The Sun (Malaysia)

Diet and exercise can benefit older diabetics

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NEW RESEARCH suggests that losing weight through diet and exercise could help improve blood circulatio­n in the brains of older adults with Type-2 diabetes, which can also help improve cognitive functionin­g.

Type-2 diabetes can affect blood circulatio­n by stiffening blood vessels, and reducing the amount of oxygen that circulates throughout the body, including the brain, which can affect the way we think and make decisions.

Cognitive problems have also been linked to being overweight and obese, conditions that are common for those with Type-2 diabetes.

Although lowering calorie intake and increasing physical activity are already known to reduce the negative effects of Type-2 diabetes on the body, the effect on the brain has so far been unclear.

To research a possible connection, the team behind the new study looked at a previous 10-year study called Action for Health in Diabetes.

As the older study taught participan­ts to implement healthy, long-term lifestyle changes, the researcher­s were able to focus on whether participan­ts with Type-2 diabetes – who made their lifestyles healthier by eating fewer calories and increasing their physical activity – had better blood flow to the brain.

They looked at 310 overweight or obese participan­ts taking part in the study, aged 45 to 76 and with Type-2 diabetes, and assigned the participan­ts to two groups.

In the first group, participan­ts were given a daily goal of eating between 1,200 to 1,800 calories in order to lose weight, based on their initial weight.

They also had a goal of partaking in 175 minutes of physical activity throughout the week, through activities such as brisk walking.

The second group acted as a control group, and were only required to attend diabetes support classes.

During the study, the participan­ts all had their mental functions tested, including their verbal learning, memory, decision-making ability, and other cognitive functions, and were required to complete an MRI brain scan around 10 years after the start of the study.

The team found that those who made the healthy lifestyle changes of eating fewer calories and increasing their physical activity had greater blood flow in the brain.

The results also suggested that the lifestyle changes were more effective in increasing or maintainin­g blood flow in the brain for individual­s who were overweight but not obese.

However, the team still concluded that for all participan­ts, whether overweight or obese, long-term weight loss through diet and exercise is beneficial in increasing brain flow in those with Type-2 diabetes.

The researcher­s published their findings in the Journal of the American Geriatrics Society. – AFP-Relaxnews and education

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