Variabilidad interindividual en los efectos psicológicos del ejercicio
supervisado en adultos con diabetes tipo 2
Marco Guicciardi, Romina Lecis y Davide Massidda, Universidad de Cagliari, Italia
Lucina Corgiolu, Adelina Porru, Matteo Pusceddu y Francesca Spanu, Hospital Universitario San Giovanni, Cagliari, Italia
Abstract:
Exercise is a key component in the management of Type 2 Diabetes Mellitus (T2DM), however despite the strong evidence of its protective effects, a majority of the population with this diagnosis remains inactive and those who start an exercise program are not willing to train themselves over the long-term. Self-efficacy and perceived stress are related to barriers to exercise in T2DM, therefore the aim of this longitudinal study is to investigate variations across time and individual differences in both variables as effects of a supervised exercise training (6 months) in a small sample of persons diagnosed with T2DM. Results show a general decline in the mean values of self-efficacy and perceived stress at 6 months and a high individual variability in both variables. These results support the need to develop customized programs of exercise in T2DM that take into account different phases of the exercise process and individual variability.
Keywords: exercise, self-efficacy, perceived stress, diabetes, variability
Resumen:
El ejercicio es un componente clave en la prevención y el tratamiento de Diabetes Mellitus Tipo 2 (DMT2); sin embargo, a pesar de la fuerte evidencia de sus efectos protectores, la mayoría de las personas con este diagnóstico permanece inactiva y aquellos que comienzan un programa de ejercicio no están dispuestos a entrenar a largo plazo. La autoeficacia y la percepción de estrés se relacionan con las barreras para realizar ejercicio en pacientes T2DM; por lo tanto, el objetivo de este estudio longitudinal consiste en investigar las variaciones a través del tiempo y las diferencias individuales en ambas variables, como efectos de un entrenamiento de ejercicio supervisado (6 meses), en una muestra pequeña de pacientes diagnosticados con TD2M. Los resultados muestran una disminución general de los valores promedio de la autoeficacia y del estrés percibido a los 6 meses y una alta variabilidad individual en ambas variables. Estos resultados apoyan la necesidad de desarrollar programas personalizados de ejercicio en pacientes T2DM con el objetivo de considerar las diferentes fases del proceso de ejercicio y de la variabilidad individual.
Palabras claves: ejercicio, autoeficacia, estrés percibido, diabetes, variabilidad
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