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Article Citation - WoS: 1Citation - Scopus: 1Energy Expenditure and Glucose-Lowering Effect of Different Exercise Modalities in Diabetes Mellitus(Elsevier Sci Ltd, 2022) Bozdemir-Ozel, Cemile; Arikan, Hulya; Calik-Kutukcu, Ebru; Karaduz, Beyza Nur; Inal-Ince, Deniz; Kabakci, Giray; Dagdelen, SelcukObjectives Hypoglycaemia is a serious complication of exercise in patients with type 2 diabetes mellitus (T2DM). The aim of this study was to test energy expenditure and the degree of the glucose-lowering effect of different exercise modalities. Design Cross-sectional study Participants This study included 44 patients {35 women and nine men, mean age 51 [standard deviation (SD) 5] years} with T2DM [mean HbA1c 7% (SD 1%)]. Main outcome measures Standardised exercise tests for walking, running and cycling were performed using the 6-minute walk test (6MWT), incremental shuttle walk test (ISWT), and symptom-limited maximal cycle exercise test, respectively. Energy expenditure was assessed with a multisensory accelerometer. Change in capillary glucose levels ( increment glucose) was measured before and after each exercise modality. Results increment Glucose was lower in the 6MWT {median 14 [interquartile range (IQR) 22] mg/dl} than in the ISWT [median 18 (IQR 23) mg/ dl; median difference 7 mg/dl, 95% confidence interval (CI) of the difference 3-11] and the cycle test [median 18 (IQR 24) mg/dl; median difference 7 mg/dl, 95% CI 0-16]. Energy expenditure was lower during the 6MWT [median 41 (IQR 18) Kcal] compared with the ISWT [median 51 (IQR 23) Kcal; median difference 11 Kcal, 95% CI 6-16] and the cycle test [median 44 (IQR 25) Kcal; median difference 6 Kcal, 95% CI 0-13]. Conclusions Energy expenditure and corresponding glucose-lowering effect during exercise in patients with T2DM can be predicted from the results of an exercise test. The type of exercise is related to the risk of hypoglycaemia. Walking is associated with the lowest energy expenditure and risk of hypoglycaemia, while cycling and running/jogging cause higher energy expenditure and greater reductions in glucose in patients with T2DM. Contribution of the paper center dot Energy expenditure and risk of hypoglycaemia during exercise can be predicted by exercise tests. center dot The intensity and type of exercise are related to the risk of hypoglycaemia. center dot The change in glucose level was greater for running and cycling than for walking. (c) 2022 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.Article Citation - WoS: 29Citation - Scopus: 32Effects of Exercise Training on Anxiety in Diabetic Rats(Elsevier, 2019) Caliskan, Hasan; Akat, Firat; Tatar, Yakup; Zaloglu, Nezahet; Dursun, Ali Dogan; Bastug, Metin; Ficicilar, HakanDiabetes mellitus (DM) is a common health problem, which manifests itself with chronic hyperglycemia and impaired insulin action. The prevalence of anxiety disorders tends to be high in the diabetic population. Exercise has a well-known anxiolytic effect, also demonstrated on rodents, but the effect of exercise on the DM-induced anxiety is still unknown. Female, Wistar albino rats were randomly divided into four groups (n=8) (C; EX; DM; DM+EX). DM was induced by injection (i.p.; 50 mg/kg) of Streptozotocin (STZ). Rats exercised in moderate intensity on the treadmill (15m/min; 5 degrees; 30 min) for 5 weeks. Anxiety-like behavior (ALB) was evaluated by Open field test (OFT) and Elevated Plus Maze (EPM). According to OFT, central time and central entry have increased with in EX but not in DM+EX. There was no difference between C and DM. Central latency time didn't differ among groups. Unsupported rearing increased in both EX and DM+EX. There was no significant decrease in DM. Freezing time was significantly increased in the DM group. Exercise training reduced freezing time both in diabetic and non-diabetic animals. EPM results were similar. Time spent in open arm was increased significantly in exercise groups compared to their sedentary matches, and freezing time data were also parallel to OFT. Our study revealed that diabetes had shown an anxiogenic effect, which was not severe, and it only manifested itself on some behavioral parameters. Exercise training was reduced anxiety-like behavior both in diabetic and non-diabetic rats. However, because of the nature of exercise studies, it is hard to separate the anxiolytic effect of exercise from the alteration of locomotion.Article Validity and Reliability of Turkish Version of the Physical Activity Enjoyment Scale-8 Items in Adults(SAGE Publications Ltd, 2025) Çınar-Medeni, Ö.; İncekas, C.; Özcan, A.; Ozdemir, F.; Ulusoy, B.; Can Karahan, Z.Background: The enjoyment of physical activity significantly influences participation in sports and various forms of physical activity. This study aims to conduct a cross-cultural adaptation and assess the reliability and validity of the Turkish version of the Physical Activity Enjoyment Scale-8 Items (PACES-8). Methods: A total of 120 participants were included in the study. A standardized translation process was followed. Criterion-related validity was assessed using the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2) and the International Physical Activity Questionnaire-Short Form (IPAQ). All participants were evaluated in two sessions following a 15-min walk. Sociodemographic data, PACES-8, BREQ-2, and IPAQ questionnaires were administered during the initial measurement, while the second measurement focused solely on assessing physical activity enjoyment. Results: Exploratory factor analysis revealed factor loadings ranging from 0.78 to 0.94, indicating a strong single-factor structure. The model demonstrated a good fit to the data (Chi-Square Goodness of Fit Test (χ²/df) = 3.26, p < 0.001; Comparative Fit Index = 0.96; Tucker-Lewis Index = 0.93). The Cronbach's alpha coefficient was 0.95, reflecting excellent internal consistency. PACES-8 showed a low correlation with the external regulation score of BREQ-2 (r = -0.24, p = 0.03) and the physical activity score (IPAQ score) of participants (r = 0.24, p = 0.007). Conclusions: The findings suggest that the Turkish version of PACES-8 is a unidimensional, reliable, and valid instrument for measuring enjoyment of physical activity. Further research is needed to assess its validity across different populations. © 2025 Elsevier B.V., All rights reserved.Article Citation - Scopus: 1The Effect of a 6-Week Balance Exercise Program on Balance Parameters in Frailty Syndrome: a Randomized Controlled, Double-Blind, Prospective Study(Georgian Association of Business Press, 2023) Karagül, S.; Kibar, S.; Ay, S.; Evcik, D.; Ergin, S.Objective: This study assessed the effectiveness of a six-week balance exercise program on balance parameters and fall frequency in geriatric patients with frailty syndrome. Methodology: This randomized prospective study evaluated a total of 216 patients after referral to a physical medicine and rehabilitation outpatient clinic. Participants were divided into group 1 (flexibility exercises) and group 2 (balance exercises, including kinesthetic ability trainer [KAT] balance exercises, and flexibility exercises). Both groups performed exercises five days per week for six weeks. Balance assessments included the Berg Balance Scale and time-up-and-go test to evaluate dynamic and functional balance, while the one-leg stand test and KAT 4000 static balance test were done to evaluate static balance. Results: Frailty was observed in 37 patients (17.12%). Patients without frailty syndrome initially performed significantly better (p <0.001). Group 2 demonstrated statistically significant improvements after six weeks (p <0.05). Conclusion: Long-term exercise programs improve balance parameters and exercise performance in older adults with frailty. © 2023 Georgian Association of Business Press. All rights reserved.Article Rehabilitation in Neuromuscular Diseases: Best Turkish Practice Recommendations by Multidisciplinary Experts(Springer Heidelberg, 2025) Umay, Ebru; Tanigor, Goksel; Toraman, Fusun; Karaahmet, Ozgur; Bilgilisoy, Meral; Sertpoyraz, Filiz; Nazli, FatmaBackground and aim:Neuromuscular diseases (NMDs) are a heterogeneous group of diseases including motor neurone diseases (MND), muscle diseases (MD), neuropathies and neuromuscular junction diseases (NMJD). NMDs are characterized by a wide range of symptoms and findings, depending on different underlying issues. Therefore, the literature includes specific management and/or rehabilitation recommendations for each subgroup and even for some diseases within these subgroups. Currently, neither in our country nor globally is there a comprehensive recommendation study that thoroughly addresses all aspects of NMD rehabilitation developed by experienced and specialized multidisciplinary experts in the field.Materials and methodsThe recommendations in this paper have been created by a multidisciplinary team for all patients without age limitation under the headings of peripheral neuropathy/polyneuropathy, MND, MD and NMJD using the seven-step and 3 round modified Delphi method via e-mail. The strength of agreements (SOA) was calculated for each item (recommendation) using percentages (response of between 8 and 10%), median values, and interquartile range with Kappa method.ResultsThe opinions of the experts were analysed according to the 3-round modified Delphi method, and a list of 110 items of recommendations for patients with NMDs of all ages was prepared in as much detail as possible to shed light on almost all questions and problems that may be encountered in clinical practice. There were 5 recommendations in the general management subsection, 20 recommendations in the rehabilitation indications subsection, 8 recommendations in the rehabilitation contraindications section, and 77 recommendations in the rehabilitation section (general principles 7 recommendations, modalities 13 recommendations, exercise characteristics 57 recommendations).ConclusionWe think that this study will be a light for physicians dealing with this patient group in clinical practice, as it includes fine details up to exercise prescriptions.
