Iranian Journal of

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Background: Diabetes is the most common metabolic disorder. Progression of diabetes complications mostly due to lack of blood sugar control. The purpose of this study was to test a hypothesized model of individual and social factors affecting blood sugar control.

Methods: Present study is a cross-sectional study and patients were selected using sex stratified random sampling. Path analysis was conducted to investigate effects variables of the diabetes knowledge, patient and doctor relationship, self care, the number of education years, household income and duration of diabetes on HbA1c. The following goodness-of-model fit were used: χ2, RMSEA, CFI and SRMR test-statistics.

Results: The estimated model demonstrated good model fit, (χ² = 5, p=0.4), (RMSEA=0.006), (CFI =0.99) and (SRMR=0.022). Total effect and total indirect effect of age on HbA1c were significant. Age through duration of diabetes had significant indirect effect on HbA1c. Total effect of duration of diabetes on HbA1c was significant. With increasing duration of diabetes HbA1c also had increased. Total effect of waist-to-hip ratio on HbA1c was significant. Waist-to-hip ratio had significant direct effect on HbA1c.

Conclusion: In the current study the effect of individual factors such as age, waist-to-hip ratio, depression and duration of diabetes on glycemic control were detected. According to the capabilities used in this method can providing results of this study with patients and local policy makers in order to improve the care of patients with diabetes

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Background: There are many research have been done so far about the effect of exercise training on diabetic type 2 related risk factors. But in this regard there is no study performed in Iran. So, the aim of the present study was to investigate the effect of endurance exercise training on some diabetic type 2 dependent variables in the form of systematic review and meta-analysis of studies that were performed in Iran.
Methods: In this research PubMed, Embase, Cochran, Scopus, ISI, Google Scholar, Science direct, Sid and Magiran databases were searched for Persian sources. Data analysis were done using STATA software version 12.0.
Results: Generally, 242 articles were founded in primary search, which 24 articles were included in this research. Finally research were evaluated 592 Iranian's peoples which 294 peoples as a control group (96 male and 198 women) and 298 peoples as a training group (97 male and 201 women).The results indicate that there were significant association between endurance exercise and blood glucose levels (P=0.0001,-1.016,-0.656;95%CI), insulin (P=0.0001,-1.042,-0.682;95%CI), insulin resistance (P=0.0001;-0.563,-0.217;95%CI).
Conclusion: Generally, this systematic review and meta-analysis study was demonstrated endurance exercise could be related with decrease diabetes type 2 related risk factors. So, it is recommended that sport and medicine experts use endurance exercise as a non- pharmacological intervention for treatment of diabetes type 2 patients.