality of life.
      Physical activity such as regular walking is associated with multiple physical and
      psychological benefits. Walking and a healthy diet is a cornerstone in the treatment of T2DM.
      Several studies have shown positive short-term effects of walking in T2DM. Combination of
      walking and weight training is reported to cause cardiovascular adaptations, muscle
      hypertrophy, increased capillary density in the muscles of patients with T2DM as well as in
      healthy people. Furthermore, 30 minutes of brisk walking has shown to improve blood glycemic
      metabolism and reduces cardiovascular risk factors, such as high blood pressure, lipid
      disorders, and fat mass buildup. However, the elderly with mild to moderate arthritic changes
      especially in knee joints make walking a bit more challenging. Sand walking would be the best
      alternative than firm surface walking with less joint reaction forces. To the best of our
      knowledge, scientific literature lacks evidence about the effect of sand walking combined
      with individualized dietary intervention in T2DM. Therefore, the purpose of this study was to
      compare the effect of sand walking as compared to normal walking on glycemic metabolism,
      weight, and quality of life in T2DM. The Investigators hypothesize that SW would result in
      better health benefits than NW in T2DM.
    

Intervention name(s): Walking on soft-sand; Walking on Levelled Surface
Intervention type(s): Other; Other
Intervention description(s): The participants are required to walking on sand for 30 minutes. Walking is self-paced.; The Participants will be require to walk on the firm surface for 30 minutes. The participants would decide the pace of walking.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The study consists of two groups, one control group (Normal Walking) and experimental group (sand walking).
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment