Background: Type 2 diabetes along with chronic hyperglycemia may result in cognitive impairment. This can\r\nnegatively affect the patientââ?¬â?¢s adherence to diabetes treatment. The purpose of this study was to compare the\r\ncognitive status and foot self care practice in overweight type 2 diabetic patients who exercised regularly and\r\nthose who did not.\r\nMethods: The comparative study was conducted on 160 consecutive patients from an outpatient diabetes clinic.\r\nThey were divided into two groups: The active group comprised of 80 patients engaged in regular exercise for at\r\nleast 15ââ?¬â??30 minutes, three times per week during the past 6 months. The control group included 80 patients who\r\nhad not exercised regularly for the past 12 months, matched for sex, age, education, diabetes duration, hemoglobin\r\nA1C and body mass index (BMI: 25ââ?¬â??29.9Kg/m2). Data on the patientsââ?¬â?¢ demographic information, foot care practice\r\nand physical activity habits were gathered using a questionnaire. The Mini Mental Status examination (MMSE) was\r\napplied to assess cognitive status.\r\nResults: MMSE score was significantly higher in the active group. A significant negative correlation was noted\r\nbetween MMSE scores and BMI in the control group (r = -0.2, P =0.03). A significant difference was noted in the\r\nfour domains of foot self care practice between the active (4.77 Ã?± 0.77) and control (4.45 Ã?± 0.83) groups (P <0.01).\r\nConclusions: Regular physical activity can help promote cognitive status and foot self care practice in overweight\r\npatients with type 2 diabetes.
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